Provider Perspectives of Medication Complexity in Home Health Care: A Qualitative Secondary Data Analysis

Allison Squires, Laura Ridge, Sarah Miner, Margaret V. McDonald, Sherry A. Greenberg, Tara Cortes

Research output: Contribution to journalArticlepeer-review

Abstract

A primary service provided by home care is medication management. Issues with medication management at home place older adults at high risk for hospital admission, readmission, and adverse events. This study sought to understand medication management challenges from the home care provider perspective. A qualitative secondary data analysis approach was used to analyze program evaluation interview data from an interprofessional educational intervention study designed to decrease medication complexity in older urban adults receiving home care. Directed and summative content analysis approaches were used to analyze data from 90 clinician and student participants. Medication safety issues along with provider–provider communication problems were central themes with medication complexity. Fragmented care coordination contributed to medication management complexity. Patient-, provider-, and system-level factors influencing medication complexity and management were identified as contributing to both communication and coordination challenges.

Original languageEnglish (US)
Pages (from-to)609-619
Number of pages11
JournalMedical Care Research and Review
Volume77
Issue number6
DOIs
StateAccepted/In press - 2019

Keywords

  • home care
  • interprofessional collaboration
  • interprofessional education
  • medication adherence
  • medication errors
  • medication systems

ASJC Scopus subject areas

  • Health Policy

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