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Patient experiences and opinions on medication review: a qualitative study

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Abstract

Background

Medication reviews are a structured critical evaluation of a patient's pharmacotherapy, carried out by a healthcare professional, but are not yet a routine pharmaceutical service in Belgium. A pilot project to initiate an advanced medication review (= type 3 medication review) in community pharmacies was set up by the Royal Pharmacists' Association of Antwerp.

Aim

To investigate the experiences and opinions of patients who participated in this pilot project.

Method

Qualitative study through semi-structured interviews with participating patients.

Results

Seventeen patients from six different pharmacies were interviewed. The medication review process with the pharmacist was perceived as positive and instructive by fifteen interviewees. The extra attention that the patient received was highly appreciated. However, the interviews revealed that patients did not fully understand the purpose and structure of this new service or were aware of the subsequent contact and feedback with the general practitioner. Medication reviews in the home setting put patients more at ease, were highly appreciated, and enabled also to address practical problems such as drug dosing or storage requirements.

Conclusion

This qualitative study analysed patients’ experiences during a pilot project on the implementation of type 3 medication review. Although most patients were enthusiastic about this new service, a lack of patients’ understanding of the whole process was also observed. Therefore, better communication to patients by pharmacists and general practitioners about the goals and components of this type of medication review is needed, with the added benefit of increased efficiency.

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Acknowledgements

We would like to thank all patients and local pharmacists who participated in this study and Bronwen Martin for her critical reading of the manuscript.

Funding

This work was supported by the Royal Pharmacists Association of Antwerp (KAVA).

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Correspondence to Anneleen Robberechts.

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Robberechts, A., Van Loon, L., Steurbaut, S. et al. Patient experiences and opinions on medication review: a qualitative study. Int J Clin Pharm 45, 650–658 (2023). https://doi.org/10.1007/s11096-023-01541-9

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  • DOI: https://doi.org/10.1007/s11096-023-01541-9

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