Medication use problems and factors affecting older adults in primary healthcare

Christopher, Christina Malini; Blebil, Ali; Bhuvan, K.C; Alex, Deepa; Mohamed, Mohamed Izham; Ismail, Norhasimah; Wing, Mark Cheong

doi:10.1016/j.sapharm.2023.08.001

Journal article 417 views 52 downloads

Medication use problems and factors affecting older adults in primary healthcare

Christina Malini Christopher

, Ali Blebil

, K.C Bhuvan, Deepa Alex, Mohamed Izham Mohamed Ibrahim, Norhasimah Ismail, Mark Cheong Wing Loong

Research in Social and Administrative Pharmacy, Volume: 19, Issue: 12, Pages: 1520 - 1530

Swansea University Author: Ali Blebil

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DOI (Published version): 10.1016/j.sapharm.2023.08.001

Abstract

Background: As the largest demographic group utilizing primary healthcare facilities, older adults often face the challenge of managing multiple chronic illnesses, leading to numerous medications. Objective: The present study aims to assess medication use problems among older adults and explore the...

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Published in:	Research in Social and Administrative Pharmacy
ISSN:	1551-7411 1934-8150
Published:	Elsevier BV 2023
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URI:	https://cronfa.swan.ac.uk/Record/cronfa64102
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first_indexed	2023-10-02T13:53:25Z
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Methods: A mixed-method study was conducted to establish a baseline understanding of the perspectives and challenges faced by older adults, with regards to medication use. Translated Medication Use Questionnaire (MedUseQ), a patient-centered tool, was distributed to older adults above 60 in primary healthcare settings to assess their frequency of problems related to medication use. Fifteen semi-structured interviews were conducted to explore this topic in depth. Descriptive and inferential analyses were conducted with quantitative data. Interviews were transcribed verbatim, and thematic analysis was conducted. Quantitative and qualitative findings data were triangulated. Results: The study involved 393 participants. The most common problems with regards to medication use were polypharmacy (55.4%), administration difficulties (48.4%), limited awareness about adverse drug events (47.3%), issues with adherence (46.5%), and accessibility to primary healthcare (42.7%). Approximately 55% were satisfied with the older adult-centered medication use services by pharmacist and doctors. The qualitative findings showed that major factors affecting medication use were forgetfulness, language barriers, lack of awareness, transportation problems, long waiting times, and multiple visits to healthcare facilities. Conclusion: The findings of this study reveal that a significant proportion, around 50%, of the older adult population face challenges with medication use in Penang. These difficulties mainly stem from medication administration, adherence, accessibility, polypharmacy, and inadequate medication knowledge. The qualitative analysis further highlighted several factors that contribute to such medication-related problems. 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spelling	v2 64102 2023-08-22 Medication use problems and factors affecting older adults in primary healthcare ae3f126adda1dec7b84f0a12698f0b7d 0000-0002-7480-1260 Ali Blebil Ali Blebil true false 2023-08-22 ISA Background: As the largest demographic group utilizing primary healthcare facilities, older adults often face the challenge of managing multiple chronic illnesses, leading to numerous medications. Objective: The present study aims to assess medication use problems among older adults and explore the factors affecting them in primary healthcare settings. Methods: A mixed-method study was conducted to establish a baseline understanding of the perspectives and challenges faced by older adults, with regards to medication use. Translated Medication Use Questionnaire (MedUseQ), a patient-centered tool, was distributed to older adults above 60 in primary healthcare settings to assess their frequency of problems related to medication use. Fifteen semi-structured interviews were conducted to explore this topic in depth. Descriptive and inferential analyses were conducted with quantitative data. Interviews were transcribed verbatim, and thematic analysis was conducted. Quantitative and qualitative findings data were triangulated. Results: The study involved 393 participants. The most common problems with regards to medication use were polypharmacy (55.4%), administration difficulties (48.4%), limited awareness about adverse drug events (47.3%), issues with adherence (46.5%), and accessibility to primary healthcare (42.7%). Approximately 55% were satisfied with the older adult-centered medication use services by pharmacist and doctors. The qualitative findings showed that major factors affecting medication use were forgetfulness, language barriers, lack of awareness, transportation problems, long waiting times, and multiple visits to healthcare facilities. Conclusion: The findings of this study reveal that a significant proportion, around 50%, of the older adult population face challenges with medication use in Penang. These difficulties mainly stem from medication