Interdisciplinary medication reviews of psychiatric patients – A mixed method evaluation
Background: Patients at psychiatric homes are a vulnerable group with several factors complicating their pharmacological treatment. Psychiatric patients in stable treatment are transferred from specialist care to primary care, which presents new challenges as general practitioners (GPs) may feel tha...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Exploratory Research in Clinical and Social Pharmacy |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667276625000253 |
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| author | Dagmar Abelone Dalin Sara Sommer Holst Lucif Søemosegaard Dalin Charlotte Vermehren |
| author_facet | Dagmar Abelone Dalin Sara Sommer Holst Lucif Søemosegaard Dalin Charlotte Vermehren |
| author_sort | Dagmar Abelone Dalin |
| collection | DOAJ |
| description | Background: Patients at psychiatric homes are a vulnerable group with several factors complicating their pharmacological treatment. Psychiatric patients in stable treatment are transferred from specialist care to primary care, which presents new challenges as general practitioners (GPs) may feel that they are not sufficiently trained in prescribing and tapering psychiatric drugs. Medication reviews (MRs) have been seen to improve the appropriateness of pharmacological treatment – especially when performed in interdisciplinary teams. Objective: Thus, the aim of this study was to examine to which extent it was possible to conduct interdisciplinary MRs at a psychiatric home and with patient involvement. The study was a mixed-method evaluation study that included 11 quantitative MRs analyzed by descriptive analysis and 5 qualitative semi-structured interviews analyzed by thematic coding analysis. Results: The MR performance formed the basis of an interview study. The patients' GPs and psychiatrist accepted 32 of the 37 (86 %) recommended changes to the current medication. At six months follow-up, 75 % of changes had been implemented. Three main interview themes and seven sub-themes were identified, covering collaboration between healthcare professionals, patient involvement, and the MR method. Conduction of interdisciplinary MRs was affected by e.g. challenges in the collaboration between GP and psychiatrists and patient involvement. Conclusion: Interdisciplinary MRs for psychiatric patients were seen as beneficial by healthcare professionals and had a high implementation rate of medication changes. In future use of the MR model, the involvement of patients and GPs should be ensured and include a psychiatrist in the MR team. |
| format | Article |
| id | doaj-art-340fccf210194e2b8e93da4a85abc370 |
| institution | OA Journals |
| issn | 2667-2766 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Exploratory Research in Clinical and Social Pharmacy |
| spelling | doaj-art-340fccf210194e2b8e93da4a85abc3702025-08-20T02:31:56ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662025-06-011810058410.1016/j.rcsop.2025.100584Interdisciplinary medication reviews of psychiatric patients – A mixed method evaluationDagmar Abelone Dalin0Sara Sommer Holst1Lucif Søemosegaard Dalin2Charlotte Vermehren3Department of Clinical Pharmacology, Copenhagen University Hospital Bispebjerg, 2400 Copenhagen, DenmarkDepartment of Clinical Pharmacology, Copenhagen University Hospital Bispebjerg, 2400 Copenhagen, DenmarkDepartment of Clinical Pharmacology, Copenhagen University Hospital Bispebjerg, 2400 Copenhagen, DenmarkDepartment of Clinical Pharmacology, Copenhagen University Hospital Bispebjerg, 2400 Copenhagen, Denmark; Capital Region Pharmacy, Copenhagen University Hospital Bispebjerg, 2400 Copenhagen, Denmark; Department of Drug Design and Pharmacology, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, Denmark; Corresponding author at: Department of Clinical Pharmacology, Copenhagen University Hospital Bispebjerg, 2400 Copenhagen, Denmark.Background: Patients at psychiatric homes are a vulnerable group with several factors complicating their pharmacological treatment. Psychiatric patients in stable treatment are transferred from specialist care to primary care, which presents new challenges as general practitioners (GPs) may feel that they are not sufficiently trained in prescribing and tapering psychiatric drugs. Medication reviews (MRs) have been seen to improve the appropriateness of pharmacological treatment – especially when performed in interdisciplinary teams. Objective: Thus, the aim of this study was to examine to which extent it was possible to conduct interdisciplinary MRs at a psychiatric home and with patient involvement. The study was a mixed-method evaluation study that included 11 quantitative MRs analyzed by descriptive analysis and 5 qualitative semi-structured interviews analyzed by thematic coding analysis. Results: The MR performance formed the basis of an interview study. The patients' GPs and psychiatrist accepted 32 of the 37 (86 %) recommended changes to the current medication. At six months follow-up, 75 % of changes had been implemented. Three main interview themes and seven sub-themes were identified, covering collaboration between healthcare professionals, patient involvement, and the MR method. Conduction of interdisciplinary MRs was affected by e.g. challenges in the collaboration between GP and psychiatrists and patient involvement. Conclusion: Interdisciplinary MRs for psychiatric patients were seen as beneficial by healthcare professionals and had a high implementation rate of medication changes. In future use of the MR model, the involvement of patients and GPs should be ensured and include a psychiatrist in the MR team.http://www.sciencedirect.com/science/article/pii/S2667276625000253Medication reviewPsychiatryGeneral practicePharmacistInterdisciplinary teamPolypharmacy |
| spellingShingle | Dagmar Abelone Dalin Sara Sommer Holst Lucif Søemosegaard Dalin Charlotte Vermehren Interdisciplinary medication reviews of psychiatric patients – A mixed method evaluation Exploratory Research in Clinical and Social Pharmacy Medication review Psychiatry General practice Pharmacist Interdisciplinary team Polypharmacy |
| title | Interdisciplinary medication reviews of psychiatric patients – A mixed method evaluation |
| title_full | Interdisciplinary medication reviews of psychiatric patients – A mixed method evaluation |
| title_fullStr | Interdisciplinary medication reviews of psychiatric patients – A mixed method evaluation |
| title_full_unstemmed | Interdisciplinary medication reviews of psychiatric patients – A mixed method evaluation |
| title_short | Interdisciplinary medication reviews of psychiatric patients – A mixed method evaluation |
| title_sort | interdisciplinary medication reviews of psychiatric patients a mixed method evaluation |
| topic | Medication review Psychiatry General practice Pharmacist Interdisciplinary team Polypharmacy |
| url | http://www.sciencedirect.com/science/article/pii/S2667276625000253 |
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