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Open AccessArticle

Systematic Medication Review in General Practice by an Interdisciplinary Team: A thorough but Laborious Method to Address Polypharmacy among Elderly Patients

1
Department of Clinical Pharmacology, Copenhagen University Hospital Bispebjerg, Copenhagen DK-2400, Denmark
2
Faculty of Health and Medical Sciences, University of Copenhagen, DK-2200 Copenhagen, Denmark
3
The Hospital Pharmacy, the Capital Region of Denmark, DK-2730 Herlev, Denmark
4
Quality in General Practice in the Capital Region of Denmark (KAP-H), DK-3400 Hillerød, Denmark
*
Author to whom correspondence should be addressed.
Pharmacy 2020, 8(2), 57; https://doi.org/10.3390/pharmacy8020057
Received: 5 February 2020 / Revised: 25 March 2020 / Accepted: 27 March 2020 / Published: 31 March 2020
(This article belongs to the Section Clinical Pharmacy)
Polypharmacy increases the risk of hospitalization but may be reduced by medication review. The study objective is to describe and evaluate a method for conducting medication review in general practice by an interdisciplinary medication team of pharmacists and physicians—in this case conducted by a team from the Department of Clinical Pharmacology—based on information concerning medication, diagnosis, relevant laboratory data and medical history supplied by the general practitioner. We discussed the medication review with the patients’ general practitioners and received feedback from them regarding acceptance rates of the recommended changes. Ninety-four patients with a total of 1471 prescriptions were included. A medication change was recommended for nearly half of the prescriptions (48%); at least one change of medication was recommended for all patients. The acceptance rate for recommended medication changes was 55%, corresponding to a mean of 4.2 accepted recommendations per patient. For 18% of all 1471 prescriptions, the general practitioner agreed either to discontinue (stop the medication completely) or reduce the dose of the medication. This method is thorough, but since it requires several healthcare professionals, it is rather time-consuming. There is a need to support medication review in general practice, but although this method may be too time consuming in most cases, it may nevertheless prove to be a useful tool managing the most complicated patients. View Full-Text
Keywords: medication errors; general practice; general practitioners; family practice; pharmacists; aged; aged 80 and over; polypharmacy; deprescriptions; healthcare professional; medication review; medicine review medication errors; general practice; general practitioners; family practice; pharmacists; aged; aged 80 and over; polypharmacy; deprescriptions; healthcare professional; medication review; medicine review
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Dalin, D.A.; Vermehren, C.; Jensen, A.K.; Unkerskov, J.; Andersen, J.T. Systematic Medication Review in General Practice by an Interdisciplinary Team: A thorough but Laborious Method to Address Polypharmacy among Elderly Patients. Pharmacy 2020, 8, 57.

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