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dc.creatorVezmar-Kovačević, Sandra
dc.creatorMiljković, Branislava
dc.creatorVučićević, Katarina
dc.creatorĆulafić, Milica
dc.creatorKovačević, Milena
dc.creatorGolubović, Bojana
dc.creatorJovanović, Marija
dc.creatorde Gier, Johan J.
dc.date.accessioned2019-09-02T12:02:01Z
dc.date.available2019-09-02T12:02:01Z
dc.date.issued2017
dc.identifier.issn0738-3991
dc.identifier.urihttp://farfar.pharmacy.bg.ac.rs/handle/123456789/2985
dc.description.abstractObjective: 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.en
dc.publisherElsevier Ireland Ltd, Clare
dc.relationinfo:eu-repo/grantAgreement/MESTD/Basic Research (BR or ON)/175023/RS//
dc.rightsrestrictedAccess
dc.sourcePatient Education and Counseling
dc.subjectElderly patientsen
dc.subjectPoly-pharmacyen
dc.subjectAdherenceen
dc.subjectMedication useen
dc.subjectCommunity pharmacyen
dc.subjectStructured patient-pharmacist consultation modelen
dc.titleElderly polypharmacy patients' needs and concerns regarding medication assessed using the structured patient-pharmacist consultation modelen
dc.typearticle
dc.rights.licenseARR
dcterms.abstractКовачевић, Милена; Вучићевић, Катарина; Јовановић, Марија; Везмар-Ковачевић, Сандра; де Гиер, Јохан Ј.; Голубовић, Бојана; Миљковић, Бранислава; Ћулафић, Милица;
dc.citation.volume100
dc.citation.issue9
dc.citation.spage1714
dc.citation.epage1719
dc.citation.other100(9): 1714-1719
dc.citation.rankaM21
dc.identifier.wos000406035300013
dc.identifier.doi10.1016/j.pec.2017.05.001
dc.identifier.pmid28495392
dc.identifier.scopus2-s2.0-85018434406
dc.identifier.rcubconv_3897
dc.type.versionpublishedVersion


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