Problems in continuity of medication management upon transition between primary and secondary care: patients’ and professionals’ experiences
| Autor: | Anne Spinewine, Joke Wuyts, Valérie Lacour, Jan De Lepeleire, Franciska Desplenter, Dominique Paulus, Veerle Foulon |
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| Rok vydání: | 2018 |
| Předmět: |
Male
INFORMATION RECONCILIATION 0302 clinical medicine Belgium HISTORY Health care PHYSICIAN 030212 general & internal medicine Emergency admission Communication Barriers Patient Preference General Medicine Continuity of Patient Care Focus Groups Middle Aged healthcare professionals After discharge Quality Improvement Hospitalization admission SAFETY 030220 oncology & carcinogenesis Female Seamless care Life Sciences & Biomedicine COMMUNITY PHARMACISTS medicine.medical_specialty Attitude of Health Personnel Medication Therapy Management medication management Community Pharmacy Services Secondary Care Secondary care 03 medical and health sciences Medicine General & Internal discharge General & Internal Medicine DISCREPANCIES medicine Humans Science & Technology Primary Health Care Health professionals business.industry DRUG-RELATED PROBLEMS PATIENTS AFTER-DISCHARGE Focus group Family medicine ADVERSE EVENTS business Qualitative research |
| Zdroj: | Acta Clinica Belgica. 74:263-271 |
| ISSN: | 2295-3337 1784-3286 |
| DOI: | 10.1080/17843286.2018.1483561 |
| Popis: | BACKGROUND AND OBJECTIVES: Patients often experience drug-related problems at admission or after discharge from hospital. The objective of this study was to identify the main problems in medication management at transition between settings of care, as experienced by health care professionals (HCPs) and patients. METHODS: Focus group discussions were organised between December 2009 and February 2010; nine focus groups with primary and secondary care HCPs and patients and two with stakeholders. Focus group discussions were audiotaped and observation files were constructed. For the analysis, a thematic framework approach was used. Between November 2015 and April 2016, 19 additional interviews and 1 focus group were performed with general practitioners (GP) and community pharmacists (CP). RESULTS: This qualitative study provided a long list of problems that could be summarised in five clusters: (1) problems at admission, e.g. incomplete list of medication, absence of information in case of emergency admission; (2) problems at discharge, e.g. lack of communication with GP, insufficient supplies of medication for the weekend; (3) problems as to professions, e.g. GP's opinion different to that of the medical specialist; (4) problems as to patients and family, e.g. failure to understand treatment; (5) problems as to processes, e.g. medication substitutions. CONCLUSION: HCPs and patients experience many problems in medication management at transition between settings of care. The fact that these problems occur at different stages and persist over time stresses the necessity for multilevel solutions. ispartof: ACTA CLINICA BELGICA vol:74 issue:4 pages:263-271 ispartof: location:England status: published |
| Databáze: | OpenAIRE |
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