Factors associated with the identification of drug therapy problems among older patients in Primary Health Care
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Einstein (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100224 |
Resumo: | ABSTRACT Objective To determine the frequency of drug therapy problems among older adults in Primary Health Care, and to analyze the factors associated with their identification in the initial patient assessment, carried out by pharmacists offering medication therapy management services. Methods A cross-sectional study conducted with data from 758 older adults followed up in medication therapy management services in Primary Health Care in the cities of Belo Horizonte, Betim, and Lagoa Santa (MG, Brazil). Univariate and multivariate analyses were performed to evaluate the factors associated with identification of four or more drug therapy problems in the initial clinical assessment. Results A total of 1,683 drug therapy problems were identified, 73.6% of older patients had at least one problem. The most frequent problems were nonadherence (23.0%) and the need for additional drug therapy (18.0%). Polypharmacy, chronic obstructive pulmonary disease, hypertension, diabetes mellitus, heart failure, and aged 75 years or older remained positively and statistically associated with identification of four or more drug therapy problems (p<0.05). Conclusion There is a high frequency of problems related to medication use among older users of Primary Health Care, and the medication therapy management services should be prioritized to the older patients, who present with polypharmacy, chronic obstructive pulmonary disease, hypertension, diabetes mellitus, heart failure, and age ≥ 75 years, since they are more likely to have more drug therapy problems. |
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Factors associated with the identification of drug therapy problems among older patients in Primary Health CareAgedPrimary Health CarePharmaceutical servicesMedication therapy managementPolypharmacyABSTRACT Objective To determine the frequency of drug therapy problems among older adults in Primary Health Care, and to analyze the factors associated with their identification in the initial patient assessment, carried out by pharmacists offering medication therapy management services. Methods A cross-sectional study conducted with data from 758 older adults followed up in medication therapy management services in Primary Health Care in the cities of Belo Horizonte, Betim, and Lagoa Santa (MG, Brazil). Univariate and multivariate analyses were performed to evaluate the factors associated with identification of four or more drug therapy problems in the initial clinical assessment. Results A total of 1,683 drug therapy problems were identified, 73.6% of older patients had at least one problem. The most frequent problems were nonadherence (23.0%) and the need for additional drug therapy (18.0%). Polypharmacy, chronic obstructive pulmonary disease, hypertension, diabetes mellitus, heart failure, and aged 75 years or older remained positively and statistically associated with identification of four or more drug therapy problems (p<0.05). Conclusion There is a high frequency of problems related to medication use among older users of Primary Health Care, and the medication therapy management services should be prioritized to the older patients, who present with polypharmacy, chronic obstructive pulmonary disease, hypertension, diabetes mellitus, heart failure, and age ≥ 75 years, since they are more likely to have more drug therapy problems.Instituto Israelita de Ensino e Pesquisa Albert Einstein2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100224einstein (São Paulo) v.20 2022reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.31744/einstein_journal/2022ao6544info:eu-repo/semantics/openAccessDias,Bianca MenezesRamalho-de-Oliveira,DjenaneSantos,Bruna DamazioNeves,Carina de MoraisOliveira,Grazielli Cristina Batista deSilva,Daniela Álvares MachadoNascimento,Yone de AlmeidaCid,Annaline StiegertBuzelin,Gabriela OliveiraFerreira,Sabrina GonçalvesDetoni,Kirla BarbosaNascimento,Mariana Martins Gonzaga doeng2022-04-05T00:00:00Zoai:scielo:S1679-45082022000100224Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2022-04-05T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false |
dc.title.none.fl_str_mv |
Factors associated with the identification of drug therapy problems among older patients in Primary Health Care |
title |
Factors associated with the identification of drug therapy problems among older patients in Primary Health Care |
spellingShingle |
Factors associated with the identification of drug therapy problems among older patients in Primary Health Care Dias,Bianca Menezes Aged Primary Health Care Pharmaceutical services Medication therapy management Polypharmacy |
title_short |
Factors associated with the identification of drug therapy problems among older patients in Primary Health Care |
title_full |
Factors associated with the identification of drug therapy problems among older patients in Primary Health Care |
title_fullStr |
Factors associated with the identification of drug therapy problems among older patients in Primary Health Care |
title_full_unstemmed |
Factors associated with the identification of drug therapy problems among older patients in Primary Health Care |
title_sort |
Factors associated with the identification of drug therapy problems among older patients in Primary Health Care |
author |
Dias,Bianca Menezes |
author_facet |
Dias,Bianca Menezes Ramalho-de-Oliveira,Djenane Santos,Bruna Damazio Neves,Carina de Morais Oliveira,Grazielli Cristina Batista de Silva,Daniela Álvares Machado Nascimento,Yone de Almeida Cid,Annaline Stiegert Buzelin,Gabriela Oliveira Ferreira,Sabrina Gonçalves Detoni,Kirla Barbosa Nascimento,Mariana Martins Gonzaga do |
author_role |
author |
author2 |
Ramalho-de-Oliveira,Djenane Santos,Bruna Damazio Neves,Carina de Morais Oliveira,Grazielli Cristina Batista de Silva,Daniela Álvares Machado Nascimento,Yone de Almeida Cid,Annaline Stiegert Buzelin,Gabriela Oliveira Ferreira,Sabrina Gonçalves Detoni,Kirla Barbosa Nascimento,Mariana Martins Gonzaga do |
author2_role |
author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Dias,Bianca Menezes Ramalho-de-Oliveira,Djenane Santos,Bruna Damazio Neves,Carina de Morais Oliveira,Grazielli Cristina Batista de Silva,Daniela Álvares Machado Nascimento,Yone de Almeida Cid,Annaline Stiegert Buzelin,Gabriela Oliveira Ferreira,Sabrina Gonçalves Detoni,Kirla Barbosa Nascimento,Mariana Martins Gonzaga do |
dc.subject.por.fl_str_mv |
Aged Primary Health Care Pharmaceutical services Medication therapy management Polypharmacy |
topic |
Aged Primary Health Care Pharmaceutical services Medication therapy management Polypharmacy |
description |
ABSTRACT Objective To determine the frequency of drug therapy problems among older adults in Primary Health Care, and to analyze the factors associated with their identification in the initial patient assessment, carried out by pharmacists offering medication therapy management services. Methods A cross-sectional study conducted with data from 758 older adults followed up in medication therapy management services in Primary Health Care in the cities of Belo Horizonte, Betim, and Lagoa Santa (MG, Brazil). Univariate and multivariate analyses were performed to evaluate the factors associated with identification of four or more drug therapy problems in the initial clinical assessment. Results A total of 1,683 drug therapy problems were identified, 73.6% of older patients had at least one problem. The most frequent problems were nonadherence (23.0%) and the need for additional drug therapy (18.0%). Polypharmacy, chronic obstructive pulmonary disease, hypertension, diabetes mellitus, heart failure, and aged 75 years or older remained positively and statistically associated with identification of four or more drug therapy problems (p<0.05). Conclusion There is a high frequency of problems related to medication use among older users of Primary Health Care, and the medication therapy management services should be prioritized to the older patients, who present with polypharmacy, chronic obstructive pulmonary disease, hypertension, diabetes mellitus, heart failure, and age ≥ 75 years, since they are more likely to have more drug therapy problems. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100224 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100224 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.31744/einstein_journal/2022ao6544 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
dc.source.none.fl_str_mv |
einstein (São Paulo) v.20 2022 reponame:Einstein (São Paulo) instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
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IIEPAE |
institution |
IIEPAE |
reponame_str |
Einstein (São Paulo) |
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Einstein (São Paulo) |
repository.name.fl_str_mv |
Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
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