This review will provide an exhaustive view of medication management models that could be effective for polymedicated , home-dwelling older adults and will allow us to analyze their impact on managing and preventing MRPs .
BACKGROUND Older adults with multiple chronic diseases commonly require complex medication regimes .
When combined with frailty , cognitive impairment , and changing pharmacological prescriptions , older adults ' polymedication regimes increase the risk of medication-related problems ( MRPs ) and hospitalization .
Effective , well-organized medication management could avoid MRPs and their clinical outcomes .
OBJECTIVE Identify medication management models and analyze their impact on managing and preventing MRPs for polymedicated , home-dwelling older adults .
Collaboration between hospital and community pharmacists to address drug‐related problems: The HomeCoMe‐program
Background : Hospital discharge poses a significant threat to the continuity of medication therapy and frequently results in drug‐related problems post‐discharge . Therefore , establishing continuity of care by realizing optimal collaboration between hospital and community pharmacists is of utmost importance . Objective : To evaluate the collaboration between hospital and community pharmacists on addressing drug‐related problems after hospital discharge . Methods : A prospect i ve follow‐up study was conducted between November 2013–December 2014 in a general hospital and all affiliated community pharmacies . Adult patients , admitted for ≥48 h to the neurology or pulmonology ward were eligible if they used ≥3 chronic prescription drugs and lived in the community pharmacies ' service area . The HomeCoMe intervention program was comprised of medication verification and counseling at admission , medication screening by the hospital pharmacist during admission , outpatient pharmacy discharge consultation and support , and a community pharmacist home visit within one week post‐discharge . Results : The mean age of the 152 included patients was 67.0 ± 12.6 years and 56.6 % were female . A total of 745 DRPs ( 4.9 ± 2.2 DRPs per patient , range : 0–11 ) were identified with the need for additional “ Education or information ” ( 36.1 % ) and “ Compliance ” ( 16.4 % ) issues as most common DRP‐types . This led to a total of 928 recommendations ( 6.1 ± 3.0 per patient , range : 1–19 ) to solve the DRP . The majority of DRPs were identified ( 83.6 % , n = 623 ) and solved ( 91.6 % , n = 682 ) by the community pharmacist during the home visit . Furthermore , 52.5 % ( n = 64 ) of the DRPs identified during hospitalization were solved during the post‐discharge home visit . Conclusions : Collaboration between hospital and community pharmacists from hospital admission to readmission to primary care is crucial to establish continuity of care . A post‐discharge community pharmacist home visit is a valuable addition to in‐hospital transitional care to identify and solve drug‐related problems
This review will provide an exhaustive view of medication management models that could be effective for polymedicated , home-dwelling older adults and will allow us to analyze their impact on managing and preventing MRPs .
BACKGROUND Older adults with multiple chronic diseases commonly require complex medication regimes .
When combined with frailty , cognitive impairment , and changing pharmacological prescriptions , older adults ' polymedication regimes increase the risk of medication-related problems ( MRPs ) and hospitalization .
Effective , well-organized medication management could avoid MRPs and their clinical outcomes .
OBJECTIVE Identify medication management models and analyze their impact on managing and preventing MRPs for polymedicated , home-dwelling older adults .