Polypharmacy Clinical Trial
Official title:
The Interprofessional Medication Assessment for Older Patients - a Multicenter Randomized Trial in Primary Care Setting
The objective of this pragmatic multi-center randomized controlled trial is to test the effectiveness of interprofessional medication assessment in older patients needing home care due to their diseases or decreased functional capacity in primary care. The main hypothesis is that intervention has a positive impact on functional capacity and for rational and safe use of medicines.
Aging increases the risk of adverse effects and interactions caused by medication. Medication
reconciliation and medication review are well-known practices to optimize medicines use. Both
interventions usually require a team-based approach to be effective. Medication
reconciliation is the process of obtaining and documenting a complete and accurate list of
current patient medications and comparing this list with medication orders at each point of
care transition to identify and rectify any discrepancies before patient harm occurs.
Medication review is the process of evaluating current medication treatment to manage the
risk and optimize the outcomes of medication treatment by detecting, solving, and preventing
medication-related problems. The present study focuses on medication assessment including
both medication reconciliation and review combined to clinical assessment of an individual
patient.
According to a systematic review there is a need for research focusing on medication
management in community settings and especially to assess the impact of medication assessment
on clinical outcomes.
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