Cardiology patients' medicines management networks after hospital discharge: A mixed methods analysis of a complex adaptive system

Research in Social & Administrative Pharmacy : RSAP
Beth FylanAlison Blenkinsopp

Abstract

The complex healthcare system that provides patients with medicines places them at risk when care is transferred between healthcare organisations, for example discharge from hospital. Consequently, understanding and improving medicines management, particularly at care transfers, is a priority. This study aimed to explore the medicines management system as patients experience it and determine differences in the patient-perceived importance of people in the system. We used a Social Network Analysis framework, collecting ego-net data about the importance of people patients had contact with concerning their medicines after hospital discharge. Single- and multi-level logistic regression models of patients' networks were constructed, and model residuals were explored at the patient level. This enabled us to identify patients' networks with support tie patterns different from the general patterns suggested by the model results. Qualitative data for those patients were then analysed to understand their differing experiences. Networks comprised clinical and administrative healthcare staff and friends and family members. Networks were highly individual and the perceived importance of alters varied both within and between patients. Ties t...Continue Reading

Citations

Mar 4, 2020·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Fatema A AlqenaeRichard N Keers

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