"I have nine specialists. They need to swap notes!" Australian patients' perspectives of medication-related problems following discharge from hospital

Health Expect. 2017 Oct;20(5):1114-1120. doi: 10.1111/hex.12556. Epub 2017 Mar 17.

Abstract

Background: Research has shown that patients are most susceptible to medication-related problems (MRPs) when transitioning from hospital to home. Currently, the literature in this area focuses on interventions, which are mainly orientated around the perspective of the health-care professional and do not take into account patient perspectives and experiences.

Objective: To capture the experiences and perceptions of Australian patients regarding MRPs following discharge from hospital.

Design: A cross-sectional study was conducted using a questionnaire collecting quantitative and qualitative data. Thematic analysis was conducted of the qualitative data.

Setting and participants: Survey participants were recruited through The Digital Edge, an online market research company. Five hundred and six participants completed the survey.

Results: A total of 174 participants self-reported MRPs. Two concepts and seven subthemes emerged from the analysis. The first concept was types of MRPs and patient experiences. Three themes were identified: unwanted effects from medicines, confusion about medicines and unrecognized medicines. The second concept was patient engagement in medication management, of which four themes emerged: informing patients, patient engagement, communication amongst health-care professionals and conflicting advice.

Discussion and conclusion: This study provides an important insight into patients' experiences and perceptions of MRPs following discharge from hospital. Future direction for practice and research should look into implementing patient-centred care at the time of hospital discharge to ensure the provision of clear and consistent information, and developing ways to support and empower patients to ensure a smooth transition post-discharge from hospital.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Australia
  • Communication
  • Continuity of Patient Care / organization & administration*
  • Cross-Sectional Studies
  • Drug-Related Side Effects and Adverse Reactions / prevention & control
  • Drug-Related Side Effects and Adverse Reactions / psychology
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Interprofessional Relations
  • Male
  • Medication Therapy Management / organization & administration*
  • Middle Aged
  • Patient Discharge*
  • Patient Participation
  • Qualitative Research
  • Specialization