Influence of the COVID-19 Pandemic on Medication Reconciliation in Frail Elderly People at Hospital Discharge: Perception of Healthcare Professionals

Author:

Rojas-Ocaña María JesúsORCID,García-Navarro E. BegoñaORCID,García-Navarro Sonia,Macías-Colorado María EulaliaORCID,Baz-Montero Servando Manuel,Araujo-Hernández MiriamORCID

Abstract

The current demographic panorama in Spain corresponds to an aging population; this situation is characterized by the need to care for an elderly population, which contains polymedicated and pluripathological individuals. Polymedication is a criterion of frailty in the elderly and a risk factor for mortality and morbidity due to the increased risk of drug interactions and medication errors. There are numerous studies that measure reconciliation at hospital discharge and at admission, and even the methodology of reconciliation, but we have not found many studies that measure reconciliation in the context of the COVID-19 pandemic from the point of view of health professionals regarding difficulties and the strategies carried out, which is essential to begin to glimpse solutions. Methods. This was a qualitative study based on 21 in-depth interviews and two discussion groups, conducted between January and April 2021 (13 nurses and 8 doctors, in rural and urban areas). The discourse was analyzed according to the Taylor–Bodgan model and processed using Atlas.ti software. Results. The areas altered by the health crisis were access to patients, their reconciliation of medication, and changes in the care modality, including the greater use of telephone communication, changes in work organization, and time dedicated to patient care and family work. Difficulties encountered during COVID-19: change in medication format, the specific characteristics of the patient and their pathologies, and difficulties arising from communication with the patient and their family. The strategies applied: the collaboration of home assistants and caregivers, emphasis on patient–health professional communication, and the use of Information and Communication Technologies (ICT). Conclusion. The discharge was interrupted by the health crisis caused by COVID-19, in terms of both the traditional access of patients and by the remote care modalities generated by telemedicine.

Publisher

MDPI AG

Subject

Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health

Reference71 articles.

1. Un Perfil de las Personas Mayores en España. Indicadores Estadísticos Básicos. Informes Envejecimiento en red nº 25, Madrid [Serial Online]https://digital.csic.es/handle/10261/241145

2. Estudio de pacientes polimedicados mayores de 65 años en un centro de asistencia primaria urbano

3. Estrategia Para el Abordaje de la Cronicidad en el SNS. Ministerio de Sanidad;Ferrer,2012

4. Proceso Asistencial Integrado. Atención al Paciente Pluripatológico;Ollero,2018

5. Errores de Medicaciónhttp://www.ismp-espana.org/estaticos/view/19

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