Older patients’ experiences and needs regarding pharmacotherapeutic care in-hospital and after discharge
Rattachement africain : nl, be. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: This qualitative study explores the experiences and needs of older patients with polypharmacy regarding transitional pharmacotherapeutic care during hospital admission and following discharge, identifying areas for improvement. METHODS: A qualitative study was conducted using semi-structured interviews with patients discharged from two Dutch hospitals (academic and non-academic). Patients were asked about their experiences and needs related to medication management, information provision, attitude towards medication changes, decision-making, interactions with healthcare providers and involvement of professional and non-professional support networks. Interviews were transcribed verbatim and analyzed thematically using the Framework approach. RESULTS: Thirteen interviews were conducted. Patients reported diverse experiences and needs regarding transitional pharmacotherapeutic care. Three key themes emerged: patient context, trust in the healthcare system and collaborative decision-making. Participants showed a high level of trust in the organization of healthcare and varying awareness of the benefits of extensive collaboration between healthcare professionals across healthcare settings. CONCLUSIONS: Patients' experiences with pharmacotherapeutic care during hospital admission and following discharge were partly influenced by a high level of trust in the healthcare system. However, shortcomings were noted in adapting care to individual informational needs, patient contexts, and involvement in decision-making about medication changes. PRACTICE IMPLICATIONS: To optimize patients' experiences in pharmacotherapeutic transitional care, it is essential to balance patient autonomy with professional guidance in the development of new patient-centered medication optimization interventions. Healthcare professionals should ask and document patient preferences in communication and support regarding medication decisions. Clear communication about the role of each healthcare professional may enhance patient awareness of potential medication errors, as some patients now put their trust in the organization of healthcare.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Older patients’ experiences and needs regarding pharmacotherapeutic care in-hospital and after discharge
- Date Crossref
- 01/07/2025
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Amsterdam Neuroscience pays non établi dans la noticeStructure de recherche
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Amsterdam University Medical Centers Department of Internal Medicine pays non établi dans la noticeÉtablissement de santé
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Vrije Universiteit Amsterdam pays non établi dans la noticeUniversité ou école supérieure
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Utrecht University Division of Pharmacoepidemiology and Clinical Pharmacology pays non établi dans la noticeUniversité ou école supérieure
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University Medical Center Utrecht Department of Geriatric Medicine and Expertise Centre Pharmacotherapy in Old Persons pays non établi dans la noticeÉtablissement de santé
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Vrije Universiteit Brussel pays non établi dans la noticeUniversité ou école supérieure
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Diakonessenhuis hospital pays non établi dans la noticeÉtablissement de santé
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Radboud University Nijmegen pays non établi dans la noticeUniversité ou école supérieure
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Radboud University Medical Center pays non établi dans la noticeOrganisme public
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Sint Maartenskliniek pays non établi dans la noticeÉtablissement de santé
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University Medical Center Groningen Department of Clinical Pharmacy and Pharmacology pays non établi dans la noticeÉtablissement de santé
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Faculty of Medicine and Pharmacy Research Centre for Digital Medicine pays non établi dans la noticeUniversité ou école supérieure
Amsterdam Neuroscience, Department of Internal Medicine — Amsterdam University Medical Centers et Vrije Universiteit Amsterdam, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.