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Title
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What happens after hospital discharge? Deficiencies in medication management encountered by geriatric patients with polypharmacy
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Author
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Abstract
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| This study aimed to describe post-discharge medication self-management by geriatric patients with polypharmacy, to describe the problems encountered and to determine the related factors. In a multicenter study from November 2019 to March 2020, data were collected at hospital discharge and two to five days post-discharge. Geriatric patients with polypharmacy were questioned about medication management using a combination of validated (MedMaIDE) and self-developed questionnaires. Of 400 participants, 70% did self-manage medication post-discharge. Patients had a mean of four different deficiencies in post-discharge medication management (SD 2.17, range 0–10). Knowledge-related deficiencies were most common. The number of medicines and the in-hospital provision of medication management by nurses were significant predictors of post-discharge medication management deficiencies. In addition to deficiencies in knowledge, medication-taking ability and obtaining medication, non-adherence and disrupted continuity of medication self-management were common in geriatric patients with polypharmacy post-discharge. Improvements in in-hospital preparation could avoid medication self-management problems at home. |
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Language
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English
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Source (journal)
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International journal of environmental research and public health. - Basel, 2004, currens
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Publication
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Basel
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MDPI
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2021
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ISSN
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1661-7827
[print]
1660-4601
[online]
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DOI
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10.3390/IJERPH18137031
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Volume/pages
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18
:13
(2021)
, 17 p.
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Article Reference
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7031
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ISI
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000671114600001
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Pubmed ID
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34209384
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Medium
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E-only publicatie
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Full text (Publisher's DOI)
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Full text (open access)
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