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Health outcomes following provision of Home Medicines Reviews for older people receiving aged care services at home.
Sluggett, Janet K; Caughey, Gillian E; Air, Tracy; Lang, Catherine; Moldovan, Max; Martin, Grant; Stafford, Andrew C; Carter, Stephen R; Jackson, Shane; Wesselingh, Steve L; Inacio, Maria C.
Afiliación
  • Sluggett JK; University of South Australia, UniSA Allied Health and Human Performance, Adelaide, South Australia, Australia; Registry of Senior Australians, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia. Electronic address: janet.sluggett@unisa.edu.au.
  • Caughey GE; University of South Australia, UniSA Allied Health and Human Performance, Adelaide, South Australia, Australia; Registry of Senior Australians, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
  • Air T; Registry of Senior Australians, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
  • Lang C; Registry of Senior Australians, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
  • Moldovan M; Registry of Senior Australians, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia; Biometry Hub, Faculty of Sciences, Engineering and Technology, The University of Adelaide, Waite Campus, Urrbrae, South Australia, Australia.
  • Martin G; Australian Association of Consultant Pharmacy, Fyshwick, Australian Capital Territory, Australia.
  • Stafford AC; Curtin Medical School, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
  • Carter SR; School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
  • Jackson S; School of Pharmacy and Pharmacology, University of Tasmania, Hobart, Tasmania, Australia.
  • Wesselingh SL; Registry of Senior Australians, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
  • Inacio MC; University of South Australia, UniSA Allied Health and Human Performance, Adelaide, South Australia, Australia; Registry of Senior Australians, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Res Social Adm Pharm ; 20(11): 1064-1069, 2024 Nov.
Article en En | MEDLINE | ID: mdl-39187425
ABSTRACT

BACKGROUND:

The impact of Home Medicines Reviews (HMRs) on long-term health outcomes among individuals receiving long-term in-home aged care services is unknown.

OBJECTIVES:

To examine associations between HMR provision and hospitalization, long-term care facility (LTCF) entry and mortality among older people receiving long-term in-home aged care services.

METHODS:

This retrospective cohort study included individuals aged 65-105 years from three Australian states who accessed in-home aged care services between 2013 and 2017. Using propensity score matching, HMR recipients (n = 1530) were matched to individuals who did not receive an HMR (n = 1530). Associations between HMR provision and outcomes were estimated using multivariable regression models.

RESULTS:

Over a median of 414 days (interquartile range 217-650) of follow-up, HMR provision was not associated with hospitalizations for unplanned events (subdistribution hazard ratio (sHR) 1.04, 95%CI 0.96-1.14), falls-related hospitalizations (sHR 0.97, 95%CI 0.83-1.13), LTCF entry (sHR 0.97, 95%CI 0.83-1.13), or all-cause mortality (adjusted HR 0.86, 95%CI 0.72-1.01).

CONCLUSIONS:

In a cohort of older people receiving long-term in-home aged care services, no differences in unplanned hospitalizations, falls, LTCF entry or mortality were observed those with HMRs compared to those that did not receive an HMR.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados a Largo Plazo / Servicios de Atención de Salud a Domicilio / Hospitalización Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Oceania Idioma: En Revista: Res Social Adm Pharm Asunto de la revista: FARMACIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados a Largo Plazo / Servicios de Atención de Salud a Domicilio / Hospitalización Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Oceania Idioma: En Revista: Res Social Adm Pharm Asunto de la revista: FARMACIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos