Medication use problems among older adults at a primary care: A narrative of literature review

Abstract Appropriate medication use is one of the most significant challenges among the older population. Although medication use problems are well documented at the secondary and tertiary health care level, the evidence at the primary care level of OECD region is limited. A narrative review of exis...

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Main Authors: Christina Christopher, Bhuvan KC, Sunil Shrestha, Ali Qais Blebil, Deepa Alex, Mohamed Izham Mohamed Ibrahim, Norhasimah Ismail
Format: Article
Language:English
Published: Wiley 2022-06-01
Series:Aging Medicine
Subjects:
Online Access:https://doi.org/10.1002/agm2.12203
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author Christina Christopher
Bhuvan KC
Sunil Shrestha
Ali Qais Blebil
Deepa Alex
Mohamed Izham Mohamed Ibrahim
Norhasimah Ismail
author_facet Christina Christopher
Bhuvan KC
Sunil Shrestha
Ali Qais Blebil
Deepa Alex
Mohamed Izham Mohamed Ibrahim
Norhasimah Ismail
author_sort Christina Christopher
collection DOAJ
description Abstract Appropriate medication use is one of the most significant challenges among the older population. Although medication use problems are well documented at the secondary and tertiary health care level, the evidence at the primary care level of OECD region is limited. A narrative review of existing literature was conducted through a nonsystematic search for original articles through electronic search databases, Ovid Medline, Google Scholar from 2001 to 2021, and a combination of citation references. Medication use problems are prevalent in older adults at the primary care level. The main issues of medication use identified were as follows; nonadherence, adverse drug events, accessibility, polypharmacy, inappropriate medications, belief about medications, lack of knowledge and awareness, and lack of deprescribing. In addition, the current review has identified the possibilities of the problems: many medications, forgetfulness, lack of deprescribing, lack of communication, poor understanding, and limited awareness of inappropriate medications. This review found that various medication use problems subclusters were identified to impact the health care need among older adults. Therefore, effective interventions targeting these issues need to be developed to reduce medication use problems among older adults at a primary care level.
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spelling doaj.art-f01222043ff848b39284cdf91986def62022-12-22T02:41:04ZengWileyAging Medicine2475-03602022-06-015212613710.1002/agm2.12203Medication use problems among older adults at a primary care: A narrative of literature reviewChristina Christopher0Bhuvan KC1Sunil Shrestha2Ali Qais Blebil3Deepa Alex4Mohamed Izham Mohamed Ibrahim5Norhasimah Ismail6School of Pharmacy Monash University Malaysia Subang Jaya MalaysiaSchool of Pharmacy Monash University Malaysia Subang Jaya MalaysiaSchool of Pharmacy Monash University Malaysia Subang Jaya MalaysiaSchool of Pharmacy Monash University Malaysia Subang Jaya MalaysiaJeffrey Cheah School of Medicine and Health Sciences Monash University Malaysia Subang Jaya MalaysiaClinical Pharmacy and Practice Department College of Pharmacy QU Health, Qatar University Doha QatarBayan Lepas Health Clinic Bayan Lepas MalaysiaAbstract Appropriate medication use is one of the most significant challenges among the older population. Although medication use problems are well documented at the secondary and tertiary health care level, the evidence at the primary care level of OECD region is limited. A narrative review of existing literature was conducted through a nonsystematic search for original articles through electronic search databases, Ovid Medline, Google Scholar from 2001 to 2021, and a combination of citation references. Medication use problems are prevalent in older adults at the primary care level. The main issues of medication use identified were as follows; nonadherence, adverse drug events, accessibility, polypharmacy, inappropriate medications, belief about medications, lack of knowledge and awareness, and lack of deprescribing. In addition, the current review has identified the possibilities of the problems: many medications, forgetfulness, lack of deprescribing, lack of communication, poor understanding, and limited awareness of inappropriate medications. This review found that various medication use problems subclusters were identified to impact the health care need among older adults. Therefore, effective interventions targeting these issues need to be developed to reduce medication use problems among older adults at a primary care level.https://doi.org/10.1002/agm2.12203medication usenarrative reviewolder adultsprimary care
spellingShingle Christina Christopher
Bhuvan KC
Sunil Shrestha
Ali Qais Blebil
Deepa Alex
Mohamed Izham Mohamed Ibrahim
Norhasimah Ismail
Medication use problems among older adults at a primary care: A narrative of literature review
Aging Medicine
medication use
narrative review
older adults
primary care
title Medication use problems among older adults at a primary care: A narrative of literature review
title_full Medication use problems among older adults at a primary care: A narrative of literature review
title_fullStr Medication use problems among older adults at a primary care: A narrative of literature review
title_full_unstemmed Medication use problems among older adults at a primary care: A narrative of literature review
title_short Medication use problems among older adults at a primary care: A narrative of literature review
title_sort medication use problems among older adults at a primary care a narrative of literature review
topic medication use
narrative review
older adults
primary care
url https://doi.org/10.1002/agm2.12203
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