© 2002 The Fellowship of Postgraduate Medicine
EDITORIAL
Decision making
Defining shared decision making and concordance: are they one and the same?
Centre for Health Policy and Practice, School of Health, Staffordshire University, Leek Road, Stoke-on-Trent ST4 2DF, UK
Correspondence to:
Correspondence to:
Dr Chambers;
r.chambers@staffs.ac.uk
Effective communication is essential
Keywords: patient centred care; professional-patient relations; patient compliance
| The first 150 words of the full text of this article appear below. |
Effective communication is an essential element of patient centred medical practice. Terminology has developed to describe different aspects of this interaction between health professionals and patients. While attempting to do research in this field we came across these terms many times and have tried to make sense of them. We are writing this editorial as a guide to those who, like us, have struggled to understand what these terms mean and the differences between them.
The terms "non-compliance" or "non-adherence" have been criticised for suggesting an unequal, paternalistic relationship between health professionals prescribing medication and their patients. To overcome this, the Royal Pharmaceutical Society introduced the model of concordance as a more patient centred approach.1 In this model concordance is reached through a therapeutic alliance and negotiation between the prescriber and the patient. The patient is encouraged to discuss concerns about medications that have been prescribed and preferences
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