What do older adults and their caregivers in Malaysia think of home medication review? A qualitative inquiry

Sundus, Ahlam and Tan, Maw Pin and Sellappans, Renukha (2022) What do older adults and their caregivers in Malaysia think of home medication review? A qualitative inquiry. Malaysian Journal of Medicine and Health Sciences, 18 (1). 99 – 104. ISSN 1675-8544,

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Abstract

Introduction: Home medication review (HMR) involves a patient-centered approach, extending continuity of care to the community setting with the intention of improving medication use and health outcome. The delivery of HMR services in Malaysia remains limited to urban hospitals and clinics. Current study aimed to explore the perception and acceptability of HMR in older adults. Methods: In-depth individual interviews were conducted among adults aged ≥65 years old, taking ≥5 medications, recruited from geriatrics clinics at a tertiary teaching hospital. Home interviews were conducted among 12 older adults and care givers between April to June 2019. Interviews were audio-taped, transcribed verbatim and analysed through descriptive interpretive approach of qualitative data analysis. Results: HMR provided participants with opportunities to discuss medication-related issues with pharmacists in conducive environments. Pharmacists provided information which improved knowledge on indications, dosages and safe storage of medications through HMR. Participants experienced relief and developed confidence in medication self-management. Conclusion: The importance of follow-up visits to ensure adequate monitoring and continuity of care were emphasized. Larger quantitative studies are required to determine the clinical impact and cost-effectiveness of HMR to justify the implementation and expansion of this service. © 2022 UPM Press. All rights reserved.

Item Type: Article
Funders: Taylor's University, TUFR/2017/002/03
Additional Information: Cited by: 0
Uncontrolled Keywords: Aged; Drug-related problem; Home medication review; Pharmacist; Polypharmacy
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
Divisions: Faculty of Medicine > Medicine Department
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 19 Nov 2023 12:44
Last Modified: 19 Nov 2023 12:44
URI: http://eprints.um.edu.my/id/eprint/43232

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