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Older persons’ experiences regarding evaluation of their medication treatment: An interview study in Sweden
Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Department of Clinical pharmacy, Region Jönköping County, Jönköping, Sweden.ORCID iD: 0000-0003-3221-9800
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).ORCID iD: 0000-0003-1814-4478
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).ORCID iD: 0000-0001-7101-3165
2019 (English)In: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625, Vol. 22, no 6, p. 1294-1303Article in journal (Refereed) Published
Abstract [en]

Background: Older persons with polypharmacy are at increased risk of harm from medications, and this issue is a global patient safety challenge. Harm may arise at all stages of medication use and may cause hospital admission, additional resource uti ‐lization and lower patient satisfaction. Older persons’ participation in their own care may increase patient safety. Their views on the evaluation of their medication treat ‐ment, and their own involvement in it, are crucial yet poorly understood.

Objectives: To identify opportunities to make the medication use process safer, we explored and described older persons’ experiences of evaluation of their medicationtreatment.

Design: Semi‐structured interviews were performed with 20 community‐dwelling older persons (age 75‐91 years) in Sweden. Data were analysed using inductive quali ‐tative content analysis.

Results: These older persons reported having a responsibility to engage in their med ‐ication evaluations, although some felt unable to do so or considered themselves un ‐concerned. Evaluation, in their experience, was facilitated by continuity of care and an invitation to participate. However, some older persons experienced not receivinga comprehensive medication evaluation.

Discussion and conclusion: Older persons want to be actively involved in their medi ‐cation evaluations, and this may represent an underutilized resource in the pursuit of patient safety. Their trust in physicians to undertake evaluations on a regular basis, although that does not necessarily occur, may cause harm. Patient safety could benefit from a co‐production approach to medication evaluations, with health‐care professionals explicitly sharing information with older persons and agreeing on re ‐sponsibilities related to on‐going medication treatment.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019. Vol. 22, no 6, p. 1294-1303
Keywords [en]
attitudes, health knowledge, medication therapy management, older adult, patient participation, patient safety, practice, qualitative research, quality improvement
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-46400DOI: 10.1111/hex.12967ISI: 000503237700012PubMedID: 31556232Scopus ID: 2-s2.0-85073981354Local ID: GOA HHJ 2019OAI: oai:DiVA.org:hj-46400DiVA, id: diva2:1355837
Available from: 2019-09-30 Created: 2019-09-30 Last updated: 2020-01-03Bibliographically approved

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Holmqvist, MalinThor, JohanJohansson, Linda

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HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare)The Jönköping Academy for Improvement of Health and WelfareHHJ, Institute of GerontologyHHJ. ARN-J (Aging Research Network - Jönköping)
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