Chronic Disease
Conditions
Keywords
Primary care, Medication review, Deprescribing, Polypharmacy, Chronic disease management
Brief summary
In a primary care settled quality improvement project aiming to deprescribe medication through a medication review intervention, we investigated how the implemented medication changes affected health-related outcomes in real-life patients.
Detailed description
The project was approved by the Management in the Municipality of Frederikshavn. According to Danish legislation, no formal permission from the national or regional Committee on Health Research Ethics was required for this type of study, as patients were not treated inferior to usual care and no biological material was collected. It was conducted as a quality improvement project and informed consent was not required for the specific data collected. The study is in compliance with the General Data Protection Regulation and a part of North Denmark Region's record of processing activities (K2023-008).
Interventions
Annual consultation focusing on pharmacological treatment. This specific consultation constituted the intervention. It included a structured review of the patient's health state, in addition to a structured medication review with a focus on appropriate medication and deprescribing.
Sponsors
Study design
Eligibility
Inclusion criteria
* new residents and residents that had not yet attended a consultation focusing on pharmacological treatment in The Chronic Care Model. * patients were invited for the consultation focusing on pharmacological treatment in the month of their birthday and, thereby, included randomly and consecutively throughout the study period.
Exclusion criteria
* unable to collaborate on follow-up questionnaires
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| self-reported health status | 4 months | (on a scale from 1 to 10) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| general condition | 4 months | (rated on a 5-point Likert Scale) |
| functional level | 4 months | rated on a 5-point Likert Scale |
Countries
Denmark