Cross-sectional Communication, Medication Review, Older Patients
Conditions
Brief summary
In this trial, the feasibility of cooperation between clinical pharmacists and physicians by conducting a telephone follow-up conversation between the hospital geriatrician, the general practitioner and the clinical pharmacist is evaluated. During hospital stay the clinical pharmacist and the geriatrician will review older patients' medication and discuss the future treatment with the general practitioner after discharge by telephone or medico-technology. The first part of the feasibility study will be a qualitative baseline measure of characteristics of the participants and work flow. The second part will be a pilot randomized controlled study where participants will be allocated to either usual care or medication review and follow up contact
Interventions
BEHAVIORALMedication review
Conducted by the pharmacist and discussed with hospital physician
Sponsors
Odense University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
\* 5 drugs or more
Exclusion criteria
* Terminal illness * Not able to speak and understand Danish
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in number of medications | At admission and at discharge | Increase or decrease in number of medications from admission to discharge |
| Parts of the intervention completed | Day 1 after discharge | In the intervention Group only, it is measured, how many of the elements of the intervention the patient actually have received |
| Changes in the Electronic Medication Profile (FMK) | 14 days after discharge | How many changes have been Applied to the Electronic Medication Profile |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of visits at general practitioner | within 30 days after discharge | Data from registers |
| Health care professionals satisfaction | 3 months after implementation | Measured by a questionnaire |
| Changes in patient-experienced quality of life | At admission and 14 days after discharge | Measured by telephone interview using the 5-item questionnaire EQ-5D, where each question can be answered on a 5-point Likert Scale ranging from very high degree of problems to very low degree of problems |
| Patient satisfaction with the discharge | 14 days after discharge | Measured by telephone interview |
| Number of readmissions | within 30 days after discharge | Data from registers |
| Number of emergency visits | within 30 days after discharge | Data from registers |
Countries
Denmark
Outcome results
None listed