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المؤلفChristopher, Christina Malini
المؤلفBlebil, Ali Qais
المؤلفBhuvan, K.C
المؤلفAlex, Deepa
المؤلفMohamed Ibrahim, Mohamed Izham
المؤلفIsmail, Norhasimah
المؤلفCheong Wing Loong, Mark
تاريخ الإتاحة2023-11-19T05:45:32Z
تاريخ النشر2023
اسم المنشورResearch in Social and Administrative Pharmacy
المصدرScopus
الرقم المعياري الدولي للكتاب15517411
معرّف المصادر الموحدhttp://dx.doi.org/10.1016/j.sapharm.2023.08.001
معرّف المصادر الموحدhttp://hdl.handle.net/10576/49410
الملخصBackground: As the largest demographic group utilizing primary healthcare facilities, older adults often face the challenge of managing multiple chronic illnesses, leading to numerous medications. Objective: The present study aims to assess medication use problems among older adults and explore the factors affecting them in primary healthcare settings. Methods: A mixed-method study was conducted to establish a baseline understanding of the perspectives and challenges faced by older adults, with regards to medication use. Translated Medication Use Questionnaire (MedUseQ), a patient-centered tool, was distributed to older adults above 60 in primary healthcare settings to assess their frequency of problems related to medication use. Fifteen semi-structured interviews were conducted to explore this topic in depth. Descriptive and inferential analyses were conducted with quantitative data. Interviews were transcribed verbatim, and thematic analysis was conducted. Quantitative and qualitative findings data were triangulated. Results: The study involved 393 participants. The most common problems with regards to medication use were polypharmacy (55.4%), administration difficulties (48.4%), limited awareness about adverse drug events (47.3%), issues with adherence (46.5%), and accessibility to primary healthcare (42.7%). Approximately 55% were satisfied with the older adult-centered medication use services by pharmacist and doctors. The qualitative findings showed that major factors affecting medication use were forgetfulness, language barriers, lack of awareness, transportation problems, long waiting times, and multiple visits to healthcare facilities. Conclusion: The findings of this study reveal that a significant proportion, around 50%, of the older adult population face challenges with medication use in Penang. These difficulties mainly stem from medication administration, adherence, accessibility, polypharmacy, and inadequate medication knowledge. The qualitative analysis further highlighted several factors that contribute to such medication-related problems. Given the rapidly aging Association of Southeast Asian Nations (ASEAN) population, it is essential to devise effective solutions and strategies to tackle medication use-related issues among older adults.
راعي المشروعWe would like to thank all the participants who have contributed to this study.
اللغةen
الناشرElsevier
الموضوعChallenges
Community pharmacies
Health clinics
Issues
Services
العنوانMedication use problems and factors affecting older adults in primary healthcare
النوعArticle
الصفحات1520-1530
رقم العدد12
رقم المجلد19
dc.accessType Open Access


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