Patient focused drug surveillance of elderly patients in nursing homes
- 14 December 2009
- journal article
- research article
- Published by Wiley in Pharmacoepidemiology and Drug Safety
- Vol. 19 (2), 150-157
- https://doi.org/10.1002/pds.1891
Abstract
Purpose To examine whether patient focused drug surveillance was associated with a higher quality of drug treatment at nursing homes. Methods An intervention study in four nursing homes in Sweden and four other nursing homes served as controls. At the intervention nursing homes physicians focused on patients' health status as a baseline for further ongoing medication. The outcomes were mortality, health care consumption, and number of drugs, health status and evaluations as parameters for “quality of drug treatment”. Results There were no significant differences in mortality rates. Health care consumption and polypharmacy were extensive in both groups. There was a significant reduction of number of drugs used per patient at the intervention homes during the study (p < 0.05). Monitoring and evaluation of the effects of medications were significantly more frequent at the intervention homes (p < 0.01). Conclusions The intervention resulted in significant positive results in relation to “quality of drug treatment”, a shift in health care utilization with concomitant use of fewer drugs. The study showed an extreme shortage of monitoring of health status and surveillance of the effects of drugs in the elderly. Copyright © 2009 John Wiley & Sons, Ltd.Keywords
This publication has 21 references indexed in Scilit:
- “I haven't even phoned my doctor yet.” The advice giving role of the pharmacist during consultations for medication review with patients aged 80 or more: qualitative discourse analysisBMJ, 2007
- Home-based medication review in a high risk elderly population in primary care--the POLYMED randomised controlled trialAge and Ageing, 2007
- Home-Based Medication Review in Older PeoplePharmacoEconomics, 2007
- Effects of educational outreach visits on prescribing of benzodiazepines and antipsychotic drugs to elderly patients in primary health care in southern SwedenFamily Practice, 2005
- Drug-Related Emergency Department Visits in an Elderly Veteran PopulationAnnals of Pharmacotherapy, 2005
- Does home based medication review keep older people out of hospital? The HOMER randomised controlled trialBMJ, 2005
- Pharmacokinetics in older personsThe American Journal of Geriatric Pharmacotherapy, 2004
- An outreach geriatric medication advisory service in residential aged care: a randomised controlled trial of case conferencingAge and Ageing, 2004
- Pharmacotherapeutic interventions by a multi-speciality team: opinions of the general practitioners and nursesEuropean Journal of Clinical Pharmacology, 2003
- A pharmacy discharge plan for hospitalized elderly patients—a randomized controlled trialAge and Ageing, 2001