Trial reportBMJ (Clinical research ed.)2007
"I haven't even phoned my doctor yet." The advice giving role of the pharmacist during consultations for medication review with patients aged 80 or more: qualitative discourse analysis.
Trial report in BMJ (Clinical research ed.), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Medication review in hospitalised patients to reduce morbidity and mortality.The Cochrane database of systematic reviews · 2016Pooled it
- Identifying the Optimal Role for Pharmacists in Care Transitions: A Systematic Review.Journal of managed care & specialty pharmacy · 2015Pooled it
- Patient participation in medication reviews is desirable but not evidence-based: a systematic literature review.British journal of clinical pharmacology · 2014Pooled it
- Trial
- Trial
- Trial
- Pharmacist-based medication review reduces potential drug-related problems in the elderly: the SMOG controlled trial.Drugs & aging · 2009Trial
- Health and Social Care Interventions in the 80 years Old and Over Population: An Evidence and Gap Map.Campbell systematic reviews · 2026Review
- Reliability and validity testing of the medicines related - consultation assessment tool for assessing pharmacists' consultations.International journal of clinical pharmacy · 2023Article
- Preliminary study assessing remineralisation of early caries on posterior teeth using SoproLife®.The Saudi dental journal · 2019Article
- Patient-pharmacist communication during a post-discharge pharmacist home visit.International journal of clinical pharmacy · 2018Article
- Patient-perceived barriers and facilitators to the implementation of a medication review in primary care: a qualitative thematic analysis.BMC family practice · 2018Article
- Article
- Patient reactions to community pharmacies' roles: evidence from the Portuguese market.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Communication relating to family members' involvement and understandings about patients' medication management in hospital.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Bridging the gap between hospital and primary care: the pharmacist home visit.International journal of clinical pharmacy · 2015Article
- Adherence counseling during patient contacts in swiss community pharmacies.Patient preference and adherence · 2015Article
- Experiences of a community pharmacy service to support adherence and self-management in chronic heart failure.International journal of clinical pharmacy · 2014Article
- The feasibility, acceptance, and key features of a prevention-focused oral health education program for HIV+ adults.AIDS care · 2014Article
- Effects of a three party healthcare network on the incidence levels of drug related problems.International journal of clinical pharmacy · 2013Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore the advice giving role of pharmacists during consultation for medication review with patients aged 80 or more.
designDiscourse analysis.
settingParticipants' homes.
participantsSubsample of consultations within a large randomised trial of home medication review among patients aged 80 or more who had been admitted to hospital.
main outcome measuresExtent to which advice given by pharmacists was accepted and acknowledged by patients.
resultsPharmacists found many opportunities to offer advice, information, and instruction. These advice giving modes were rarely initiated by the patients and were given despite a no problem response and deliberate displays of competence and knowledge by patients. Advice was often resisted or rejected and created interactional difficulties and awkward moments during the consultations.
conclusionsThe advice giving role of pharmacists during consultations with patients aged 80 or more has the potential to undermine and threaten the patients' assumed competence, integrity, and self governance. Caution is needed in assuming that commonsense interventions necessarily lead to health gain.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.