Patient-centred prescribing, autonomy and concordance

This article in the JPP Prescribing Paramedic series will focus on patient-centred prescribing, autonomy and concordance. Patient-centred prescribing means putting the patient at the centre of everything we do as clinicians. Autonomy means a patient has an inherent right to make decisions about their care. Concordance means the patient takes medication as prescribed, for the correct length of time. This article details how these three aspects of prescribing can be achieved by the paramedic prescriber, detailing strategies to ensure a consultation and prescribing decision is patient-centred while respecting autonomy, and how concordance can be improved. The article uses a patient consultation as a framing device to detail how these essential aspects of prescribing can be achieved.

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