[Medication Reconciliation in Primary Care: Practices, Knowledge and Attitudes in the Lisbon and Tagus Valley Health Region].

IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Raquel Ascenção, Mariana Almeida, Cristina Ribeiro, Paula Broeiro, João Costa
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引用次数: 0

Abstract

Introduction: Despite the importance of medication reconciliation for the continuity of care, there is currently no information on the practices, knowledge, and attitudes of Portuguese family doctors on this subject. This study aimed to characterize the formal medication reconciliation procedures in the Lisbon and Tagus Valley Health Region, as well as the perception of family doctors in this region about what they know, how they think and how they practice medication reconciliation.

Methods: We conducted an observational, cross-sectional and descriptive study, using two observation units: primary health care units (study 1) and family doctors (study 2) in the Lisbon and Tagus Valley Health Region. Data was collected through two self-completed questionnaires, which were made available online.

Results: A total of 89 primary healthcare units and 208 family doctors participated in the study (31% and 12% response rates, respectively). Only one in four units (n = 22/89) had a formal medication reconciliation procedure. Among the units with a formal procedure, there was variability in some parameters, although all procedures included physicians. More than 70% (n = 150; 72.1%) of family physicians reported having previous contact with the term 'medication reconciliation', and a half (n = 104; 50.0%) reported carrying out medication reconciliation in more than 75% of consultations after hospital discharge. No differences were identified regarding the frequency with which family physicians practice medication reconciliation after hospital discharge depending on age, gender, type of unit where they work, and volume of consultations. Most family physicians (n = 155; 74.5%) included the three steps recommended by the Directorate-General for Health at the time and resolved discrepancies without contacting the hospital physician (n = 168; 88.8%). Family physicians recognize the importance of medication reconciliation (more than 95% agree/completely agree), although the level of agreement regarding their responsibility for this practice is lower.

Conclusion: The proportion of primary health care units with a formal medication reconciliation procedure is low. Family doctors in the Lisbon and Tagus Valley Region value medication reconciliation, although they do not include it in all consultations after hospital admission. Communication between levels of care and the standardization of processes are areas with potential for improvement to promote the safe and patient-centered use of medication.

[初级保健中的药物和解:里斯本和塔古斯谷卫生地区的实践、知识和态度]。
导言:尽管药物和解对护理的连续性很重要,但目前还没有关于葡萄牙家庭医生在这一主题上的实践、知识和态度的信息。本研究旨在描述里斯本和塔古斯谷卫生地区的正式药物和解程序,以及该地区家庭医生对他们所知道的,他们如何思考和如何实践药物和解的看法。方法:我们进行了一项观察性、横断面和描述性研究,使用两个观察单位:里斯本和塔古斯谷卫生地区的初级卫生保健单位(研究1)和家庭医生(研究2)。数据是通过两份自我填写的问卷收集的,并在网上提供。结果:共有89家初级卫生保健单位和208名家庭医生参与了研究(回复率分别为31%和12%)。只有四分之一的单位(n = 22/89)有正式的药物调解程序。在具有正式程序的单位中,尽管所有程序都包括医生,但某些参数存在差异。大于70% (n = 150;72.1%)的家庭医生报告曾接触过“药物和解”一词,一半(n = 104;50.0%)报告在出院后超过75%的咨询中进行了药物调解。根据年龄、性别、工作单位类型和咨询量,家庭医生在出院后进行药物调解的频率没有差异。大多数家庭医生(n = 155;74.5%)纳入了卫生总局当时建议的三个步骤,并在不联系医院医生的情况下解决了差异(n = 168;88.8%)。家庭医生认识到药物调解的重要性(超过95%同意/完全同意),尽管他们对这种做法的责任的同意程度较低。结论:初级卫生保健单位采用正规药物和解程序的比例较低。里斯本和塔古斯河谷地区的家庭医生重视药物和解,尽管他们不将其纳入住院后的所有咨询。各级护理之间的沟通和流程的标准化是有可能改进的领域,以促进安全和以患者为中心的用药。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta medica portuguesa
Acta medica portuguesa MEDICINE, GENERAL & INTERNAL-
CiteScore
1.90
自引率
16.70%
发文量
256
审稿时长
6-12 weeks
期刊介绍: The aim of Acta Médica Portuguesa is to publish original research and review articles in biomedical areas of the highest standard, covering several domains of medical knowledge, with the purpose to help doctors improve medical care. In order to accomplish these aims, Acta Médica Portuguesa publishes original articles, review articles, case reports and editorials, among others, with a focus on clinical, scientific, social, political and economic factors affecting health. Acta Médica Portuguesa will be happy to consider manuscripts for publication from authors anywhere in the world.
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