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Acceptance of Pharmaceutical Services by Home-Dwelling Older Patients: A Case Study in a Portuguese Community Pharmacy

Author

Listed:
  • Ana Rita Paiva

    (Health Sciences School, Polytechnic of Guarda, Rua da Cadeia, 6300-035 Guarda, Portugal)

  • Ana Isabel Plácido

    (Health Sciences School, Polytechnic of Guarda, Rua da Cadeia, 6300-035 Guarda, Portugal
    Research Unit for Inland Development, Polytechnic of Guarda (UDI-IPG), Av. Dr. Francisco Sá Carneiro 50, 6300-559 Guarda, Portugal)

  • Isabel Curto

    (Pharmacy Mousaco Torrão, Estrada Municipal 506 11, R/C, 6200-571 Ferro, Portugal)

  • Manuel Morgado

    (Health Sciences School, Polytechnic of Guarda, Rua da Cadeia, 6300-035 Guarda, Portugal
    Research Unit for Inland Development, Polytechnic of Guarda (UDI-IPG), Av. Dr. Francisco Sá Carneiro 50, 6300-559 Guarda, Portugal
    Health Sciences Research Centre, University of Beira Interior (CICS-UBI), 6200-506 Covilhã, Portugal
    Pharmaceutical Services of University Hospital Centre of Cova da Beira, 6200-251 Covilhã, Portugal)

  • Maria Teresa Herdeiro

    (Department of Medical Sciences, Institute of Biomedicine, University of Aveiro (iBIMED-UA), 3810-193 Aveiro, Portugal)

  • Fátima Roque

    (Health Sciences School, Polytechnic of Guarda, Rua da Cadeia, 6300-035 Guarda, Portugal
    Research Unit for Inland Development, Polytechnic of Guarda (UDI-IPG), Av. Dr. Francisco Sá Carneiro 50, 6300-559 Guarda, Portugal
    Health Sciences Research Centre, University of Beira Interior (CICS-UBI), 6200-506 Covilhã, Portugal)

Abstract

Background: Aging-related comorbidities predispose older adults to polypharmacy and consequently an increased risk of adverse drug reactions and poor compliance. Pharmacists’ interventions can have a beneficial impact on the improvement of clinical outcomes. Thus, this work aimed to assess the acceptance of Portuguese home-dwelling older adults regarding a pharmaceutical service paid by patients for medication management and pharmacotherapy follow-up. We also intended to analyze medication, characterize the medication consumption profile, and identify the main difficulties of our sample during their daily medication management. Methods: A questionnaire on adherence and medication therapy management was applied to polymedicated patients ≥65 years old, in a community pharmacy. Results: Of the 88 participants, 92.2% would be willing to pay for a pharmacotherapy management service, and 75.6% answered that they would be willing to pay for an individual medication preparation service. In addition, 45.7% of the participants were categorized as lower adherents to a medication therapeutic regimen. Our sample reported that during their daily lives, they felt difficulty: to remember to take their pills (17%), to manage so many medicines (15.9%), and to swallow the pills (9.1%). Conclusions: Polymedicated older adults are willing to pay for a service to improve the management of their medicines, suggesting that they recognize the role of pharmacists in medication management. This study provides useful information for the conceptualization of a pharmacotherapy management service that includes medication review and a pharmacotherapy follow-up.

Suggested Citation

  • Ana Rita Paiva & Ana Isabel Plácido & Isabel Curto & Manuel Morgado & Maria Teresa Herdeiro & Fátima Roque, 2021. "Acceptance of Pharmaceutical Services by Home-Dwelling Older Patients: A Case Study in a Portuguese Community Pharmacy," IJERPH, MDPI, vol. 18(14), pages 1-9, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:14:p:7401-:d:592266
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    References listed on IDEAS

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    1. Daniel Gomes & Ana Isabel Placido & Rita Mó & João Lindo Simões & Odete Amaral & Isabel Fernandes & Fátima Lima & Manuel Morgado & Adolfo Figueiras & Maria Teresa Herdeiro & Fátima Roque, 2019. "Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal," IJERPH, MDPI, vol. 17(1), pages 1-13, December.
    2. Maria A Henriques & Maria A Costa & José Cabrita, 2012. "Adherence and medication management by the elderly," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(21-22), pages 3096-3105, November.
    3. Ana Isabel Plácido & Maria Teresa Herdeiro & João Lindo Simões & Odete Amaral & Adolfo Figueiras & Fátima Roque, 2020. "Voices of Polymedicated Older Patients: A Focus Group Approach," IJERPH, MDPI, vol. 17(18), pages 1-10, September.
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    Cited by:

    1. Ana Isabel Plácido & Maria Teresa Herdeiro & Fátima Roque, 2022. "Health and Wellbeing in Aging," IJERPH, MDPI, vol. 19(14), pages 1-3, July.

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