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)

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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 modelSource:
Patient Education and Counseling, 2017, 100, 9, 1714-1719Publisher:
- Elsevier Ireland Ltd, Clare
Funding / projects:
DOI: 10.1016/j.pec.2017.05.001
ISSN: 0738-3991
PubMed: 28495392
WoS: 000406035300013
Scopus: 2-s2.0-85018434406
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Institution/Community
PharmacyTY - JOUR AU - Vezmar-Kovačević, Sandra AU - Miljković, Branislava AU - Vučićević, Katarina AU - Ćulafić, Milica AU - Kovačević, Milena AU - Golubović, Bojana AU - Jovanović, Marija AU - de Gier, Johan J. PY - 2017 UR - https://farfar.pharmacy.bg.ac.rs/handle/123456789/2985 AB - 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. Patients 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. PB - Elsevier Ireland Ltd, Clare T2 - Patient Education and Counseling T1 - Elderly polypharmacy patients' needs and concerns regarding medication assessed using the structured patient-pharmacist consultation model VL - 100 IS - 9 SP - 1714 EP - 1719 DO - 10.1016/j.pec.2017.05.001 ER -
@article{ author = "Vezmar-Kovačević, Sandra and Miljković, Branislava and Vučićević, Katarina and Ćulafić, Milica and Kovačević, Milena and Golubović, Bojana and Jovanović, Marija and de Gier, Johan J.", year = "2017", 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. Patients 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.", publisher = "Elsevier Ireland Ltd, Clare", journal = "Patient Education and Counseling", title = "Elderly polypharmacy patients' needs and concerns regarding medication assessed using the structured patient-pharmacist consultation model", volume = "100", number = "9", pages = "1714-1719", doi = "10.1016/j.pec.2017.05.001" }
Vezmar-Kovačević, S., Miljković, B., Vučićević, K., Ćulafić, M., Kovačević, M., Golubović, B., Jovanović, M.,& de Gier, J. J.. (2017). Elderly polypharmacy patients' needs and concerns regarding medication assessed using the structured patient-pharmacist consultation model. in Patient Education and Counseling Elsevier Ireland Ltd, Clare., 100(9), 1714-1719. https://doi.org/10.1016/j.pec.2017.05.001
Vezmar-Kovačević S, Miljković B, Vučićević K, Ćulafić M, Kovačević M, Golubović B, Jovanović M, de Gier JJ. Elderly polypharmacy patients' needs and concerns regarding medication assessed using the structured patient-pharmacist consultation model. in Patient Education and Counseling. 2017;100(9):1714-1719. doi:10.1016/j.pec.2017.05.001 .
Vezmar-Kovačević, Sandra, Miljković, Branislava, Vučićević, Katarina, Ćulafić, Milica, Kovačević, Milena, Golubović, Bojana, Jovanović, Marija, de Gier, Johan J., "Elderly polypharmacy patients' needs and concerns regarding medication assessed using the structured patient-pharmacist consultation model" in Patient Education and Counseling, 100, no. 9 (2017):1714-1719, https://doi.org/10.1016/j.pec.2017.05.001 . .