‘Everyone should know what they’re on’: a qualitative study of attitudes towards and use of patient held lists of medicines among patients, carers and healthcare professionals in primary and secondary care settings in Ireland
Objectives Managing multiple medicines can be challenging for patients with multimorbidity, who are at high risk of adverse outcomes, for example, hospitalisation. Patient-held medication lists (PHMLs) can contribute to patient safety and potentially reduce medication errors. The aims of this study...
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e064484.full |
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| author | Caitriona Cahir Kathleen E Bennett Sheena M Mc Hugh Ciara Kirke Muriel Pate Bernadine O'Donovan |
| author_facet | Caitriona Cahir Kathleen E Bennett Sheena M Mc Hugh Ciara Kirke Muriel Pate Bernadine O'Donovan |
| author_sort | Caitriona Cahir |
| collection | DOAJ |
| description | Objectives Managing multiple medicines can be challenging for patients with multimorbidity, who are at high risk of adverse outcomes, for example, hospitalisation. Patient-held medication lists (PHMLs) can contribute to patient safety and potentially reduce medication errors. The aims of this study are to investigate attitudes towards and use of PHMLs among healthcare professionals (HCPs), patients and carers.Design Qualitative study based on 39 semistructured telephone interviews.Setting Primary and secondary care settings in Ireland.Participants Twenty-one HCPs and 18 people taking medicines and caregivers.Methods Telephone interviews were conducted with HCPs, people taking multiple medicines (5+ medicines) and carers of people taking medicines who were purposively sampled via social media, patient groups and research collaborators. Interviews were transcribed and thematically analysed based on the Framework approach, with the Consolidated Framework for Implementation Research and Theoretical Domains Framework.Results Three core themes emerged: (1) attitudes to PHML, (2) function and preferred features of PHML and (3) barriers and facilitators to future use of PHML. All participating (patients/carers and HCP) groups considered PHML beneficial for patients and HCPs (eg, empowering for patients and improved adherence). While PHML were used in a variety of situations such as emergencies, concerns about their accuracy were shared across all groups. HCPs and patients differed on the level of detail that should be included in PHML. HCPs’ time constraints, patients’ multiple medicines and cognitive impairments were reported barriers. Key facilitators included access to digital/compact lists and promotion of lists by appropriate HCPs.Conclusions Our findings provide insight into the factors that influence use of PHML. Lists were used in a variety of settings, but there were concerns about their accuracy. A range of list formats and encouragement from key HCPs could increase the use of PHML. |
| format | Article |
| id | doaj-art-cb5c502484334a6d8e35babd19f05161 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-cb5c502484334a6d8e35babd19f051612025-01-31T02:20:10ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2022-064484‘Everyone should know what they’re on’: a qualitative study of attitudes towards and use of patient held lists of medicines among patients, carers and healthcare professionals in primary and secondary care settings in IrelandCaitriona Cahir0Kathleen E Bennett1Sheena M Mc Hugh2Ciara Kirke3Muriel Pate4Bernadine O'Donovan5Data Science Centre, School of Population Health, RCSI University of Medicine and Health Sciences, Dublin, IrelandData Science Centre, School of Population Health, RCSI University of Medicine and Health Sciences, Dublin, IrelandDepartment of Epidemiology & Public Health, University College Cork, Cork, IrelandMedication Safety, Quality Improvement Division, Health Service Executive, Dublin, IrelandMedication Safety, Quality Improvement Division, Health Service Executive, Dublin, IrelandData Science Centre, School of Population Health, RCSI University of Medicine and Health Sciences, Dublin, IrelandObjectives Managing multiple medicines can be challenging for patients with multimorbidity, who are at high risk of adverse outcomes, for example, hospitalisation. Patient-held medication lists (PHMLs) can contribute to patient safety and potentially reduce medication errors. The aims of this study are to investigate attitudes towards and use of PHMLs among healthcare professionals (HCPs), patients and carers.Design Qualitative study based on 39 semistructured telephone interviews.Setting Primary and secondary care settings in Ireland.Participants Twenty-one HCPs and 18 people taking medicines and caregivers.Methods Telephone interviews were conducted with HCPs, people taking multiple medicines (5+ medicines) and carers of people taking medicines who were purposively sampled via social media, patient groups and research collaborators. Interviews were transcribed and thematically analysed based on the Framework approach, with the Consolidated Framework for Implementation Research and Theoretical Domains Framework.Results Three core themes emerged: (1) attitudes to PHML, (2) function and preferred features of PHML and (3) barriers and facilitators to future use of PHML. All participating (patients/carers and HCP) groups considered PHML beneficial for patients and HCPs (eg, empowering for patients and improved adherence). While PHML were used in a variety of situations such as emergencies, concerns about their accuracy were shared across all groups. HCPs and patients differed on the level of detail that should be included in PHML. HCPs’ time constraints, patients’ multiple medicines and cognitive impairments were reported barriers. Key facilitators included access to digital/compact lists and promotion of lists by appropriate HCPs.Conclusions Our findings provide insight into the factors that influence use of PHML. Lists were used in a variety of settings, but there were concerns about their accuracy. A range of list formats and encouragement from key HCPs could increase the use of PHML.https://bmjopen.bmj.com/content/12/7/e064484.full |
| spellingShingle | Caitriona Cahir Kathleen E Bennett Sheena M Mc Hugh Ciara Kirke Muriel Pate Bernadine O'Donovan ‘Everyone should know what they’re on’: a qualitative study of attitudes towards and use of patient held lists of medicines among patients, carers and healthcare professionals in primary and secondary care settings in Ireland BMJ Open |
| title | ‘Everyone should know what they’re on’: a qualitative study of attitudes towards and use of patient held lists of medicines among patients, carers and healthcare professionals in primary and secondary care settings in Ireland |
| title_full | ‘Everyone should know what they’re on’: a qualitative study of attitudes towards and use of patient held lists of medicines among patients, carers and healthcare professionals in primary and secondary care settings in Ireland |
| title_fullStr | ‘Everyone should know what they’re on’: a qualitative study of attitudes towards and use of patient held lists of medicines among patients, carers and healthcare professionals in primary and secondary care settings in Ireland |
| title_full_unstemmed | ‘Everyone should know what they’re on’: a qualitative study of attitudes towards and use of patient held lists of medicines among patients, carers and healthcare professionals in primary and secondary care settings in Ireland |
| title_short | ‘Everyone should know what they’re on’: a qualitative study of attitudes towards and use of patient held lists of medicines among patients, carers and healthcare professionals in primary and secondary care settings in Ireland |
| title_sort | everyone should know what they re on a qualitative study of attitudes towards and use of patient held lists of medicines among patients carers and healthcare professionals in primary and secondary care settings in ireland |
| url | https://bmjopen.bmj.com/content/12/7/e064484.full |
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