Patient-perceived barriers and facilitators to the implementation of a medication review in primary care: a qualitative thematic analysis

BMC Family Practice
Mirella Carolin UhlBeate Sigrid Müller

Abstract

Although polypharmacy can cause adverse health outcomes, patients often know little about their medication. A regularly conducted medication review (MR) can help provide an overview of a patient's medication, and benefit patients by enhancing their knowledge of their drugs. As little is known about patient attitudes towards MRs in primary care, the objective of this study was to gain insight into patient-perceived barriers and facilitators to the implementation of an MR. We conducted a qualitative study with a convenience sample of 31 patients (age ≥ 60 years, ≥3 chronic diseases, taking ≥5 drugs/d); in Hesse, Germany, in February 2016. We conducted two focus groups and, in order to ensure the participation of elderly patients with reduced mobility, 16 telephone interviews. Both relied on a semi-structured interview guide dealing with the following subjects: patients' experience of polypharmacy, general design of MRs, potential barriers and facilitators to implementation etc. Interviews were audio-recorded, transcribed verbatim, and analysed by two researchers using thematic analysis. Patients' average age was 74 years (range 62-88 years). We identified barriers and facilitators for four main topics regarding the implementation...Continue Reading

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Citations

Jan 28, 2021·International Journal of Environmental Research and Public Health·Thilini SudeshikaSam Kosari
Mar 12, 2021·BMC Health Services Research·Noura BawabIsabelle Peytremann-Bridevaux
Feb 20, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Amandeep KhatterPatrick Redmond
Aug 21, 2021·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Angelina MüllerBeate S Müller

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