Patients,clinicians, carers views & beliefs on polypharmacy reviews
Research type
Research Study
Full title
Patients,carers clinicians and interprofessional roles in medication review and impact on adherence; an ethnographic study across different care settings
IRAS ID
188577
Contact name
Suzanne Grant
Contact email
Duration of Study in the UK
4 years, 0 months, 1 days
Research summary
‘Polypharmacy’, the prescribing of multiple medications, has been described as a pressing public health challenge, increasing the likelihood of adverse effects, impacting significantly on health outcomes, and healthcare resources. Most adverse effects are preventable through appropriate medication selection, monitoring and review .
The aim of this project is to understand patients, healthcare professionals and carers’ perceptions and experiences of polypharmacy medication reviews for patients with multiple morbidities. The research aims to understand organisational culture at the health board and at General Practice level, where majority of the reviews take place.
The study has four main objectives and will be conducted using video observation of the consultations of the reviews and semi structured interviews.OBJECTIVE 1: to understand the perspective of key decision makers at health board level in the approach taken to implement polypharmacy reviews and the motivational drivers and expected outcomes of the different members of the team.
Objective 2: healthcare professional views, beliefs and perceptions about the reviews, and the role of each healthcare professional prior to, during and after the review on the patient outcomes using video ethnography and semi-structured interviews.
Objective 3: using observational video ethnography and semi- structured interviews to explore views of patients and carers where relevant to perceived roles of professionals in the reviews and whether composition of review team affects the patient. This will be undertaken in the observation of the reviews
Objective 4: patients’ views about active involvement in the reviews of their medicines, views on an active role in self-management and co-production for those taking multiple medications
The interviews would take between 30-60 minutes and will be tape recorded with permission.REC name
East of Scotland Research Ethics Service REC 1
REC reference
16/ES/0054
Date of REC Opinion
27 May 2016
REC opinion
Further Information Favourable Opinion