Pharmacists’ perspectives on medication reviews for long-term care residents with advanced dementia: a qualitative study

Disalvo, D; Luckett, T; Bennett, A; Davidson, P; Agar, M

Pharmacists’ perspectives on medication reviews for long-term care residents with advanced dementia: a qualitative study

Disalvo, D

Luckett, T

Bennett, A Davidson, P

Agar, M

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Publication Type:: Journal Article
Citation:: International Journal of Clinical Pharmacy, 2019, 41 (4), pp. 950 - 962
Issue Date:: 2019-08-01

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Field	Value	Language
dc.contributor.author	Disalvo, D https://orcid.org/0000-0001-9179-7702	en_US
dc.contributor.author	Luckett, T https://orcid.org/0000-0001-6121-5409	en_US
dc.contributor.author	Bennett, A	en_US
dc.contributor.author	Davidson, P https://orcid.org/0000-0003-2050-1534	en_US
dc.contributor.author	Agar, M https://orcid.org/0000-0002-6756-6119	en_US
dc.date.available	2019-03-28	en_US
dc.date.issued	2019-08-01	en_US
dc.identifier.citation	International Journal of Clinical Pharmacy, 2019, 41 (4), pp. 950 - 962	en_US
dc.identifier.issn	2210-7703	en_US
dc.identifier.uri	http://hdl.handle.net/10453/135652
dc.description.abstract	© 2019, Springer Nature Switzerland AG. Background Medication reviews by pharmacists have been shown to identify and reduce drug-related problems in long-term care residents. Objective To explore pharmacist perspectives of the Australian Government funded pharmacist-conducted residential medication management review and its role improving the quality and safety of prescribing in long-term care, in particular for those living with advanced dementia. Setting Australian Long-term care pharmacists. Method A qualitative research methodology approach using semi-structured interviews was used, with participants pharmacists with Residential Medication Management Review experience. Interviews were recorded, transcribed and coded utilising a meta-model of Physician-Community Pharmacy Collaboration in medication review. Main outcome measure Pharmacists’ perspectives on the Residential Medication Management Review and how to improve the quality of reviews for residents with advanced dementia. Results Fifteen accredited pharmacists participated. The majority believed that the Residential Medication Management Review had the potential to improve the quality and safety of medicines but highlighted systemic issues that worked against collaborative practice. Participants emphasised the importance of three-way collaboration between general practitioners, pharmacists and nursing staff and highlighted key strategies for its optimisation. Conclusion Incorporating avenues for greater communication between team members can improve collaboration between health professionals and ultimately the quality of medication reviews.	en_US
dc.relation.ispartof	International Journal of Clinical Pharmacy	en_US
dc.relation.isbasedon	10.1007/s11096-019-00821-7	en_US
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject.classification	Pharmacology & Pharmacy	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Dementia	en_US
dc.subject.mesh	Long-Term Care	en_US
dc.subject.mesh	Attitude of Health Personnel	en_US
dc.subject.mesh	Qualitative Research	en_US
dc.subject.mesh	Pharmacists	en_US
dc.subject.mesh	Patient Care Team	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Medication Therapy Management	en_US
dc.subject.mesh	Intersectoral Collaboration	en_US
dc.title	Pharmacists’ perspectives on medication reviews for long-term care residents with advanced dementia: a qualitative study	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	41	en_US
utslib.for	1115 Pharmacology and Pharmaceutical Sciences	en_US
utslib.for	1199 Other Medical and Health Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access	*
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	41	en_US

Abstract:

© 2019, Springer Nature Switzerland AG. Background Medication reviews by pharmacists have been shown to identify and reduce drug-related problems in long-term care residents. Objective To explore pharmacist perspectives of the Australian Government funded pharmacist-conducted residential medication management review and its role improving the quality and safety of prescribing in long-term care, in particular for those living with advanced dementia. Setting Australian Long-term care pharmacists. Method A qualitative research methodology approach using semi-structured interviews was used, with participants pharmacists with Residential Medication Management Review experience. Interviews were recorded, transcribed and coded utilising a meta-model of Physician-Community Pharmacy Collaboration in medication review. Main outcome measure Pharmacists’ perspectives on the Residential Medication Management Review and how to improve the quality of reviews for residents with advanced dementia. Results Fifteen accredited pharmacists participated. The majority believed that the Residential Medication Management Review had the potential to improve the quality and safety of medicines but highlighted systemic issues that worked against collaborative practice. Participants emphasised the importance of three-way collaboration between general practitioners, pharmacists and nursing staff and highlighted key strategies for its optimisation. Conclusion Incorporating avenues for greater communication between team members can improve collaboration between health professionals and ultimately the quality of medication reviews.

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http://hdl.handle.net/10453/135652