Awareness and use of medication management services in relation to medication adherence prior to hospitalisation among older adults in Regional Australia
Background Ageing is associated with changes in physiology, functional ability, declined in cognition and multiple co-morbidities. Alterations in pharmacodynamic and pharmacokinetic aspects also occur. Medications can improve the quality of life in people with multiple co-morbidities; polypharmacy and ageing could increase risks of medication misadventures and adverse events leading to hospital admissions. Medication management services (MedsCheck, Diabetes MedsCheck and Home Medication Review) were implemented in Australia to: increase patients’ knowledge about their medicines, increase patients’ confidence in using their medicines, and reduce avoidable hospital admissions. Objective This study aims to investigate patients’ awareness, understanding and uptake of medication management services in relation to medication adherence. Setting Study was conducted at the Maryborough hospital, Queensland, Australia. Method This was a questionnaire based prospective study. A questionnaire was developed based on the questions used in the evaluation of the MedsCheck and Diabetes MedsCheck pilot program. Main outcome/Result We identified 243 participants of which 198 patients agreed to participate. Of the participants, 68.1% were taking more than five different medications a day and 34.3% of participants were taking more than 10 different medications a day. Those that consumed five or more doses of medication a day constitutes 72%. Only 3% had accessed medication management services prior to hospital admission. Many of participants (76.3%) noted that they had issues with different generics/brands of medication and only 23.2% of participants stated that they had a good understanding of drug–drug interactions. Conclusion Hospitalised patients are unaware of medication management services that could reduce frequency of re-hospitalisation. Community and hospital pharmacists can play a major role increasing patients’ awareness of the availability of these services.
KeywordsAdherence Australia Hospitalisation Management Medication review
Special thanks to Mr. Glen Tapley, the Director of Pharmacy at the Wide Bay Hospital and Health Service (Fraser Coast) for approving the time needed to complete this project.
Conflicts of interest
Authors K.P.L. and A.D.A declare that they have no conflict of interest.
- 2.Australian Institute of Health and Welfare. Australia’s health 2016. Canberra: AIHW; 2016.Google Scholar
- 11.Campbell Research & Consulting. Home medicines review program qualitative research project: final report 2008. In: Ageing DoHa, editor. 2008.Google Scholar
- 14.Crotty M, Rowett D, Spurling L, Giles LC, Phillips PA. Does the addition of a pharmacist transition coordinator improve evidence-based medication management and health outcomes in older adults moving from the hospital to a long-term care facility? Results of a randomized, controlled trial. Am J Geriatr Pharmacother. 2004;2(4):257–64.CrossRefGoogle Scholar
- 15.Deloitte Access Economics. Evaluation of the MedsCheck and Diabetes MedsCheck pilot program. In: Health Do, editor. Australia; 2012.Google Scholar
- 16.Australian Government Department of Health. Implementation of a hospital referral pathway to enable urgent Home Medicines Reviews (HMR). In: Health Do, editor.: Department of Health; 2012.Google Scholar
- 17.The 6CPA. FAQ—ensuring sustainability and delivering efficiencies Australia: The 6CPA; 2014. Available from: http://6cpa.com.au/2014/02/faq-ensuring-sustainability-and-delivering-efficiencies/.
- 19.Department of Health. Medicare Benefits Schedule Book. 2018. Available from: http://www.mbsonline.gov.au/internet/mbsonline/publishing.nsf/Content/Downloads-201812.
- 21.Barrett LL. Prescription drug use among midlife and older Americans. Washington, D.C.: AARP, Knowledge Management; 2005.Google Scholar
- 24.Rochon PA. Drug Prescribing for Older Adults. UpToDate, 2017. Available from: www.uptodate.com/contents/drug-prescribing-for-older-adults.