Evidence map›Paper›PMID 41013230›Full record

ArticleBMC geriatrics2025

Rational use of medicines in the older adult: the role of trust in the health care system.

Mustafa Nal, Ummahan Cömert, Melike Öztürk, Gülfer Bektaş

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Mustafa NalThe Department of Healthcare Management, Kutahya Health Sciences University, Kutahya, Türkiye.ORCID http://orcid.org/0000-0002-3282-1124
Ummahan CömertThe Department of Healthcare Management, Kutahya Health Sciences University, Kutahya, Türkiye.ORCID http://orcid.org/0009-0007-8489-5225
Melike ÖztürkThe Department of Healthcare Management, Kutahya Health Sciences University, Kutahya, Türkiye.ORCID http://orcid.org/0009-0001-4582-0059
Gülfer BektaşThe Department of Healthcare Management, Acibadem Mehmet Ali Aydinlar University, Istanbul, Türkiye. gulfer.bektas@acibadem.edu.tr.ORCID http://orcid.org/0000-0002-0110-4181

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMore than 50% of drugs used by people worldwide are used inappropriately. This rate increases even more in older adults due to reasons such as memory loss, forgetfulness, and polypharmacy. The population of older adults is increasing worldwide, and therefore, rational drug use in older individuals is becoming even more important.

objectiveThis study aims to determine the effects of demographic characteristics and trust in the health care system on the rational use of medicines among older adults.

designA cross-sectional study design was employed, and data were collected from older adult participants using structured questionnaires. Data were collected using a convenience sampling method from 443 elderly individuals who presented to public hospitals and private pharmacies in Türkiye. Multiple regression analyses were conducted to evaluate the predictive power of these variables on the rational use of medicines.

resultsTrust in the health care system was found to be a significant positive predictor of rational use of medicines (R² = 0.167, p < 0.001).

conclusionFindings suggest the need for targeted interventions that take into account sociodemographic and psychological factors to support the safe use of medications in aging societies. PATIENT OR PUBLIC CONTRIBUTION: Increasing trust in the health care system also strengthens individuals’ trust in rational drug use. This result shows that increasing trust in the health care system is important in encouraging conscious drug use in society.

Indexed as

Delivery of Health CareTrustAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMalePolypharmacySurveys and QuestionnairesGeriatricsOlder adultRational use of medicinesTrustTrust in the health care system

Identifiers

PMID41013230
PMCPMC12465156

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.