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Exploring stakeholder perspectives on medication review services for older residents in retirement villages

机译:探索利益相关者对退休村老年居民药品审查服务的看法

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Objective To explore stakeholder perspectives on a government-subsidised Home Medicines Review (HMR) service and factors affecting the uptake of HMRs for older residents of retirement villages in Australia. Methods Thirty-two in-depth interviews and four focus groups were undertaken with a purposive sample of 32 residents of retirement villages, 10 pharmacists, nine general practitioners (GPs) and a general practice nurse. Data were transcribed verbatim and analysed using the framework approach. Key findings Three major themes were identified: participants' perceptions of the HMR service, barriers to the uptake of HMRs and strategies for increasing the uptake of HMR. Residents had positive, negative or mixed perceptions, whereas health professionals were generally positive about the benefits of the service. Barriers to the uptake of HMRs were related to GPs, pharmacists, patients and the healthcare system. A strategy recommended by multiple stakeholders for increasing the uptake of HMRs was to use a multi-faceted intervention targeting residents and their health professionals. Conclusions Multiple barriers to the uptake of HMRs and multiple strategies for increasing the uptake of HMRs were identified. These findings could inform the design of interventions to improve uptake of HMRs by residents and health professionals, in turn leading to better medicine use and safety.
机译:目的探讨利益相关者对政府补贴的家庭药品审查(HMR)服务的看法,以及影响澳大利亚退休村老年居民对HMR摄取的因素。方法对32个退休村的居民,10名药剂师,9名全科医生和一名全科医生进行了32次深入访谈和4个焦点小组访谈。逐字记录数据,并使用框架方法进行分析。主要发现确定了三个主要主题:参与者对HMR服务的看法,采用HMR的障碍和增加采用HMR的策略。居民对服务的好处持肯定,否定或混合的看法,而卫生专业人员通常对此表示肯定。摄取HMR的障碍与全科医生,药剂师,患者和医疗保健系统有关。多个利益相关者建议增加HMR吸收的策略是使用针对居民及其医疗专业人员的多方面干预措施。结论确定了摄取HMR的多重障碍和增加HMR摄取的多种策略。这些发现可以为干预措施的设计提供信息,以改善居民和卫生专业人员对HMR的吸收,进而改善药物的使用和安全性。

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