Older individuals’ experiences of medication management and care after discharge from hospital : an interview study
| Autor: | Helena Norberg, Marcia Håkansson Lindqvist, Maria Gustafsson |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: |
Hälso- och sjukvårdsorganisation
hälsopolitik och hälsoekonomi transitional care Health Policy Omvårdnad shared decision making Medicine (miscellaneous) Nursing Health Care Service and Management Health Policy and Services and Health Economy self management Patient Preference and Adherence medication adherence Pharmacology Toxicology and Pharmaceutics (miscellaneous) Social Sciences (miscellaneous) qualitative research |
| Popis: | Helena Norberg,1 Marcia HÃ¥kansson Lindqvist,2 Maria Gustafsson1 1Department of Integrative Medical Biology, UmeÃ¥ University, UmeÃ¥, Sweden; 2Department of Education, Mid Sweden University, Sundsvall, SwedenCorrespondence: Helena Norberg, Department of Integrative Medical Biology, UmeÃ¥ University, UmeÃ¥, S-901 87, Sweden, Tel +46 90 786 68 21, Email helena.norberg@umu.sePurpose: To develop an in-depth understanding of older individualsâ attitudes and perceptions of medication management and care after discharge from hospital-to-home.Patients and Methods: A qualitative study using semi-structured interviews with selected individuals 75 years and older, discharged from hospital within the last 6â 12 months, living at home, and managing their own medications. Face-to-face interviews were audio-recorded, transcribed and analyzed with thematic analysis.Results: Among the 15 respondents, mean age was 83.5 years (range 75â 95 years), 67% were women, and 60% lived alone. The majority (80%) managed their medications with a pill organizer or directly from the pill boxes, while 20% used dose dispensed medications. The analysis of the data led to six themes: Medication adherence, Personal responsibility, Transitions of care, Beliefs about medications, Participation (experience of participation, willingness to participate) and Accessibility (easier to reach hospital than primary care, navigating in the care system, continuity, personal chemistry).Conclusion: The included respondents who were older individuals, living at home and managing their own medications, expressed that they were medical adherent and self-managing. Two important aspects which were seen were difficulties to reach primary care on their own initiative and the lack of continuity with the same physician over a longer period of time.Keywords: medication adherence, qualitative research, transitional care, shared decision making, self management |
| Databáze: | OpenAIRE |
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