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Dokumentation av läkemedelsgenomgångar vid vårdcentraler inom Region Jönköpings län
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences.
2019 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Abstract

Background: Morbidity and drug usage increase with increased life expectancy. This together with polypharmacy (the use of ten or more drugs) contributes to drug related problems and decreased patient safety. To increase patient safety and improve medical use for patients 75 years or older, with at least five drugs, medication reviews are used. National guidelines issued by the Swedish National Board of Health Care and adopted local guidelines in Region Jönköping County, states that medication reviews must be performed regularly and quality assured.

Purpose: The purpose of this study was, as a part of a quality assurance process, to evaluate if the patient record documentation complies with the guidelines for medication reviews.

Materials and methods: Medical records from 400 primary care patients, 75 years or older with prescription of five or more drugs were anonymous randomly selected and reviewed. The review was based on the National guidelines by the Swedish National Board of Health Care and local guidelines.

Results: In 319 patients the documentation was related to a physical patient visit and in remaining notes there was an administrative review or phone contact. In 337 records a more simple medication review was performed and in 63 an in-depth review had been carried out. There was no difference in documentation with a more simple medication review versus an in-depth review. However, a difference in documentation was observed between a review preformed at a doctor’s visit compared to an administrative review. Documentation regarding treatment targets was not found in any administrative review. Documentation regarding follow-ups was also poor. The change in number of drugs and proportion of polypharmacy was unchanged in all medication reviews.

Conclusions: The results indicate that medication reviews performed at primary care centers in Region Jönköping County has a poor adherence to the local guidelines regarding documentation of medication reviews. A low documentation of follow-ups, treatment targets and a lack of knowledge in the difference between a more simple and an in-depth review may affect the unchanged polypharmacy in the sample.

Place, publisher, year, edition, pages
2019. , p. 33
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-390263OAI: oai:DiVA.org:uu-390263DiVA, id: diva2:1341217
Subject / course
Pharmacotherapy
Educational program
Master of Science Programme in Pharmacy
Supervisors
Examiners
Available from: 2019-08-15 Created: 2019-08-08 Last updated: 2019-08-15Bibliographically approved

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CiteExportLink to record
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