Descriptive study of homeless patients' perceptions that affect medication adherence.
Purpose Results of a study to elucidate perceptions, attitudes, and beliefs about prescribed medications held by hospitalized patients who are homeless are reported. Methods A qualitative descriptive study involving semistructured interviews was conducted to gather information and characterize hospi...
| Published in: | American Journal of Health-System Pharmacy Vol. 76; no. 17; pp. 1288 - 1296 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
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Oxford University Press / USA
9/1/2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138130601&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 138130601 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: 9/1/2019 vid: 76 iid: 17 pid: 622 pub: Oxford University Press / USA artinfo: ui: 138130601 138130601 138130601 10.1093/ajhp/zxz139 138130601 ppf: 1288 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Descriptive study of homeless patients' perceptions that affect medication adherence. aug: au: Richler, Matthew J Yousaf, Sara Hwang, Stephen W Dewhurst, Norman F affil: St. Michael's Hospital, Toronto, Canada, and Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Canada sug: subj: Homeless Persons Psychosocial Factors Patient Attitudes Medication Compliance Health Beliefs Prescribing Patterns Human Descriptive Research Inpatients Psychosocial Factors Qualitative Studies Semi-Structured Interview Emergency Service Office Visits Length of Stay Health Care Costs Internal Medicine Patient Admission Tertiary Health Care Audiorecording Middle Age Mental Disorders Therapy Middle Aged: 45-64 years ab: Purpose Results of a study to elucidate perceptions, attitudes, and beliefs about prescribed medications held by hospitalized patients who are homeless are reported. Methods A qualitative descriptive study involving semistructured interviews was conducted to gather information and characterize hospitalized homeless patients' views and attitudes regarding medication use, with a focus on medication nonadherence. Medication nonadherence has been shown to be a factor contributing to higher rates of emergency department visits, increased hospital lengths of stay, and increased healthcare costs in homeless populations. Interviews were conducted during patients' admissions to the internal medicine service of a tertiary care, inner-city hospital. Interviews were audio-recorded and transcribed. Data were analyzed using conventional qualitative content analysis to generate data-driven codes and themes. Results Twelve interviews were conducted (median patient age, 48.5 years). Eight patients (66.7%) were living in a shelter, and 11 (91.7%) had a mental illness. Patients were prescribed a median of 4 medications at the time of hospital admission. Four themes were identified: (1) a new appreciation of medications was acquired during hospitalization, (2) medications were perceived as necessary for maintaining health, (3) there was an interest in receiving medication education, and (4) concerns were expressed regarding medication adverse effects. Conclusion In interviews conducted during hospital admission, homeless patients expressed positive perceptions about the necessity of their medications but also concerns about medication adverse effects. Interventions to improve adherence may be successful if directed toward addressing treatment-related concerns. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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