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A nested qualitative study of medication reviews within a multicenter cluster-randomised crossover trial (MedBridge)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences.
2017 (English)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Introduction: The MedBridge study is a multicentre cluster-randomised crossover trial to study the effects of hospital-initiated medication reviews, including active follow-up, on elderly patients’ health care utilisation compared to usual care. Pragmatic trials of complex interventions are often criticised, because of a lack of understanding of the context and the degree of implementation of the interventions in daily practice. As a first step in such an evaluation process, we present this nested qualitative study within the MedBridge study. 

Aim: The aim of this study was to promote the understanding of the effects of the interventions within the MedBridge study.

Methods: Semi-structured interviews were conducted with eight physicians and four pharmacists involved in the MedBridge study at Uppsala University Hospital. The interviews were recorded and transcribed. Two researchers analysed the transcripts independently using the Consolidated Framework for Implementation Research, and consensus was sought.

Results: Several important factors that could lead to positive effects have been identified, although a few negative factors were mentioned as well. Potential improvements were also mentioned, but overall the interventions seemed to be well implemented.

Conclusions: The findings in this study provide valuable understanding of the effects of the interventions within the MedBridge study. Further steps in the evaluation process need to be taken in order to triangulate these findings and to evaluate the implementation of the study interventions in the other study sites as well.

Place, publisher, year, edition, pages
2017. , 27 p.
Keyword [en]
Qualitative study, process evaluation, medication reviews, clinical pharmacy
National Category
Pharmaceutical Sciences
Identifiers
URN: urn:nbn:se:uu:diva-325929OAI: oai:DiVA.org:uu-325929DiVA: diva2:1117724
External cooperation
Uppsala University Hospital
Subject / course
Pharmaceutical Biosciences
Educational program
Master of Science Programme in Pharmacy
Supervisors
Examiners
Available from: 2017-06-29 Created: 2017-06-29 Last updated: 2017-06-29Bibliographically approved

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Citation style
  • apa
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  • ieee
  • modern-language-association
  • vancouver
  • Other style
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Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
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