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National Trends and Policy Impacts on Provision of Home Medicines Reviews and Residential Medication Management Reviews in Older Australians, 2009–2019

Author

Listed:
  • Janet K. Sluggett

    (UniSA Allied Health and Human Performance, University of South Australia, Adelaide, SA 5001, Australia
    Registry of Senior Australians (ROSA), Healthy Ageing Research Consortium, South Australian Health and Medical Research Institute, Adelaide, SA 5001, Australia
    Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, VIC 3052, Australia)

  • Luke R. Collier

    (Registry of Senior Australians (ROSA), Healthy Ageing Research Consortium, South Australian Health and Medical Research Institute, Adelaide, SA 5001, Australia)

  • Jonathan D. Bartholomaeus

    (Registry of Senior Australians (ROSA), Healthy Ageing Research Consortium, South Australian Health and Medical Research Institute, Adelaide, SA 5001, Australia
    School of Psychology, The University of Adelaide, Adelaide, SA 5005, Australia)

  • Maria C. Inacio

    (UniSA Allied Health and Human Performance, University of South Australia, Adelaide, SA 5001, Australia
    Registry of Senior Australians (ROSA), Healthy Ageing Research Consortium, South Australian Health and Medical Research Institute, Adelaide, SA 5001, Australia)

  • Steve L. Wesselingh

    (Registry of Senior Australians (ROSA), Healthy Ageing Research Consortium, South Australian Health and Medical Research Institute, Adelaide, SA 5001, Australia)

  • Gillian E. Caughey

    (UniSA Allied Health and Human Performance, University of South Australia, Adelaide, SA 5001, Australia
    Registry of Senior Australians (ROSA), Healthy Ageing Research Consortium, South Australian Health and Medical Research Institute, Adelaide, SA 5001, Australia)

Abstract

Comprehensive medicines reviews such as Home Medicines Review (HMR) and Residential Medication Management Review (RMMR) can resolve medicines-related problems. Changes to Australia’s longstanding HMR and RMMR programs were implemented between 2011 and 2014. This study examined trends in HMR and RMMR provision among older Australians during 2009–2019 and determined the impact of program changes on service provision. Monthly rates of general medical practitioner (GP) HMR claims per 1000 people aged ≥65 years and RMMR claims per 1000 older residents of aged care facilities were determined using publicly available data. Interrupted time series analysis was conducted to examine changes coinciding with dates of program changes. In January 2009, monthly HMR and RMMR rates were 0.80/1000 older people and 20.17/1000 older residents, respectively. Small monthly increases occurred thereafter, with 1.89 HMRs/1000 and 34.73 RMMRs/1000 provided in February 2014. In March 2014, immediate decreases of –0.32 (95%CI –0.52 to –0.11) HMRs/1000 and –12.80 (95%CI –15.22 to –10.37) RMMRs/1000 were observed. There were 1.07 HMRs/1000 and 35.36 RMMRs/1000 provided in December 2019. In conclusion, HMR and RMMR program changes in March 2014 restricted access to subsidized medicines reviews and were associated with marked decreases in service provision. The low levels of HMR and RMMR provision observed do not represent a proactive approach to medicines safety and effectiveness among older Australians.

Suggested Citation

  • Janet K. Sluggett & Luke R. Collier & Jonathan D. Bartholomaeus & Maria C. Inacio & Steve L. Wesselingh & Gillian E. Caughey, 2021. "National Trends and Policy Impacts on Provision of Home Medicines Reviews and Residential Medication Management Reviews in Older Australians, 2009–2019," IJERPH, MDPI, vol. 18(18), pages 1-10, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:18:p:9898-:d:639499
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