Back to Search
Start Over
Informational needs and recall of in-hospital medication changes of recently discharged patients
- Source :
- Research in Social and Administrative Pharmacy. 14:146-152
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Purpose The need for information for patients and caregivers at the point of hospital discharge is paramount and potentially extensive. Objective The objective of this study was to assess patients' informational needs at hospital discharge, patients' recall of medication changes implemented in the hospital and patients' medication related problems experienced one week after hospital discharge. Methods The study was conducted in a teaching hospital where patients received structured discharge counseling. Patients were interviewed at hospital discharge regarding their informational needs. One week post-discharge, patients were interviewed by phone to assess any changes in informational needs, their recall regarding in-hospital medication changes and the medication related problems. Descriptive analysis and logistic regression were used to address study objectives. Results The 124 patients in the study regarded the following topics as most relevant for counseling: what the medicine is for (57%), side effects (52%), drug-drug interactions (45%), action of the drug (37%) and reimbursement (31%). In 9% of patients the informational needs changed post-discharge, e.g. the topic side effects increased in importance. Forty-nine percent could recall whether and which medication was changed during hospitalization. Medication-related problems and side effects were reported by respectively 27% and 15% of patients, whereas only 7% contacted their doctor or pharmacist. Conclusions Patients' informational needs are very individual and can change post-discharge. Despite structured counseling, only half of the patients were able to recall the medication changes implemented in the hospital. Furthermore, patients reported several problems for which they did not consult a healthcare provider. This insight could help in smoothing the transition from hospital to the primary care setting.
- Subjects :
- Male
medicine.medical_specialty
Drug-Related Side Effects and Adverse Reactions
Pharmacist
Aftercare
Pharmaceutical Science
Pharmacy
Logistic regression
Teaching hospital
03 medical and health sciences
Medication Reconciliation
0302 clinical medicine
Patient Education as Topic
Hospital discharge
Humans
Medicine
Drug Interactions
030212 general & internal medicine
Hospitals, Teaching
Reimbursement
Aged
Aged, 80 and over
Descriptive statistics
Recall
business.industry
030503 health policy & services
Middle Aged
Patient Discharge
Mental Recall
Emergency medicine
Female
0305 other medical science
business
Patient education
Subjects
Details
- ISSN :
- 15517411
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Research in Social and Administrative Pharmacy
- Accession number :
- edsair.doi.dedup.....1987f5a83e32099a4172a6f3c0c28a5f
- Full Text :
- https://doi.org/10.1016/j.sapharm.2017.01.006