2021
DOI: 10.3390/ijerph18137031
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What Happens after Hospital Discharge? Deficiencies in Medication Management Encountered by Geriatric Patients with Polypharmacy

Abstract: This study aimed to describe post-discharge medication self-management by geriatric patients with polypharmacy, to describe the problems encountered and to determine the related factors. In a multicenter study from November 2019 to March 2020, data were collected at hospital discharge and two to five days post-discharge. Geriatric patients with polypharmacy were questioned about medication management using a combination of validated (MedMaIDE) and self-developed questionnaires. Of 400 participants, 70% did sel… Show more

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Cited by 21 publications
(22 citation statements)
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References 52 publications
(68 reference statements)
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“…The total risk score and cognitive risk sub-scores were significantly worse among multi-compartment compliance aid users compared to the non-users. Mortelmans, L., et al, [ 35 ] 2021 Belgium Medication Management Instrument for Deficiencies in the Elderly (MedMaIDE) Observational study (Cross sectional study To describe post-discharge medication self-management by geriatric patients with polypharmacy, to describe the problems encountered and to determine the related factors. Older adults aged least 75 years old, used five or more prescribed medicines.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…The total risk score and cognitive risk sub-scores were significantly worse among multi-compartment compliance aid users compared to the non-users. Mortelmans, L., et al, [ 35 ] 2021 Belgium Medication Management Instrument for Deficiencies in the Elderly (MedMaIDE) Observational study (Cross sectional study To describe post-discharge medication self-management by geriatric patients with polypharmacy, to describe the problems encountered and to determine the related factors. Older adults aged least 75 years old, used five or more prescribed medicines.…”
Section: Resultsmentioning
confidence: 99%
“…While there are several instruments that exist to measure various aspects of physical and cognitive barriers, sensory components such as color vision, dark adaptation, and auditory factors, along with socio-economic factors including cost considerations and the home environment, are less frequently or thoroughly addressed. Instruments such as the Self-medication Assessment Tool (SMAT), ManageMed Screening (MMS), Self-medication Risk Assessment Tool (RAT), HOME-Rx revised, Medication Management Ability Assessment (MMAA), Medication Management Instrument for Deficiencies in the Elderly (MedMaIDE), and MedTake test stand out for their degree of assessment, each assessing between 11 to 16 of the 29 components [ 20 , 29 , 34 , 35 , 49 , 56 , 59 , 61 , 99 ]. However, it is important to highlight that the tools predominantly assess physical and cognitive domains.…”
Section: Discussionmentioning
confidence: 99%
“…Hence, a list of problems in medication self-management was derived from previous research as a basis for developing the diary. In this context, a cross-sectional study on the prevalence of medication self-management problems post-discharge was employed to pinpoint the difficulties faced by polypharmacy patients [ 38 ]. The study results indicated that patients face many problems in managing their medications, averaging four problems after hospital discharge.…”
Section: Methodsmentioning
confidence: 99%
“…The study results indicated that patients face many problems in managing their medications, averaging four problems after hospital discharge. These problems included difficulties to obtain medication, a lack of medication-taking abilities and a lack of medication knowledge [ 38 ]. Subsequently, to finalise the list of problems, PubMed was searched for literature reviews that evaluated instruments for assessing medication management problems.…”
Section: Methodsmentioning
confidence: 99%
“…Many studies have shown a high prevalence of non-adherence. About 24%–40% of patients are found to be non-adherent to their medicines regimen after hospital discharge [ 16 , 17 ]. Both personal factors and the social environment influence appropriate medicine use [ 18 ].…”
Section: Introductionmentioning
confidence: 99%