Elderly polypharmacy patients' needs and concerns regarding medication assessed using the structured patient-pharmacist consultation model

Autor: Sandra Vezmar Kovačević, Milica Ćulafić, Johan J. de Gier, Marija Jovanović, Katarina Vučićević, Milena Kovačević, Bojana Golubović, Branislava Miljković
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Counseling
Male
NONADHERENCE
medicine.medical_specialty
Pharmacist
Community Pharmacy Services
030204 cardiovascular system & hematology
Pharmacists
Logistic regression
COMMUNITY PHARMACY
law.invention
03 medical and health sciences
0302 clinical medicine
ADHERENCE
Randomized controlled trial
law
Diabetes mellitus
BELIEFS
GENERAL-PRACTICE
medicine
Humans
030212 general & internal medicine
Myocardial infarction
Referral and Consultation
Aged
Polypharmacy
COPD
Medication use
business.industry
PERSISTENCE
Atrial fibrillation
Professional-Patient Relations
General Medicine
RANDOMIZED CONTROLLED-TRIAL
medicine.disease
3. Good health
Elderly patients
Poly-pharmacy
MYOCARDIAL-INFARCTION
Adherence
Structured patient-pharmacist consultation model
Emergency medicine
ATRIAL-FIBRILLATION
RISK-FACTORS
Female
business
Community pharmacy
Serbia
Zdroj: Patient Education and Counseling, 100(9), 1714-1719. ELSEVIER IRELAND LTD
Patient Education and Counseling
ISSN: 0738-3991
Popis: Objective To evaluate elderly polypharmacy patients’ needs and concerns regarding medication through the Structured Patient-Pharmacist Consultation (SPPC). Methods Older patients on chronic treatment with ≥5 medications were asked to fill in the SPPC form at home. A consultation with the community pharmacist, structured according to patient’s answers, followed within 2–4 weeks. Logistic regression associated patients’ individual treatment with care issues and consultation outcomes. Results Out of 440 patients, 39.5% experienced problems, and 46.1% had concerns about medication use. 122 patients reported reasons for discontinuing treatment. The main outcome of the consultation was a better understanding of medication use (75.5%). Side effects and/or non-adherence were identified in 50% of patients, and 26.6% were referred to the doctor. Atrial fibrillation, COPD, anticoagulants, benzodiazepines, and beta agonists/corticosteroids were associated with problems during medication use. Patients with diabetes improved their understanding of medication use significantly. Conclusion Patients on benzodiazepines, anticoagulants, and beta agonists/corticosteroids, with atrial fibrillation and/or COPD, may have a higher potential for non-adherence. Counseling patients based on the SPPC model may be particularly useful for patients with diabetes. Practice Implications The SPPC model is a useful tool for counseling based on patient needs.
Databáze: OpenAIRE
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