Evidence map›Paper›PMID 33063445›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2020

Post-discharge medicines management: the experiences, perceptions and roles of older people and their family carers.

Justine Tomlinson, Jonathan Silcock, Heather Smith, Kate Karban, Beth Fylan

Open access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 6 pooled it
2.5field-weighted citation impact, top 11% of its field
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

37 citing papers in PubMed, 6 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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  17. Supporting Older People Living With Frailty to Self-Manage Multiple Medicines: An Experience-Based Co-Design of a Complex Intervention Developed in UK Primary Care.Health expectations : an international journal of public participation in health care and health policy · 2025
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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

5 authors at 2 institutions in 1 country.

Justine TomlinsonMedicine Optimisation Research Group, School of Pharmacy and Medical Sciences, University of Bradford, Bradford, UK.ORCID 0000-0003-3911-0701
Jonathan SilcockMedicine Optimisation Research Group, School of Pharmacy and Medical Sciences, University of Bradford, Bradford, UK.ORCID 0000-0002-4920-9249
Heather SmithMedicine Management and Pharmacy Services, Leeds Teaching Hospitals NHS Trust, Leeds, UK.ORCID 0000-0001-9740-4594
Kate KarbanFaculty of Life Sciences, University of Bradford, Bradford, UK.ORCID 0000-0003-0370-6618
Beth FylanMedicine Optimisation Research Group, School of Pharmacy and Medical Sciences, University of Bradford, Bradford, UK.ORCID 0000-0003-0599-4537
University of Bradford · GBLeeds Teaching Hospitals NHS Trust · GB

Funding

Department of Health PB-PG-0317-20010
6 · The paper itself

Abstract

backgroundMultiple changes are made to older patients' medicines during hospital admission, which can sometimes cause confusion and anxiety. This results in problems with post-discharge medicines management, for example medicines taken incorrectly, which can lead to harm, hospital readmission and reduced quality of life.

aimTo explore the experiences of older patients and their family carers as they enacted post-discharge medicines management.

designSemi-structured interviews took place in participants' homes, approximately two weeks after hospital discharge. Data analysis used the Framework method. SETTING AND

participantsRecruitment took place during admission to one of two large teaching hospitals in North England. Twenty-seven participants aged 75 plus who lived with long-term conditions and polypharmacy, and nine family carers, were interviewed.

findingsThree core themes emerged: impact of the transition, safety strategies and medicines management role. Conversations between participants and health-care professionals about medicines changes often lacked detail, which disrupted some participants' knowledge and medicines management capabilities. Participants used multiple strategies to support post-discharge medicines management, such as creating administration checklists, seeking advice or supporting primary care through prompts to ensure medicines were supplied on time. The level to which they engaged with these activities varied. DISCUSSION AND

conclusionParticipants experienced gaps in their post-discharge medicines management, which they had to bridge through implementing their own strategies or by enlisting support from others. Areas for improvement were identified, mainly through better communication about medicines changes and wider involvement of patients and family carers in their medicines-related care during the hospital-to-home transition.

Indexed as

CaregiversPatient DischargeAdultAftercareAgedAged, 80 and overEnglandFemaleHumansMalePerceptionQuality of Lifemedication managementmedication safetyolder peoplepatient safetyqualitative interviewstransitions of care

Identifiers

PMID33063445
PMCPMC7752204
OpenAlexW3093293173

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.