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Healthy Skepticism Library item: 12002

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Schoberberger R, Klik K, Korab T, Kunze M.
[The influence of drug packaging on the drug-taking compliance of older patients living on their own].
Wien Med Wochenschr. 2007 Nov; 157:(11-12):271-8
http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=ShowDetailView&TermToSearch=17915439


Abstract:

The present study is concerned with compliance and the possible influence thereon of drug packaging. Since most medications are prescribed for older persons, our target group was that of the over 70-year-olds otherwise usually excluded from participating as probands in clinical trials. Our method chose a study design that includes both the experience of a selected group of experts as well as the results of a field study. In the field study, 70 persons (18 male and 61 female), and 70-to-95 years of age participated in a face-to-face interview as well as in a test dealing with the handling of drug packaging. While the subjective patient responses provide a positive result with respect to compliance — over 80% say that they take their medications regularly — the data that were determined objectively within the framework of the test with selected medications showed deficiencies. The “medication test” carried out here shows impressively that child-proof packaging is also “age-proof” and, when used in the target group of older persons, can represent a considerable barrier to compliance.

Keywords:
Publication Types: Comparative Study English Abstract Evaluation Studies MeSH Terms: Aged* Aged, 80 and over* Drug Packaging* Drug Therapy* Female Health Behavior* Humans Interviews Male Patient Compliance* Patient Satisfaction* Socioeconomic Factors


Notes:

[Article in German]

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909