It’s very complicated-: a qualitative study of medicines management in intermediate care facilities in Northern IrelandReportar como inadecuado




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BMC Health Services Research

, 15:216

Healthcare needs and demand

Abstract

BackgroundIntermediate care IC describes a range of services targeted at older people, aimed at preventing unnecessary hospitalisation, promoting faster recovery from illness and maximising independence. Older people are at increased risk of medication-related adverse events, but little is known about the provision of medicines management services in IC facilities. This study aimed to describe the current provision of medicines management services in IC facilities in Northern Ireland NI and to explore healthcare workers’ HCWs and patients’ views of, and attitudes towards these services and the IC concept.

MethodsSemi-structured interviews were conducted, recorded, transcribed verbatim and analysed using a constant comparative approach with HCWs and patients from IC facilities in NI.

ResultsInterviews were conducted with 25 HCWs and 18 patients from 12 IC facilities in NI. Three themes were identified: ‘concept and reality’, ‘setting and supply’ and ‘responsibility and review’. A mismatch between the concept of IC and the reality was evident. The IC facility setting dictated prescribing responsibilities and the supply of medicines, presenting challenges for HCWs. A lack of a standardised approach to responsibility for the provision of medicines management services including clinical review was identified. Whilst pharmacists were not considered part of the multidisciplinary team, most HCWs recognised a need for their input. Medicines management was not a concern for the majority of IC patients.

ConclusionsMedicines management services are not integral to IC and medicine-related challenges are frequently encountered. Integration of pharmacists into the multidisciplinary team could potentially improve medicines management in IC.

KeywordsIntermediate care Medicines management Pharmacy Older people Qualitative  Download fulltext PDF



Autor: Anna N. Millar - Carmel M. Hughes - Cristín Ryan

Fuente: https://link.springer.com/







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