administration, adherence, accessibility, polypharmacy, and inadequate medication knowledge. The qualitative analysis further highlighted several factors that contribute to such medication-related problems. Given the rapidly aging Association of Southeast Asian Nations (ASEAN) population, it is essential to devise effective solutions and strategies to tackle medication use-related issues among older adults. Journal Article Research in Social and Administrative Pharmacy 19 12 1520 1530 Elsevier BV 1551-7411 1934-8150 Challenges, Community pharmacies, Issues, Health clinics, Services 31 12 2023 2023-12-31 10.1016/j.sapharm.2023.08.001 http://dx.doi.org/10.1016/j.sapharm.2023.08.001 COLLEGE NANME Swansea Academy of Learning and Teaching (SALT) COLLEGE CODE ISA Swansea University 2023-11-02T16:48:21.8523750 2023-08-22T11:47:08.0040923 Information Services and Systems SALT Christina Malini Christopher 0000-0002-0272-2117 1 Ali Blebil 0000-0002-7480-1260 2 K.C Bhuvan 3 Deepa Alex 4 Mohamed Izham Mohamed Ibrahim 5 Norhasimah Ismail 6 Mark Cheong Wing Loong 7 64102__28924__cff7362ebc91464c81f7ee91f603159d.pdf 64102.VOR.pdf 2023-11-02T16:43:07.9594805 Output 1184921 application/pdf Version of Record true © 2023 The Authors. Published by Elsevier Inc. Distributed under the terms of a Creative Commons Attribution Non Commercial 4.0 License (CC BY-NC 4.0). true eng https://creativecommons.org/licenses/by-nc/4.0/
title	Medication use problems and factors affecting older adults in primary healthcare
spellingShingle	Medication use problems and factors affecting older adults in primary healthcare Ali Blebil
title_short	Medication use problems and factors affecting older adults in primary healthcare
title_full	Medication use problems and factors affecting older adults in primary healthcare
title_fullStr	Medication use problems and factors affecting older adults in primary healthcare
title_full_unstemmed	Medication use problems and factors affecting older adults in primary healthcare
title_sort	Medication use problems and factors affecting older adults in primary healthcare
author_id_str_mv	ae3f126adda1dec7b84f0a12698f0b7d
author_id_fullname_str_mv	ae3f126adda1dec7b84f0a12698f0b7d_***_Ali Blebil
author	Ali Blebil
author2	Christina Malini Christopher Ali Blebil K.C Bhuvan Deepa Alex Mohamed Izham Mohamed Ibrahim Norhasimah Ismail Mark Cheong Wing Loong
format	Journal article
container_title	Research in Social and Administrative Pharmacy
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container_issue	12
container_start_page	1520
publishDate	2023
institution	Swansea University
issn	1551-7411 1934-8150
doi_str_mv	10.1016/j.sapharm.2023.08.001
publisher	Elsevier BV
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url	http://dx.doi.org/10.1016/j.sapharm.2023.08.001
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description	Background: As the largest demographic group utilizing primary healthcare facilities, older adults often face the challenge of managing multiple chronic illnesses, leading to numerous medications. Objective: The present study aims to assess medication use problems among older adults and explore the factors affecting them in primary healthcare settings. Methods: A mixed-method study was conducted to establish a baseline understanding of the perspectives and challenges faced by older adults, with regards to medication use. Translated Medication Use Questionnaire (MedUseQ), a patient-centered tool, was distributed to older adults above 60 in primary healthcare settings to assess their frequency of problems related to medication use. Fifteen semi-structured interviews were conducted to explore this topic in depth. Descriptive and inferential analyses were conducted with quantitative data. Interviews were transcribed verbatim, and thematic analysis was conducted. Quantitative and qualitative findings data were triangulated. Results: The study involved 393 participants. The most common problems with regards to medication use were polypharmacy (55.4%), administration difficulties (48.4%), limited awareness about adverse drug events (47.3%), issues with adherence (46.5%), and accessibility to primary healthcare (42.7%). Approximately 55% were satisfied with the older adult-centered medication use services by pharmacist and doctors. The qualitative findings showed that major factors affecting medication use were forgetfulness, language barriers, lack of awareness, transportation problems, long waiting times, and multiple visits to healthcare facilities. Conclusion: The findings of this study reveal that a significant proportion, around 50%, of the older adult population face challenges with medication use in Penang. These difficulties mainly stem from medication administration, adherence, accessibility, polypharmacy, and inadequate medication knowledge. The qualitative analysis further highlighted several factors that contribute to such medication-related problems. Given the rapidly aging Association of Southeast Asian Nations (ASEAN) population, it is essential to devise effective solutions and strategies to tackle medication use-related issues among older adults.
published_date	2023-12-31T16:48:23Z
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Medication use problems and factors affecting older adults in primary healthcare

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