General practitioners' continuation and acceptance of medication changes at sectorial transitions of geriatric patients - a qualitative interview study

Anja G Strehlau, Michael Due Larsen, Jens Søndergaard, Anna B Almarsdóttir, Jens-Ulrik Rosholm

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

70 Downloads (Pure)

Resumé

BACKGROUND: Follow-up in general practice on medication initiated during hospitalisation is often perceived to be inadequate, which leads to unintended drug interaction and over- or underdosage of medication. Little is known about General Practitioners (GPs') views on medication changes during the transition from hospital to primary care. We conducted a qualitative interview study to understand GPs' views on the medication changes made for their patients by hospital physicians in a geriatric ward and the GPs' actions after discharge.

METHODS: Qualitative semi-structured interviews comprising ten GPs from general practices in the Region of Southern Denmark, using a phenomenological approach. The GPs were selected strategically based on the principle of maximum variation. The analysis process was a cross-sectional analysis based on a phenomenological analysis.

RESULTS: The GPs identified many reasons for the lack of medication continuation, including miscommunication between hospital doctors and GPs and delayed discharge letters. Several factors were involved, including patients not taking responsibility for their medication, no structure for follow-up visits to their GPs and for the renewal of their prescriptions.

CONCLUSION: The main reason for the poor continuity of medication changes for geriatric patients at sector transition was neither the GPs' deliberate actions of removing the patients' medications, nor the patients' lack of compliance or of willingness to take the medication. It is largely due to procedural errors in the follow-up on the patient after discharge, due to the lack of a structured process and due to miscommunication between the primary sector and the hospital.

OriginalsprogEngelsk
Artikelnummer168
TidsskriftBMC Family Practice
Vol/bind19
Antal sider6
ISSN1471-2296
DOI
StatusUdgivet - 12. okt. 2018

Fingeraftryk

Patient Transfer
Geriatrics
General Practitioners
Interviews
General Practice
Patient Discharge
Denmark
Drug Interactions
Prescriptions
Primary Health Care
Cross-Sectional Studies
Physicians

Citer dette

@article{0f5171c829924769bd3be702d9d8a89c,
title = "General practitioners' continuation and acceptance of medication changes at sectorial transitions of geriatric patients - a qualitative interview study",
abstract = "BACKGROUND: Follow-up in general practice on medication initiated during hospitalisation is often perceived to be inadequate, which leads to unintended drug interaction and over- or underdosage of medication. Little is known about General Practitioners (GPs') views on medication changes during the transition from hospital to primary care. We conducted a qualitative interview study to understand GPs' views on the medication changes made for their patients by hospital physicians in a geriatric ward and the GPs' actions after discharge.METHODS: Qualitative semi-structured interviews comprising ten GPs from general practices in the Region of Southern Denmark, using a phenomenological approach. The GPs were selected strategically based on the principle of maximum variation. The analysis process was a cross-sectional analysis based on a phenomenological analysis.RESULTS: The GPs identified many reasons for the lack of medication continuation, including miscommunication between hospital doctors and GPs and delayed discharge letters. Several factors were involved, including patients not taking responsibility for their medication, no structure for follow-up visits to their GPs and for the renewal of their prescriptions.CONCLUSION: The main reason for the poor continuity of medication changes for geriatric patients at sector transition was neither the GPs' deliberate actions of removing the patients' medications, nor the patients' lack of compliance or of willingness to take the medication. It is largely due to procedural errors in the follow-up on the patient after discharge, due to the lack of a structured process and due to miscommunication between the primary sector and the hospital.",
keywords = "Drug prescriptions, Follow-up care, General practitioners, Geriatrics, Mesh compliant, Patient discharge summaries, Transitional care",
author = "Strehlau, {Anja G} and Larsen, {Michael Due} and Jens S{\o}ndergaard and Almarsd{\'o}ttir, {Anna B} and Jens-Ulrik Rosholm",
year = "2018",
month = "10",
day = "12",
doi = "10.1186/s12875-018-0855-x",
language = "English",
volume = "19",
journal = "B M C Family Practice",
issn = "1471-2296",
publisher = "BioMed Central",

}

General practitioners' continuation and acceptance of medication changes at sectorial transitions of geriatric patients - a qualitative interview study. / Strehlau, Anja G; Larsen, Michael Due; Søndergaard, Jens; Almarsdóttir, Anna B; Rosholm, Jens-Ulrik.

