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Evaluation of changes in prescription among Japanese elderly patients before and after transition to home care.
Masumoto, Shoichi; Sato, Mikiya; Yamakawa, Tomotsugu; Hamada, Shuhei; Inaba, Takashi; Kataoka, Yoshihiro; Ozone, Sachiko; Yokoya, Shoji; Hamano, Jun.
Afiliación
  • Masumoto S; Department of Family Medicine, General Practice and Community Health, Faculty of Medicine University of Tsukuba Tsukuba Japan.
  • Sato M; Department of General Medicine Tsukuba Central Hospital Ushiku Japan.
  • Yamakawa T; Department of Health Services Research, Faculty of Medicine University of Tsukuba Tsukuba Japan.
  • Hamada S; Health Services Center, Human Resources Group Sumitomo Heavy Industries, Ltd Tokyo Japan.
  • Inaba T; Graduate School of Comprehensive Human Sciences University of Tsukuba Tsukuba Japan.
  • Kataoka Y; Yamato Clinic Sakuragawa Japan.
  • Ozone S; Department of Family Medicine, General Practice and Community Health, Faculty of Medicine University of Tsukuba Tsukuba Japan.
  • Yokoya S; Department of Family Medicine, General Practice and Community Health, Faculty of Medicine University of Tsukuba Tsukuba Japan.
  • Hamano J; Department of Family Medicine, General Practice and Community Health, Faculty of Medicine University of Tsukuba Tsukuba Japan.
J Gen Fam Med ; 23(2): 94-100, 2022 Mar.
Article en En | MEDLINE | ID: mdl-35261856
Background: Most patients receiving home care have multimorbidity and tend to be prescribed multiple drugs with the complicated regimen. Family physicians (FPs) are responsible for patients' prescriptions after transition to home care. This study aimed to assess changes in medication regimen complexity and potentially inappropriate medications (PIMs) made by FPs before and after transition to home care. Methods: A retrospective cohort study was conducted in six home care clinics in Ibaraki Prefecture, Japan. Data from patients aged 65 years and older taking any medication who initiated home care between April 2018 and March 2019 were collected using medical records. The medication regimen complexity index-Japanese version (MRCI-J) score and the presence of PIMs were assessed before and 3 months after transition to home care. Results: The mean age of 169 patients was 84.0 years. MRCI-J score and percentage of PIMs remained unchanged between before and 3 months after home care initiation. However, MRCI-J score significantly decreased among patients with polypharmacy, but significantly increased among patients with nonpolypharmacy. In multiple regression analysis, a greater number of medications before home care initiation was associated with a decreasing MRCI-J score, but pharmacist home visit services were not associated with changes in MRCI-J score. Conclusions: Our results suggest that FPs involved in home care are trying to adjust prescriptions by simplifying the medication regimen of patients with polypharmacy, and adding symptomatic drugs to those with nonpolypharmacy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En Revista: J Gen Fam Med Año: 2022 Tipo del documento: Article Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En Revista: J Gen Fam Med Año: 2022 Tipo del documento: Article Pais de publicación: Japón