1. Health outcomes following provision of Home Medicines Reviews for older people receiving aged care services at home.
- Author
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Sluggett JK, Caughey GE, Air T, Lang C, Moldovan M, Martin G, Stafford AC, Carter SR, Jackson S, Wesselingh SL, and Inacio MC
- Subjects
- Humans, Aged, Female, Male, Aged, 80 and over, Australia, Retrospective Studies, Home Care Services, Hospitalization statistics & numerical data, Long-Term Care
- Abstract
Background: The impact of Home Medicines Reviews (HMRs) on long-term health outcomes among individuals receiving long-term in-home aged care services is unknown., Objectives: To examine associations between HMR provision and hospitalization, long-term care facility (LTCF) entry and mortality among older people receiving long-term in-home aged care services., Methods: This retrospective cohort study included individuals aged 65-105 years from three Australian states who accessed in-home aged care services between 2013 and 2017. Using propensity score matching, HMR recipients (n = 1530) were matched to individuals who did not receive an HMR (n = 1530). Associations between HMR provision and outcomes were estimated using multivariable regression models., Results: Over a median of 414 days (interquartile range 217-650) of follow-up, HMR provision was not associated with hospitalizations for unplanned events (subdistribution hazard ratio (sHR) 1.04, 95%CI 0.96-1.14), falls-related hospitalizations (sHR 0.97, 95%CI 0.83-1.13), LTCF entry (sHR 0.97, 95%CI 0.83-1.13), or all-cause mortality (adjusted HR 0.86, 95%CI 0.72-1.01)., Conclusions: In a cohort of older people receiving long-term in-home aged care services, no differences in unplanned hospitalizations, falls, LTCF entry or mortality were observed those with HMRs compared to those that did not receive an HMR., Competing Interests: Declaration of competing interest JKS, GM, SC, SJ, and AS are registered pharmacists and at the time of study conduct were accredited by the Australian Association of Consultant Pharmacy (AACP; the research funder) to perform home medicines reviews (HMRs). GM was the Chief Executive Officer of AACP, SC and SJ were Non-Executive Directors of AACP, and AS was a member of the AACP National Advisory Group. JKS is a non-executive director of Southern Cross Care SA, NT, VIC (an aged care provider organization)., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2024
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