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Factors associated with the identification of drug therapy problems among older patients in Primary Health Care
OBJECTIVE: To determine the frequency of drug therapy problems among older adults in Primary Health Care, and to analyze the factors associated with their identification in the initial patient assessment, carried out by pharmacists offering medication therapy management services. METHODS: A cross-se...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9648945/ https://www.ncbi.nlm.nih.gov/pubmed/35416833 http://dx.doi.org/10.31744/einstein_journal/2022AO6544 |
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author | Dias, Bianca Menezes Ramalho-de-Oliveira, Djenane Santos, Bruna Damazio Neves, Carina de Morais de Oliveira, Grazielli Cristina Batista Silva, Daniela Álvares Machado Nascimento, Yone de Almeida Cid, Annaline Stiegert Buzelin, Gabriela Oliveira Ferreira, Sabrina Gonçalves Detoni, Kirla Barbosa do Nascimento, Mariana Martins Gonzaga |
author_facet | Dias, Bianca Menezes Ramalho-de-Oliveira, Djenane Santos, Bruna Damazio Neves, Carina de Morais de Oliveira, Grazielli Cristina Batista Silva, Daniela Álvares Machado Nascimento, Yone de Almeida Cid, Annaline Stiegert Buzelin, Gabriela Oliveira Ferreira, Sabrina Gonçalves Detoni, Kirla Barbosa do Nascimento, Mariana Martins Gonzaga |
author_sort | Dias, Bianca Menezes |
collection | PubMed |
description | OBJECTIVE: To determine the frequency of drug therapy problems among older adults in Primary Health Care, and to analyze the factors associated with their identification in the initial patient assessment, carried out by pharmacists offering medication therapy management services. METHODS: A cross-sectional study conducted with data from 758 older adults followed up in medication therapy management services in Primary Health Care in the cities of Belo Horizonte, Betim, and Lagoa Santa (MG, Brazil). Univariate and multivariate analyses were performed to evaluate the factors associated with identification of four or more drug therapy problems in the initial clinical assessment. RESULTS: A total of 1,683 drug therapy problems were identified, 73.6% of older patients had at least one problem. The most frequent problems were nonadherence (23.0%) and the need for additional drug therapy (18.0%). Polypharmacy, chronic obstructive pulmonary disease, hypertension, diabetes mellitus, heart failure, and aged 75 years or older remained positively and statistically associated with identification of four or more drug therapy problems (p<0.05). CONCLUSION: There is a high frequency of problems related to medication use among older users of Primary Health Care, and the medication therapy management services should be prioritized to the older patients, who present with polypharmacy, chronic obstructive pulmonary disease, hypertension, diabetes mellitus, heart failure, and age ≥ 75 years, since they are more likely to have more drug therapy problems. |
format | Online Article Text |
id | pubmed-9648945 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
record_format | MEDLINE/PubMed |
spelling | pubmed-96489452022-11-14 Factors associated with the identification of drug therapy problems among older patients in Primary Health Care Dias, Bianca Menezes Ramalho-de-Oliveira, Djenane Santos, Bruna Damazio Neves, Carina de Morais de Oliveira, Grazielli Cristina Batista Silva, Daniela Álvares Machado Nascimento, Yone de Almeida Cid, Annaline Stiegert Buzelin, Gabriela Oliveira Ferreira, Sabrina Gonçalves Detoni, Kirla Barbosa do Nascimento, Mariana Martins Gonzaga Einstein (Sao Paulo) Original Article OBJECTIVE: To determine the frequency of drug therapy problems among older adults in Primary Health Care, and to analyze the factors associated with their identification in the initial patient assessment, carried out by pharmacists offering medication therapy management services. METHODS: A cross-sectional study conducted with data from 758 older adults followed up in medication therapy management services in Primary Health Care in the cities of Belo Horizonte, Betim, and Lagoa Santa (MG, Brazil). Univariate and multivariate analyses were performed to evaluate the factors associated with identification of four or more drug therapy problems in the initial clinical assessment. RESULTS: A total of 1,683 drug therapy problems were identified, 73.6% of older patients had at least one problem. The most frequent problems were nonadherence (23.0%) and the need for additional drug therapy (18.0%). Polypharmacy, chronic obstructive pulmonary disease, hypertension, diabetes mellitus, heart failure, and aged 75 years or older remained positively and statistically associated with identification of four or more drug therapy problems (p<0.05). CONCLUSION: There is a high frequency of problems related to medication use among older users of Primary Health Care, and the medication therapy management services should be prioritized to the older patients, who present with polypharmacy, chronic obstructive pulmonary disease, hypertension, diabetes mellitus, heart failure, and age ≥ 75 years, since they are more likely to have more drug therapy problems. Instituto Israelita de Ensino e Pesquisa Albert Einstein 2022-03-29 /pmc/articles/PMC9648945/ /pubmed/35416833 http://dx.doi.org/10.31744/einstein_journal/2022AO6544 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Dias, Bianca Menezes Ramalho-de-Oliveira, Djenane Santos, Bruna Damazio Neves, Carina de Morais de Oliveira, Grazielli Cristina Batista Silva, Daniela Álvares Machado Nascimento, Yone de Almeida Cid, Annaline Stiegert Buzelin, Gabriela Oliveira Ferreira, Sabrina Gonçalves Detoni, Kirla Barbosa do Nascimento, Mariana Martins Gonzaga Factors associated with the identification of drug therapy problems among older patients in Primary Health Care |
title | Factors associated with the identification of drug therapy problems among older patients in Primary Health Care |
title_full | Factors associated with the identification of drug therapy problems among older patients in Primary Health Care |
title_fullStr | Factors associated with the identification of drug therapy problems among older patients in Primary Health Care |
title_full_unstemmed | Factors associated with the identification of drug therapy problems among older patients in Primary Health Care |
title_short | Factors associated with the identification of drug therapy problems among older patients in Primary Health Care |
title_sort | factors associated with the identification of drug therapy problems among older patients in primary health care |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9648945/ https://www.ncbi.nlm.nih.gov/pubmed/35416833 http://dx.doi.org/10.31744/einstein_journal/2022AO6544 |
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