alexa A Survey on Medication Reviews in Older Patients: Substantial Variation in Daily Practice
ISSN: 2167-7182

Journal of Gerontology & Geriatric Research
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Research Article

A Survey on Medication Reviews in Older Patients: Substantial Variation in Daily Practice

Kim PGM Hurkens1*, Carlota Mestres-Gonzalvo2, Hugo AJM de Wit2, P. Hugo M van der Kuy2, Rob Janknegt2, FransVerhey3, Jos MGA Schols4, Leo ML Stolk5, Coen DA Stehouwer1,6 and Wubbo Mulder1
1Department of Internal Medicine, Maastricht University Medical Centre, The Netherlands
2Department of Clinical Pharmacology, Orbis Medisch Centrum Sittard, The Netherlands
3Alzheimer Centrum Limburg, School of Mental Health and Neuroscience, Maastricht University Medical Centre, The Netherlands
4Department of Family Medicine, Maastricht University Medical Centre, The Netherlands
5Department of Clinical Pharmacology, Maastricht University Medical Centre, The Netherlands
6Cardiovasculair Research Institute Maastricht (CARIM), The Netherlands
Corresponding Author : Kim PGM Hurkens
Department of Internal Medicine
Maastricht University Medical Centre
PO box 5800, Maastricht, The Netherlands
Tel: +31 433877005
Fax: +31 433875006
E-mail: [email protected]
Received July 10, 2013; Accepted September 30, 2013; Published October 03, 2013
Citation: Hurkens KPGM, MestresGonzalvo C, de Wit HAJM, van der Kuy PHM, Janknegt R, et al. (2013) A Survey on Medication Reviews in Older Patients: Substantial Variation in Daily Practice. J Gerontol Geriat Res 2:133. doi:10.4172/2167-7182.1000133
Copyright: © 2013 Hurkens KPGM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Objective: To assess the methods and frequency by which medication reviews are performed by general practitioners and nursing home physicians by means of a survey.

Methods: 134 nursing home physicians and general practitioners working in the southern part of the Netherlands, the province of Limburg were asked to fill in a digital questionnaire. Non response was followed by second emailing and a questionnaire on paper by regular post. The questionnaire was developed by an expert panel, consisting of two hospital pharmacists, an internist, a nursing home physician and a neuropsychiatrist.

Results: There was substantial inconsistency in the frequency of performing medication reviews, ranging from monthly (in 40%) by the nursing home physicians to four times a year (in 50%) by the general practitioners. Time spent on one review also varied significantly between groups, namely 10 minutes for a nursing home physician and 20 minutes for general practitioners. Meetings between the physician and pharmacist took place regularly (91%), but these were not organised for medication reviewing of individual patients. When medication was changed by another doctor, 47% of nursing home physicians and 44% of the general practitioners were informed often, whereas 40% and 50% respectively were only informed sometimes, and 13% of nursing home physicians and 6% of general practitioners never received any notice. 59% of the nursing home physicians and 89% of general practitioners considered workload to be a limiting factor in performing reviews.

Conclusions: This survey shows great inconsistency in the way medication reviews are done. To achieve a high standard, we may have to reconsider the way medication reviews are done.

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