Extract

During the past few decades in health care the patient has evolved from a passive recipient to an active participant. Communication moved from a healthcare professional (HCP)-centred approach towards a patient-centred approach. Traditionally, the paternalistic approach saw the patient as a passive recipient. Paternalism implies that the HCPs know what's best for the patient's well-being and take the responsibility.[1] Traditional medical education sees communication as a way of collecting data from and providing factual information to the patient in an efficient and rational way without considering how illness affects (mental) well-being or how implicit aspects of dialogues with HCPs influence patients.[2] A shift has taken place towards shared decision-making, sharing understanding and empowering individuals.[3] The underlying idea of a shared approach to decision-making in a process of consultation/information-giving between a HCP and a patient is the central concept of concordance, which assumes an active participant.[4] But why should every HCP – in particular the pharmacists as medicines are their main focus – work towards a patient-centred approach of medication information?

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