Themes associated with uncollected paediatric prescriptions at a large tertiary children’s hospital: a retrospective, observational study

Abstract

ObjectiveThis study aimed to assess the number of prescriptions that were uncollected by caregivers to identify any predisposing systemic themes that may act as barriers to children receiving medications.Study design and settingData were retrospectively collected on uncollected prescriptions at a single, tertiary paediatric centre over a 2-month period. This included type and classification of the drug, prescriber specialty, the timing of prescription and the child’s registered postcode. Key themes were identified.ResultsA total of 124 uncollected prescriptions involving 94 patients were included. 103 (83%) of these were clinic prescriptions, and azathioprine was the most frequently uncollected prescription (n=6, 5%). The uncollected prescriptions most commonly fell under the ‘gastrointestinal system’ (n=26, 21%) and ‘skin’ (n=24, 19%) categories, and similarly, 24 (19%) were prescribed by the gastroenterology department and 18 (15%) by dermatology. The mean distance from the child’s registered postcode was 8.5±11.8 miles (range 0.5–73.4) with a considerable number of children having a registered postcode greater than 10 miles from the hospital (n=24, 27%). Many children lived in areas corresponding to the lowest decile of the Index of Multiple Deprivation (IMD) (n=38, 42%).ConclusionUrgent interventions and further prospective studies are needed to minimise the barriers that caregivers face in collecting their child’s prescription.