‘Really putting a different slant on my use of a glass of wine’: patient perspectives on integrating alcohol into structured medication reviews in general practice
Background: Alcohol is often overlooked in primary care even though it has wide-ranging impacts. The Structured Medication Review (SMR) in England is a new ‘holistic’ service designed to tackle problematic polypharmacy, delivered by clinical pharmacists in a general practice setting. Implementatio...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Taylor and Francis
2023
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| Online Access: | https://repository.londonmet.ac.uk/8483/9/Really%20putting%20a%20different%20slant%20on%20my%20use%20of%20a%20glass%20of%20wine%20patient%20perspectives%20on%20integrating%20alcohol%20into%20Structured%20Medication%20Reviews%20in.pdf |
| _version_ | 1804072910366703616 |
|---|---|
| author | Madden, Mary Stewart, Duncan McCambridge, Jim |
| author_facet | Madden, Mary Stewart, Duncan McCambridge, Jim |
| author_sort | Madden, Mary |
| collection | LMU |
| description | Background:
Alcohol is often overlooked in primary care even though it has wide-ranging impacts. The Structured Medication Review (SMR) in England is a new ‘holistic’ service designed to tackle problematic polypharmacy, delivered by clinical pharmacists in a general practice setting. Implementation has been protracted owing to the COVID-19 pandemic. This study explores early patient experiences of the SMR and views on the acceptability of integrating clinical attention to alcohol as another drug linked to their conditions and medicines, rather than as a standalone ‘healthy living’ or ‘lifestyle’ question.
Method:
Semi-structured interviews with a sample of 10 patients who drank alcohol twice or more each week, recruited to the study by five clinical pharmacists during routine SMR delivery.
Results:
SMRs received were remote, brief, and paid scant attention to alcohol. Interviewees were interested in the possibility of receiving integrated attention to alcohol within a SMR that was similar to the service specification. They saw alcohol inclusion as congruent with the aims of a holistic medicines review linked to their medical history. For some, considering alcohol as a drug impacting on their medications and the conditions for which they were prescribed, introduced a new frame for thinking about their own drinking.
Conclusions:
Including alcohol in SMRs and changing the framing of alcohol away from a brief check with little meaningful scope for discussion, toward being fully integrated within the consultation, was welcomed as a concept by participants in this study. This was not their current medication review experience. |
| first_indexed | 2024-07-09T04:06:39Z |
| format | Article |
| id | oai:repository.londonmet.ac.uk:8483 |
| institution | London Metropolitan University |
| language | English |
| last_indexed | 2024-07-09T04:06:39Z |
| publishDate | 2023 |
| publisher | Taylor and Francis |
| record_format | eprints |
| spelling | oai:repository.londonmet.ac.uk:84832023-12-20T13:05:04Z http://repository.londonmet.ac.uk/8483/ ‘Really putting a different slant on my use of a glass of wine’: patient perspectives on integrating alcohol into structured medication reviews in general practice Madden, Mary Stewart, Duncan McCambridge, Jim 610 Medicine & health Background: Alcohol is often overlooked in primary care even though it has wide-ranging impacts. The Structured Medication Review (SMR) in England is a new ‘holistic’ service designed to tackle problematic polypharmacy, delivered by clinical pharmacists in a general practice setting. Implementation has been protracted owing to the COVID-19 pandemic. This study explores early patient experiences of the SMR and views on the acceptability of integrating clinical attention to alcohol as another drug linked to their conditions and medicines, rather than as a standalone ‘healthy living’ or ‘lifestyle’ question. Method: Semi-structured interviews with a sample of 10 patients who drank alcohol twice or more each week, recruited to the study by five clinical pharmacists during routine SMR delivery. Results: SMRs received were remote, brief, and paid scant attention to alcohol. Interviewees were interested in the possibility of receiving integrated attention to alcohol within a SMR that was similar to the service specification. They saw alcohol inclusion as congruent with the aims of a holistic medicines review linked to their medical history. For some, considering alcohol as a drug impacting on their medications and the conditions for which they were prescribed, introduced a new frame for thinking about their own drinking. Conclusions: Including alcohol in SMRs and changing the framing of alcohol away from a brief check with little meaningful scope for discussion, toward being fully integrated within the consultation, was welcomed as a concept by participants in this study. This was not their current medication review experience. Taylor and Francis 2023 Article PeerReviewed text en cc_by_4 https://repository.londonmet.ac.uk/8483/9/Really%20putting%20a%20different%20slant%20on%20my%20use%20of%20a%20glass%20of%20wine%20patient%20perspectives%20on%20integrating%20alcohol%20into%20Structured%20Medication%20Reviews%20in.pdf Madden, Mary, Stewart, Duncan and McCambridge, Jim (2023) ‘Really putting a different slant on my use of a glass of wine’: patient perspectives on integrating alcohol into structured medication reviews in general practice. Addiction Research & Theory, 31 (6). pp. 459-467. ISSN 1476-7392 https://doi.org/10.1080/16066359.2023.2207017 10.1080/16066359.2023.2207017 |
| spellingShingle | 610 Medicine & health Madden, Mary Stewart, Duncan McCambridge, Jim ‘Really putting a different slant on my use of a glass of wine’: patient perspectives on integrating alcohol into structured medication reviews in general practice |
| title | ‘Really putting a different slant on my use of a glass of wine’: patient perspectives on integrating alcohol into structured medication reviews in general practice |
| title_full | ‘Really putting a different slant on my use of a glass of wine’: patient perspectives on integrating alcohol into structured medication reviews in general practice |
| title_fullStr | ‘Really putting a different slant on my use of a glass of wine’: patient perspectives on integrating alcohol into structured medication reviews in general practice |
| title_full_unstemmed | ‘Really putting a different slant on my use of a glass of wine’: patient perspectives on integrating alcohol into structured medication reviews in general practice |
| title_short | ‘Really putting a different slant on my use of a glass of wine’: patient perspectives on integrating alcohol into structured medication reviews in general practice |
| title_sort | really putting a different slant on my use of a glass of wine patient perspectives on integrating alcohol into structured medication reviews in general practice |
| topic | 610 Medicine & health |
| url | https://repository.londonmet.ac.uk/8483/9/Really%20putting%20a%20different%20slant%20on%20my%20use%20of%20a%20glass%20of%20wine%20patient%20perspectives%20on%20integrating%20alcohol%20into%20Structured%20Medication%20Reviews%20in.pdf |
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