Are patient's simply unaware? A cross-sectional study of website promotion of community pharmacy adherence-related services in Tennessee

ObjectivePrevious prevalence estimates of POtentially Serious Alcohol–Medication INteractions in Older adults (POSAMINO) are based on in-home inventories of medications; however, this method is associated with under-reporting of medications when compared with dispensing records. This study aims to estimate the prevalence of POSAMINO among community-dwelling older adults using drug dispensing data from the community pharmacy setting.DesignCross-sectional study.SettingIrish Community Pharmacy.Participants1599 consecutive older adults presenting with a prescription to 1 of 120 community pharmacies nationwide; community-dwelling, aged ≥65 years, able to speak and understand English, with no evidence of cognitive impairment. The mean age of sample was 75.5 years (SD 6.5); 55% (n=884) female.Measures38 POSAMINO criteria were identified using participants’ pharmacy dispensing records linked to self-reported alcohol consumption (beverage-specific quantity and frequency measures) over the last 12 months.ResultsThe overall prevalence of POSAMINO in the study population was 28%, with 10% at risk of at least one POSAMINO criteria and 18% at risk of two or more. Exposure to POSAMINO most commonly involved cardiovascular agents (19%) and central nervous system agents (15%). Exposure to a higher number of POSAMINO criteria was associated with younger age (adjusted incident rate ratio (AIRR): 0.97; 95% CI: 0.95 to 0.98), male sex (AIRR: 0.55; 95% CI: 0.45 to 0.67) and a higher number of comorbidities (AIRR: 1.05; 95% CI: 1.01 to 1.13).ConclusionThis study adds to the growing body of evidence, which suggests that older adults are vulnerable to potentially serious alcohol–medication interactions, particularly those involving cardiovascular and central nervous system agents, increasing their risk of orthostatic hypotension, gastrointestinal bleeds and increased sedation. Application of the POSAMINO criteria at the point of prescribing may facilitate the risk stratification of older adults and prioritise alcohol screening and brief alcohol interventions in those at greatest risk of harm.

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Exploring patient-safety culture in the community pharmacy setting: a national cross-sectional study

Postgraduate Medicine ◽

10.1080/00325481.2020.1806593 ◽

2020 ◽

pp. 1-9

Author(s):

Ziyad S. Almalki ◽

Ahmed Mohammed Alshehri ◽

Latifah Abdullah Alturki ◽

Rawan Abdullah Altamimi ◽

Ahmed Abdulrahman Albassam ◽

...

Keyword(s):

Patient Safety ◽

Community Pharmacy ◽

Safety Culture ◽

Patient Safety Culture ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Pharmacy Setting

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Factors Associated with Willingness to Choose the Way for Old-Age Care: A Population-Based Cross-sectional Study in Chongqing, China

INQUIRY The Journal of Health Care Organization Provision and Financing ◽

10.1177/00469580211020196 ◽

2021 ◽

Vol 58 ◽

pp. 004695802110201

Author(s):

Rongrong Zhao ◽

Houxiu Zhou ◽

Jingci Zhu

Keyword(s):

Health Care ◽

Old Age ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Related Services ◽

Factors Associated ◽

Care Services ◽

Care Family ◽

Health Related

The objective of this study is to investigate the factors associated with the willingness for old-aged care and the demands for health care among elders, which might provide a reference for the establishment of health care strategies. A cross-sectional study was conducted via questionnaires among 1553 randomly selected residents aged 65 or older from Chongqing, China during 2016. Data of demographics, and demands for old-age care and health care services were collected. Descriptive analysis was used to examine the characteristics of the respondents. A chi-squared test and multiple logistic regression were performed to explore the relevant factors associated with the preference of old-age care among older people in Chongqing. We found that 85.4% of the respondents were willing to select home-based care: family old age care (55.9%), and its combination form for old-age care: family old age care plus community old age care (29.5%) old age care. Multivariable logistic regression analysis showed that willingness to choose family old age care for old-age care was associated with lower monthly income, more children, worse commercial insurance, better health status, and shorter distance to their children. Most older adults had the demands for health-related services, including regular check-up, regular health seminars, establishment of health files. Hospital was the most acceptable provider for care services, and there was a preference for long-term care and emergency call among the elders. The majority of older Chinese prefer the family old age care and its combination form with community old age care for old-age care, and demand for a variety of health-related services. Home- and community-based care with sound and perfect medical and health mechanism should be the main pattern of old-age care system in China.

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