development-of-a-patient-centred-medication-management-model-for-polymedicated-home-dwelling-older-adults-after-hospital-discharge-results-of-a-mixed-methods-study 2023-09-21T17:03:31.147Z cb0faa85-1781-484e-a265-2715621c1be9 mas_evidence_types:Other%20primary%20research Primary research Data from explanatory, sequential, mixed methods study (Switzerland) based on detailed quantitative & qualitative findings reported previously were used to design a collaborative, patient-centred model for optimising medication management & preventing medication-related problems. <p>The quantitative strand of study retrospectively examined 3&thinsp;years of hospital electronic patient records (n=53,690 hospitalisations of inpatients aged &ge;65 years) to identify different profiles of those at risk of 30-day hospital readmission and unplanned nursing home admission. The qualitative strand explored the perspectives of older adults (n=28), their informal caregivers (n=17) and healthcare professionals (n=13) on medication management after hospital discharge.</p> <p>The resulting model comprises four interactive fields of action:</p> <ul> <li>Listening to polymedicated home-dwelling older adults and their informal caregivers</li> <li>Involving older adults and their informal caregivers in shared medication-related decisions</li> <li>Empowering older adults and their informal caregivers for safe medication self-management</li> <li>Optimising collaborative medication management practices</li> </ul> https://www.medicinesresources.nhs.uk/development-of-a-patient-centred-medication-management-model-for-polymedicated-home-dwelling-older-adults-after-hospital-discharge-results-of-a-mixed-methods-study.html https://bmjopen.bmj.com/content/13/9/e072738 2023-09-20T00:00:00Z 2023-09-21T15:17:15.116Z