Polypharmacy, medication review, decision support software, patient preferences, outcome prioritization, treatment satisfaction
Conditions
Interventions
Integral medication review, including a home visit by the nurse practitioner, and consultation of GP and pharmacist, but augmented with sophisticated medication review software (‘Clinical Rules Engine
Sponsors
Maastricht University
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged >=65 years with at least 5 chronic medication prescriptions in at least two different organ systems.
Exclusion criteria
Exclusion criteria: Patients who cannot act for themselves, patients with insufficient knowledge of Dutch language, patients with a life-expectancy of less than one year (according to the GP) and patients who already had a medication review in the last 12 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main outcome is treatment satisfaction with prescribed medication | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are type and number of medication alerts, changes in medication prescription, medication adherence, drug burden index, and quality of life. Relevant outcomes will be measured at baseline (before the intervention), after completion of the intervention, and after 12 months follow-up. | — |
Contacts
Public ContactM. Akker, van den
Postbus 616
Outcome results
None listed