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

Authorized Users Only
2017
Authors
Vezmar-Kovačević, Sandra
Miljković, Branislava
Vučićević, Katarina
Ćulafić, Milica
Kovačević, Milena
Golubović, Bojana
Jovanović, Marija
de Gier, Johan J.
Article (Published version)
Metadata
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Abstract
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. P...atients 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.

Keywords:
Elderly patients / Poly-pharmacy / Adherence / Medication use / Community pharmacy / Structured patient-pharmacist consultation model
Source:
Patient Education and Counseling, 2017, 100, 9, 1714-1719
Publisher:
  • Elsevier Ireland Ltd, Clare
Projects:
  • Basic and Clinical Pharmacological research of mechanisms of action and drug interactions in nervous and cardiovascular system (RS-175023)

DOI: 10.1016/j.pec.2017.05.001

ISSN: 0738-3991

PubMed: 28495392

WoS: 000406035300013

Scopus: 2-s2.0-85018434406
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URI
http://farfar.pharmacy.bg.ac.rs/handle/123456789/2985
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  • Radovi istraživača / Researchers’ publications
Institution
Pharmacy

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