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AuthorKempen, Thomas Gerardus Hendrik
AuthorKälvemark, Amanda
AuthorSawires, Maria
AuthorStewart, Derek
AuthorGillespie, Ulrika
Available date2020-06-11T05:05:45Z
Publication Date2020-06-01
Publication NameEuropean Journal of Clinical Pharmacology
Identifierhttp://dx.doi.org/10.1007/s00228-020-02846-8
CitationKempen, T.G.H., Kälvemark, A., Sawires, M. et al. Facilitators and barriers for performing comprehensive medication reviews and follow-up by multiprofessional teams in older hospitalised patients. Eur J Clin Pharmacol 76, 775–784 (2020). https://doi.org/10.1007/s00228-020-02846-8
ISSN0031-6970
URIhttp://hdl.handle.net/10576/15026
AbstractThere is a lack of knowledge about factors that influence the performance of comprehensive medication reviews (CMRs) by multiprofessional teams in hospital practice. This study aimed to explore the facilitators and barriers for performing CMRs and post-discharge follow-up in older hospitalised patients from the healthcare professional perspective. Physicians and ward-based pharmacists were recruited from an ongoing trial at four hospitals in Sweden. Semi-structured interviews were conducted with 16 physicians and 7 pharmacists. Interview topics were working processes, resources, competences, medication-related problems, intervention effects and collaboration. The interviews were audio-recorded, transcribed verbatim and thematically analysed using the Consolidated Framework for Implementation Research (CFIR). Identified subthemes were categorised as facilitators or barriers and grouped into overarching main themes. In total, 21 facilitators and 25 barriers were identified across all CFIR domains and grouped in 6 main themes: (a) CMRs and follow-up are needed, but not in all patients; (b) there is a general belief in positive effects; (c) lack of resources is an issue, although the performance of CMRs may save time; (d) pharmacists' knowledge and skills are valuable, but they need more clinical competence; (e) compatibility with hospital practice is challenging, and roles and responsibilities are unclear and (f) personal contact at the ward is essential for physician-pharmacist collaboration. Multiple facilitators and barriers for performing CMRs and post-discharge follow-up in older hospitalised patients exist. These factors should be addressed in future initiatives with similar interventions by multiprofessional teams to ensure successful implementation and performance in hospital practice.
Languageen
PublisherSpringer Nature
SubjectHospital practice
Implementation
Medication reviews
Multiprofessional collaboration
Older patients
Qualitative
TitleFacilitators and barriers for performing comprehensive medication reviews and follow-up by multiprofessional teams in older hospitalised patients.
TypeArticle
Pagination775–784
Issue Number6
Volume Number76
ESSN1432-1041
dc.accessType Open Access


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