Older patients’ experiences and needs regarding pharmacotherapeutic care in-hospital and after discharge

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-03-15 DOI:10.1016/j.pec.2025.108754

Eline M.C. Engelen , Wilma Knol , Stephanie C.M. Wuyts , Darshana A. Theunissen , Ariel M. Vondeling , Sjacky Cooijmans , Noortje van Herwaarden , Cornelis Kramers , Patricia M.L.A. van den Bemt , Michiel A. van Agtmael , Marcel L. Bouvy

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引用次数: 0

Abstract

Objective

This qualitative study explores the experiences and needs of older patients with polypharmacy regarding transitional pharmacotherapeutic care during hospital admission and following discharge, identifying areas for improvement.

Methods

A qualitative study was conducted using semi-structured interviews with patients discharged from two Dutch hospitals (academic and non-academic). Patients were asked about their experiences and needs related to medication management, information provision, attitude towards medication changes, decision-making, interactions with healthcare providers and involvement of professional and non-professional support networks. Interviews were transcribed verbatim and analyzed thematically using the Framework approach.

Results

Thirteen interviews were conducted. Patients reported diverse experiences and needs regarding transitional pharmacotherapeutic care. Three key themes emerged: patient context, trust in the healthcare system and collaborative decision-making. Participants showed a high level of trust in the organization of healthcare and varying awareness of the benefits of extensive collaboration between healthcare professionals across healthcare settings.

Conclusions

Patients’ experiences with pharmacotherapeutic care during hospital admission and following discharge were partly influenced by a high level of trust in the healthcare system. However, shortcomings were noted in adapting care to individual informational needs, patient contexts, and involvement in decision-making about medication changes.

Practice implications

To optimize patients’ experiences in pharmacotherapeutic transitional care, it is essential to balance patient autonomy with professional guidance in the development of new patient-centered medication optimization interventions. Healthcare professionals should ask and document patient preferences in communication and support regarding medication decisions. Clear communication about the role of each healthcare professional may enhance patient awareness of potential medication errors, as some patients now put their trust in the organization of healthcare.

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老年患者住院和出院后药物治疗护理的经验和需求

目的探讨老年综合用药患者入院期间及出院后过渡性药物治疗护理的经验和需求，找出需要改进的地方。方法采用半结构化访谈法对荷兰两家医院（学术医院和非学术医院）的出院患者进行定性研究。患者被问及他们在药物管理、信息提供、对药物变化的态度、决策、与医疗保健提供者的互动以及专业和非专业支持网络的参与方面的经历和需求。访谈被逐字记录下来，并使用框架方法进行主题分析。结果共进行了13次访谈。患者报告了过渡性药物治疗护理的不同经历和需求。出现了三个关键主题：患者环境，对医疗保健系统的信任和协作决策。参与者对医疗保健组织表现出高度信任，并对医疗保健专业人员在医疗保健环境中广泛合作的好处有不同的认识。结论患者在住院期间和出院后的药物治疗护理经历部分受到对医疗保健系统的高度信任的影响。然而，在适应个人信息需求、患者环境和参与药物变化决策方面，也注意到不足之处。实践意义：为了优化患者在药物治疗过渡护理中的体验，在开发以患者为中心的新型药物优化干预措施时，必须平衡患者的自主性和专业指导。医疗保健专业人员应询问并记录患者在沟通和支持药物决定方面的偏好。对每个医疗保健专业人员的角色进行清晰的沟通可以提高患者对潜在药物错误的认识，因为一些患者现在信任医疗保健组织。

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

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.