McDerby, N and Bail, K and Kosari, S and Shield, A and Peterson, G and Dawada, P and Naunton, M, Canaries in the coalmine: Stakeholder perspectives of medication management reviews for residents with dementia, Research in Social and Administrative Pharmacy pp. 1-8. ISSN 1551-7411 (2019) [Refereed Article]
© 2019 Elsevier Inc. All rights reserved.
Objective: To analyse perspectives of pharmacists, general practitioners (GPs) and nurses on the suitability and delivery of the current RMMR model for residents with dementia; and to identify scope for improvement in medication review service delivery.
Methods: Electronic surveys were distributed to the included health professions via professional agencies. Descriptive statistics and non-parametric tests were used to summarise quantitative variables. Qualitative data obtained from open-text responses underwent iterative thematic analysis. Two researchers independently conducted the thematic categorisation; data within responses was inductively coded, then codes were linked to identify emergent themes that described the data content. In a triangulated exploratory mixed method approach, the qualitative findings were used to explain the quantitative findings.
Results: None of the participants agreed that the current program recommendation of a single RMMR every 24 months was suitable for the residentsí needs. Participants were more likely to use written, rather than verbal, means of communication during RMMRs. RMMRs were perceived to have minimal benefit if there was minimal face-to-face interaction between stakeholders. Individualised medicine management in relation to resident goals of care was the key benefit of RMMRs. Insufficient remuneration was the primary barrier to effective face-to-face collaboration and delivery of individualised resident care.
Conclusions: Increasing support for stakeholder participation in face-to-face interactions during medication reviews may enable delivery of a more patient-centred service for residents with dementia and improve health professional satisfaction and engagement.
|Item Type:||Refereed Article|
|Keywords:||medication review, dementia, aged care, nursing home, pharmacist|
|Research Division:||Biomedical and Clinical Sciences|
|Research Group:||Pharmacology and pharmaceutical sciences|
|Research Field:||Clinical pharmacy and pharmacy practice|
|Objective Group:||Clinical health|
|Objective Field:||Clinical health not elsewhere classified|
|UTAS Author:||Peterson, G (Professor Gregory Peterson)|
|Web of Science® Times Cited:||3|
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