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Barriers and facilitators with medication use during the transition from hospital to home: a qualitative study among patients

BACKGROUND: During transitions from hospital to home, up to half of all patients experience medication-related problems, such as adverse drug events. To reduce these problems, knowledge of patient experiences with medication use during this transition is needed. This study aims to identify the persp...

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Autores principales: Daliri, Sara, Bekker, Charlotte L., Buurman, Bianca M., Scholte op Reimer, Wilma J. M., van den Bemt, Bart J. F., Karapinar – Çarkit, Fatma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441233/
https://www.ncbi.nlm.nih.gov/pubmed/30925880
http://dx.doi.org/10.1186/s12913-019-4028-y
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author Daliri, Sara
Bekker, Charlotte L.
Buurman, Bianca M.
Scholte op Reimer, Wilma J. M.
van den Bemt, Bart J. F.
Karapinar – Çarkit, Fatma
author_facet Daliri, Sara
Bekker, Charlotte L.
Buurman, Bianca M.
Scholte op Reimer, Wilma J. M.
van den Bemt, Bart J. F.
Karapinar – Çarkit, Fatma
author_sort Daliri, Sara
collection PubMed
description BACKGROUND: During transitions from hospital to home, up to half of all patients experience medication-related problems, such as adverse drug events. To reduce these problems, knowledge of patient experiences with medication use during this transition is needed. This study aims to identify the perspectives of patients on barriers and facilitators with medication use, during the transition from hospital to home. METHODS: A qualitative study was conducted in 2017 among patients discharged from two hospitals using a semi-structured interview guide. Patients were asked to identify all barriers they experienced with medication use during transitions from hospital to home, and facilitators needed to overcome those barriers. Data were analyzed following thematic content analysis and visualized using an “Ishikawa” diagram. RESULTS: In total, three focus groups were conducted with 19 patients (mean age: 70.8 (SD 9.3) years, 63% female). Three barriers were identified; lack of personalized care in the care continuum, insufficient information transfer (e.g. regarding changes in pharmacotherapy), and problems in care organization (e.g. medication substitution). Facilitators to overcome these barriers included a personal medication-counselor in the care continuum to guide patients with medication use and overcome communication barriers, and post-discharge follow-up care (e.g. home visits from healthcare providers). CONCLUSIONS: During transitions from hospital to home patients experience individual-, healthcare provider- and organization level barriers. Future research should focus on personal-medication counselors in the care continuum and post-discharge follow-up care as it may overcome communication, emotional, information and organization barriers with medication use. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-019-4028-y) contains supplementary material, which is available to authorized users.
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spelling pubmed-64412332019-04-11 Barriers and facilitators with medication use during the transition from hospital to home: a qualitative study among patients Daliri, Sara Bekker, Charlotte L. Buurman, Bianca M. Scholte op Reimer, Wilma J. M. van den Bemt, Bart J. F. Karapinar – Çarkit, Fatma BMC Health Serv Res Research Article BACKGROUND: During transitions from hospital to home, up to half of all patients experience medication-related problems, such as adverse drug events. To reduce these problems, knowledge of patient experiences with medication use during this transition is needed. This study aims to identify the perspectives of patients on barriers and facilitators with medication use, during the transition from hospital to home. METHODS: A qualitative study was conducted in 2017 among patients discharged from two hospitals using a semi-structured interview guide. Patients were asked to identify all barriers they experienced with medication use during transitions from hospital to home, and facilitators needed to overcome those barriers. Data were analyzed following thematic content analysis and visualized using an “Ishikawa” diagram. RESULTS: In total, three focus groups were conducted with 19 patients (mean age: 70.8 (SD 9.3) years, 63% female). Three barriers were identified; lack of personalized care in the care continuum, insufficient information transfer (e.g. regarding changes in pharmacotherapy), and problems in care organization (e.g. medication substitution). Facilitators to overcome these barriers included a personal medication-counselor in the care continuum to guide patients with medication use and overcome communication barriers, and post-discharge follow-up care (e.g. home visits from healthcare providers). CONCLUSIONS: During transitions from hospital to home patients experience individual-, healthcare provider- and organization level barriers. Future research should focus on personal-medication counselors in the care continuum and post-discharge follow-up care as it may overcome communication, emotional, information and organization barriers with medication use. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-019-4028-y) contains supplementary material, which is available to authorized users. BioMed Central 2019-03-29 /pmc/articles/PMC6441233/ /pubmed/30925880 http://dx.doi.org/10.1186/s12913-019-4028-y Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Daliri, Sara
Bekker, Charlotte L.
Buurman, Bianca M.
Scholte op Reimer, Wilma J. M.
van den Bemt, Bart J. F.
Karapinar – Çarkit, Fatma
Barriers and facilitators with medication use during the transition from hospital to home: a qualitative study among patients
title Barriers and facilitators with medication use during the transition from hospital to home: a qualitative study among patients
title_full Barriers and facilitators with medication use during the transition from hospital to home: a qualitative study among patients
title_fullStr Barriers and facilitators with medication use during the transition from hospital to home: a qualitative study among patients
title_full_unstemmed Barriers and facilitators with medication use during the transition from hospital to home: a qualitative study among patients
title_short Barriers and facilitators with medication use during the transition from hospital to home: a qualitative study among patients
title_sort barriers and facilitators with medication use during the transition from hospital to home: a qualitative study among patients
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441233/
https://www.ncbi.nlm.nih.gov/pubmed/30925880
http://dx.doi.org/10.1186/s12913-019-4028-y
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