title: Patient desire to be involved in medication treatment decisions.
abstract: OBJECTIVE
  To identify unmet needs of patients taking medications for chronic health conditions and identify medication-related services that patients with chronic health conditions would desire.
  
  
  METHODS
  Descriptive, exploratory, nonexperimental study.
  
  
  METHODS
  Large midwestern state in spring 2010.
  
  
  METHODS
  465 patients 45 years or older taking one or more prescriptions for chronic health problems.
  
  
  METHODS
  Cross-sectional survey.
  
  
  METHODS
  Patient-reported usefulness of, satisfaction with, and intention to use medication-related services.
  
  
  RESULTS
  Respondents wanted to be highly involved in treatment decisions but found medication information they received to be moderately useful and satisfactory. Medication-related services fell into three groups based on reported intention to use: therapy advice, cost advice, and medication organization. Desire to be involved in treatment decisions was a key factor in predicting reported intention to use therapy advice and cost advice services. The perceived affordability of medications was another important factor in patients' intention to use cost advice and medication organization services. Age, chronic conditions, number of prescription drugs, and the cost of therapy were not important in predicting the intention to use medication-related services in this population.
  
  
  CONCLUSIONS
  Patient desire to be involved in treatment decisions was a key factor in explaining intention to use medication-related services. Identifying individuals with desire for involvement in treatment decisions may increase medication therapy management (MTM) participation. Strategies to provide personalized MTM services to these individuals should be developed and evaluated.
authors.affiliation: College of Pharmacy, University of Michigan, Ann Arbor, MI 48109, USA. skucukar@umich.edu
authors.forename: Suzan N
authors.initials: SN
authors.lastname: Kucukarslan
authors.forename: Leslie A
authors.initials: LA
authors.lastname: Shimp
authors.forename: Nancy J W
authors.initials: NJ
authors.lastname: Lewis
authors.forename: Caroline A
authors.initials: CA
authors.lastname: Gaither
authors.forename: Duane M
authors.initials: DM
authors.lastname: Kirking
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D003256:Community Participation; D003376:Counseling; D003430:Cross-Sectional Studies; D016527:Drug Costs; D011307:Drug Prescriptions; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D054539:Medication Therapy Management; D008824:Michigan; D008875:Middle Aged; D017060:Patient Satisfaction; D057285:Precision Medicine; D018401:Sample Size; D012959:Socioeconomic Factors