The Pharmaceutical Journal
Vol 271 No 7270
11 October 2003

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Leading Articles PDF (60K)   480

Do you want to take your medicine? 480
Text  
This week's issue is devoted to concordance — or what is easier to understand, but rather cumbersome — developing partnerships with patients


News & Features   481-488

News summary (includes R & D) 481-485, 487-488
Text   PDF (360K)

How self-care is being made a reality 486
Text   PDF (75K)
Ask About Medicines Week provides the ideal opportunity to encourage patients to consider self-care. Clare Bellingham reports


Products PDF (80K)   489

• Products Text 489
• Announcements Text 489

• Drug tariff updates Text 489
• Recalls Text


Broad Spectrum PDF (60K)   490

Taking risks and talking risk — from ADRs to SARS 490
Text 
By Prashant Sanghani


Letters PDF (110K)   491-492

Text  
Concordance / Remuneration / Specials / Artificial saliva / Vaccines


Concordance   493-519

What is concordance? 493
Text   PDF (50K)
Marjorie Weiss and Nicky Britten explain what concordance is and what it is not

How concordance and patient empowerment challenge pharmacy 494
Text   PDF (50K)
Carol Watson says that changes in professional practice are essential if treatments and services are to be patient-centred

Patient information needs patients 495
Text   PDF (80K)
Mark Duman says that whether patient information is supplied before or after a prescription is received, it is quality that counts

Concordance — is it a synonym for compliance or a paradigm shift? 496-497
Text   PDF (65K)
Christine Bond says that the concept of concordance is not fully understood by health care professionals and that it has yet to be accepted as a paradigm shift in health care provision

Compliance, concordance and respect for the patient’s agenda 498-500
PDF (65K)
Paul Bissell discusses compliance and concordance as models for framing relationships between patients and health care professionals

Health literacy: implications for concordance and compliance 501-502
PDF (75K)
Nicola Gray argues that promoting good health literacy is crucial for successful concordance

Why do older people not always take their medicines? 503-504
PDF (65K)
Juanita Westbury recently completed an MSc at Keele University exploring concordance issues in older people. In this article she asks if older people are ready for concordance

How reflections on concordance in mental health can affect research and clinical practice in adherence 505-507
PDF (60K)
Jennie Day draws on examples of concordance in mental health to illustrate some of the problems associated with carrying out research in the area of adherence

Can Britain and the United States learn anything from each other? 508-510
PDF (85K)
Rachel Elliott, Nick Barber and Peter Noyce ask whether non-adherence undermines the efficiency of British and American health policy and what the two countries might learn from each other

How to achieve concordance through ethnic sensitivity and lateral thinking: a case study 511-512
Text   PDF (75K)
Anna Murphy and Raymond Tallis explain how taking a concordant approach to finding out about a patient’s background and beliefs can improve that patient’s compliance with asthma management therapy

How pharmacists can encourage adherence to long-term treatments for chronic conditions 513-514
PDF (80K)
There follows the text of an International Pharmaceutical Federation Statement on Professional Standards. Its recommendations are intended to help pharmacists promote adherence through concordance

Ask me! I’m a pharmacist 515
Text   PDF (60K)
Jonathan Silcock says Ask About Medicines Week is an appropriate time to review how pharmacists ask questions and how they answer their customers’ questions

ORIGINAL PAPERS: Patients’ ambivalence about taking antidepressants: a qualitative study 516-519
PDF (100K)
Aim • To understand patients’ views and experiences of taking antidepressants

British Pharmaceutical Conference: New ways of involving patients 519
Text
One of the last sessions at the British Pharmaceutical Conference focused on concordance. Olivia Timbs (Editor of The Journal) reports


Continuing Professional Development (CPD)   510
Recent articles

Concordance  510
Text
Concordance is essential for the provision of patient-centred care. Lin-Nam Wang, The Journal's staff editor with responsibility for CPD articles, suggests that this special issue can be used as a resource for continuing professional development purposes. The following is designed to help pharmacists through the CPD cycle


Onlooker PDF (80K)   520

Listen to the patient Ever since the celebrated “two cultures” concept came to be discussed we have heard arguments over the merits or otherwise of an education system that presses us to study either science or the humanities Text

Risk and reason To live any active kind of existence without occasionally risking life and limb is not possible. Wherever we live, and however we live, hazards are never far from us. This is a situation we have to accept, but a degree of caution does not come amiss Text

Strange dye Purple robes for the ancient Greeks and Romans were a mark of dignity, and were adopted by emperors, kings, magistrates and military commanders Text


The Society PDF (200K)   521-530

October Council meeting Text   521-526
• Views sought on revised draft Charter Text 521-523
• Support for competent regulation Text 523
• Investigation into complaint Text 523-524
• British Pharmaceutical Conference Text 524
• Pharmacy Practice Research Trust Text 524
• Reciprocal registration agreements Text 524
• Technician regulation Text 524-525
• Pharmacy support staff Text 525-526
• "A vision for pharmacy" Text 526

From the President Text 523
Listening to pharmacists: A revised draft Royal Charter
The President of the Royal Pharmaceutical Society, Dr Gill Hawksworth, urges members to respond to the new consultation on a new Charter for the Society

News
• Council member's September wedding Text 526
• Sheila Stevens leaves the Society Text 526

Law and Ethics Bulletin 2001 to present
• Use of mobile phones in the dispensary Text 526
• Adherence to pharmacy employers' security procedures Text 526

Council's response to branch resolutions Text 527

Obituaries & tributes Text 528

Society meetings
Advances in medical imaging Text 528

Official notices 2001 to present
• Erasure from Register on direction of Statutory Committee Text 529
• Alterations to the Byelaws: supplementary prescribing Text 529
• Notice to course providers: Mapping dispensing assistant courses to the “grandparent clause” for pharmacy services S/NVQ Level 2 Text 529
• AstraZeneca Industrial Achievement Award 2004 Text 529
• GlaxoSmithKline International Achievement Award 2004 Text 529


Diary Text

• Branch meetings 530
• Society meetings 528
• Future events 489
• Conferences 489
• Reunions

Front Cover Picture
Our front cover picture (Photographer’s Choice) illustrates this week’s themed issue on concordance. The issue is designed to draw attention to Ask About Medicines Week (AAMW), which begins on 12 October. AAMW aims to help people to make better use of their medicines by encouraging both medicine users and health care professionals to ask questions about medicines
See also Leading article

What is concordance?
An article explains what concordance is, how it differs from previous ways of thinking about medicine-taking, and the implications for health care professionals

Concordance not fully understood
Concordance is not fully understood by health care professionals, says Christine Bond, in an article that asks whether it is a synonym for compliance or a paradigm shift?

Health literacy
An article looks at how promoting health literacy is crucial for successful compliance (PDF 75K)

Patients’ views of taking antidepressants
Research from Keele shows that patients have varied and changing views about taking antidepressants (PDF 100K)