Evidence map›Paper›PMID 32993650›Full record

ArticleBMC health services research2020

Medication reviews in hospitalized patients: a qualitative study on perceptions of primary and secondary care providers on interprofessional collaboration.

Bregje Walraven, Godelieve Ponjee, Wieke Heideman, Fatma Karapinar Çarkit

Abstract read
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Article
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  8. Multidisciplinary perspectives on roles of hospital pharmacists in tertiary settings: a qualitative study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 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

4 authors.

Bregje WalravenDepartment of Clinical Pharmacy, OLVG, Jan Tooropstraat 164, 1061 AE, Amsterdam, the Netherlands.
Godelieve PonjeeDepartment of Clinical Pharmacy, Amsterdam UMC location AMC, Amsterdam, the Netherlands.
Wieke HeidemanDepartment of Research and Epidemiology, OLVG, Amsterdam, Netherlands.
Fatma Karapinar ÇarkitDepartment of Clinical Pharmacy, OLVG, Jan Tooropstraat 164, 1061 AE, Amsterdam, the Netherlands. f.karapinar@olvg.nl.ORCID http://orcid.org/0000-0002-3077-9663

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn-hospital medication reviews are regularly performed. However, discontinuity in care could occur because secondary care providers lack insight into the outpatient history. Furthermore, for the implementation or follow-up of some medication review-based interventions, the help of primary care providers is essential. This requires interprofessional collaboration between secondary and primary care. Therefore, the aim of this qualitative study was to gain insight into the perceptions of primary and secondary care providers on interprofessional collaboration on medication reviews in hospitalised patients.

methodsTen face-to-face semi-structured interviews and three focus group discussions were conducted with 20 healthcare providers from three hospitals and community health services. The interviews were aimed at exploring general practitioners', community pharmacists', geriatricians', and hospital pharmacists' experiences, attitudes, and views of interprofessional collaboration. Focus groups consisted of representatives of all professional groups. Through group discussion, interprofessional collaboration was explored by addressing three main questions: 1) What are the benefits of in-hospital medication reviews? 2) What are the barriers to in-hospital medication reviews from an interprofessional collaboration perspective? 3) Given the barriers mentioned, how should this interprofessional collaboration between primary and secondary care be designed? Data were analysed using a thematic-content approach.

resultsThe need for in-hospital medication reviews was underlined due to their many benefits, such as reducing potentially preventable re-admissions. Barriers regarding interprofessional collaboration between primary and secondary care can be subdivided into three main themes: 1) defining in-hospital medication reviews (e.g., lack of clear goals), 2) execution of medication reviews (e.g., hospital setting is dynamic), and 3) follow-up after discharge (e.g., unclear instructions). Care providers suggested solutions for each of the barriers mentioned, for example, by using supportive staff in order to overcome the gap between primary and secondary care providers and making clear agreements on proper means of communication.

conclusionPrimary and secondary care providers recognise the importance of in-hospital medication reviews and the need for interprofessional collaboration. To create satisfying interprofessional collaboration, conditions should be met on defining in-hospital medication reviews across settings and involving both primary and secondary care providers in implementing medication reviews and organising their follow-up.

Indexed as

HospitalizationInterprofessional RelationsAttitude of Health PersonnelCooperative BehaviorDrug Utilization ReviewFemaleFocus GroupsGeneral PractitionersGeriatriciansHumansMalePharmacistsPrimary Health CareQualitative ResearchSecondary Health CareContinuity of careInterprofessional relationsMedication reviewMedication therapy managementPolypharmacy

Identifiers

PMID32993650
PMCPMC7526422

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Registered trials

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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.