I: BMC Family Practice, Bind 19, 168, 12.10.2018.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - General practitioners' continuation and acceptance of medication changes at sectorial transitions of geriatric patients - a qualitative interview study

AU - Strehlau, Anja G

AU - Larsen, Michael Due

AU - Søndergaard, Jens

AU - Almarsdóttir, Anna B

AU - Rosholm, Jens-Ulrik

PY - 2018/10/12

Y1 - 2018/10/12

N2 - BACKGROUND: Follow-up in general practice on medication initiated during hospitalisation is often perceived to be inadequate, which leads to unintended drug interaction and over- or underdosage of medication. Little is known about General Practitioners (GPs') views on medication changes during the transition from hospital to primary care. We conducted a qualitative interview study to understand GPs' views on the medication changes made for their patients by hospital physicians in a geriatric ward and the GPs' actions after discharge.METHODS: Qualitative semi-structured interviews comprising ten GPs from general practices in the Region of Southern Denmark, using a phenomenological approach. The GPs were selected strategically based on the principle of maximum variation. The analysis process was a cross-sectional analysis based on a phenomenological analysis.RESULTS: The GPs identified many reasons for the lack of medication continuation, including miscommunication between hospital doctors and GPs and delayed discharge letters. Several factors were involved, including patients not taking responsibility for their medication, no structure for follow-up visits to their GPs and for the renewal of their prescriptions.CONCLUSION: The main reason for the poor continuity of medication changes for geriatric patients at sector transition was neither the GPs' deliberate actions of removing the patients' medications, nor the patients' lack of compliance or of willingness to take the medication. It is largely due to procedural errors in the follow-up on the patient after discharge, due to the lack of a structured process and due to miscommunication between the primary sector and the hospital.

AB - BACKGROUND: Follow-up in general practice on medication initiated during hospitalisation is often perceived to be inadequate, which leads to unintended drug interaction and over- or underdosage of medication. Little is known about General Practitioners (GPs') views on medication changes during the transition from hospital to primary care. We conducted a qualitative interview study to understand GPs' views on the medication changes made for their patients by hospital physicians in a geriatric ward and the GPs' actions after discharge.METHODS: Qualitative semi-structured interviews comprising ten GPs from general practices in the Region of Southern Denmark, using a phenomenological approach. The GPs were selected strategically based on the principle of maximum variation. The analysis process was a cross-sectional analysis based on a phenomenological analysis.RESULTS: The GPs identified many reasons for the lack of medication continuation, including miscommunication between hospital doctors and GPs and delayed discharge letters. Several factors were involved, including patients not taking responsibility for their medication, no structure for follow-up visits to their GPs and for the renewal of their prescriptions.CONCLUSION: The main reason for the poor continuity of medication changes for geriatric patients at sector transition was neither the GPs' deliberate actions of removing the patients' medications, nor the patients' lack of compliance or of willingness to take the medication. It is largely due to procedural errors in the follow-up on the patient after discharge, due to the lack of a structured process and due to miscommunication between the primary sector and the hospital.

KW - Drug prescriptions

KW - Follow-up care

KW - General practitioners

KW - Geriatrics

KW - Mesh compliant

KW - Patient discharge summaries

KW - Transitional care

U2 - 10.1186/s12875-018-0855-x

DO - 10.1186/s12875-018-0855-x

M3 - Journal article

VL - 19

JO - B M C Family Practice

JF - B M C Family Practice

SN - 1471-2296

M1 - 168

ER -