Evidence map›Paper›PMID 30925880›Full record

ArticleBMC health services research2019

Barriers and facilitators with medication use during the transition from hospital to home: a qualitative study among patients.

Sara Daliri, Charlotte L Bekker, Bianca M Buurman, Wilma J M Scholte Op Reimer, Bart J F van den Bemt, Fatma Karapinar-Çarkit

Abstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  18. Patient Information Needs During Ambulatory Medication Changes: A Qualitative Study.Journal of patient-centered research and reviews · 2025
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  19. Article
  20. 'You're Just Thinking About Going Home': Exploring Person-Centred Medication Communication With Older Patients at Hospital Discharge.Health expectations : an international journal of public participation in health care and health policy · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sara DaliriFaculty of Health, ACHIEVE Center of Expertise, Amsterdam University of Applied Sciences, Amsterdam, 1105 BD, the Netherlands. s.daliri@hva.nl.ORCID http://orcid.org/0000-0003-3999-3444
Charlotte L BekkerDepartment of Pharmacy, Sint Maartenskliniek, Nijmegen, 6574 NA, The Netherlands.
Bianca M BuurmanFaculty of Health, ACHIEVE Center of Expertise, Amsterdam University of Applied Sciences, Amsterdam, 1105 BD, the Netherlands.
Wilma J M Scholte Op ReimerFaculty of Health, ACHIEVE Center of Expertise, Amsterdam University of Applied Sciences, Amsterdam, 1105 BD, the Netherlands.
Bart J F van den BemtDepartment of Pharmacy, Sint Maartenskliniek, Nijmegen, 6574 NA, The Netherlands.
Fatma Karapinar-ÇarkitDepartment of Clinical Pharmacy, OLVG hospital, Amsterdam, 1061AE, The Netherlands. f.karapinar@olvg.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring transitions from hospital to home, up to half of all patients experience medication-related problems, such as adverse drug events. To reduce these problems, knowledge of patient experiences with medication use during this transition is needed. This study aims to identify the perspectives of patients on barriers and facilitators with medication use, during the transition from hospital to home.

methodsA qualitative study was conducted in 2017 among patients discharged from two hospitals using a semi-structured interview guide. Patients were asked to identify all barriers they experienced with medication use during transitions from hospital to home, and facilitators needed to overcome those barriers. Data were analyzed following thematic content analysis and visualized using an "Ishikawa" diagram.

resultsIn total, three focus groups were conducted with 19 patients (mean age: 70.8 (SD 9.3) years, 63% female). Three barriers were identified; lack of personalized care in the care continuum, insufficient information transfer (e.g. regarding changes in pharmacotherapy), and problems in care organization (e.g. medication substitution). Facilitators to overcome these barriers included a personal medication-counselor in the care continuum to guide patients with medication use and overcome communication barriers, and post-discharge follow-up care (e.g. home visits from healthcare providers).

conclusionsDuring transitions from hospital to home patients experience individual-, healthcare provider- and organization level barriers. Future research should focus on personal-medication counselors in the care continuum and post-discharge follow-up care as it may overcome communication, emotional, information and organization barriers with medication use.

Indexed as

AgedCommunicationCommunity Pharmacy ServicesContinuity of Patient CareFemaleFocus GroupsHumansMaleMedication Therapy ManagementPatient DischargePatient Education as TopicQualitative ResearchContinuity of patient careFocus groupsMedication errorsQualitative research

Identifiers

PMID30925880
PMCPMC6441233

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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.