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Reflections on HOMER: a hospital-based discharge medication review scheme

机译:关于HOMER的思考:基于医院的出院药物复审计划

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摘要

The HOMER trial1 recently identified an increased read-mission rate and number of general practitioner (GP) visits, with a reduced quality of life in elderly patients who had received a community pharmacist domiciliary medication review. The intervention group were visited at two and six weeks post-discharge. The authors put forward three possible explanations for the findings; that increased compliance led to dose-related adverse effects, heightened awareness of their condition resulted in appropriate medical intervention or that the increased pharmacist intervention could have added to the complexity of the case and dependence on health services. A possible factor for the negative findings was the lack of patient medical information available to the community pharmacists. We describe here a similar smaller study, but involving a hospital based liaison rather that a community pharmacist. The results throw some light on the findings of the HOMER study.
机译:HOMER试验1最近发现,接受社区药剂师住所用药复查的老年患者阅读率和全科医生就诊次数增加,生活质量降低。出院后两周和六周对干预组进行了访问。作者对发现提出了三种可能的解释。依从性增加会导致剂量相关的不良反应,对病情的意识增强会导致适当的医疗干预,或者药剂师干预的增加可能会增加案件的复杂性和对卫生服务的依赖。阴性结果的一个可能因素是缺乏社区药师可获得的患者医学信息。我们在这里描述了一项类似的较小研究,但涉及医院的联络员而不是社区药剂师。该结果为HOMER研究的结果提供了一些启示。

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