Integrated Internet-Based Pharmaceutical Care and Its Association with Clinical Outcomes and Medication Adherence in Older Adults with Multimorbidity: A Prospective Observational Study.
To compare clinical outcomes, quality of life (QoL), medication behaviors, and readmission risk between older adults with multimorbidity receiving integrated Internet-based pharmaceutical care and those receiving conventional pharmaceutical care. Methods: This prospective observational study enrolle...
| Publicado en: | Patient Preference & Adherence Vol. 20; pp. 1 - 11 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Dove Medical Press Ltd
May2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194805488&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194805488 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1177889X B06U jtl: Patient Preference & Adherence issn: 1177889X maglogo: N pubinfo: dt: May2026 vid: 20 pid: 45064 pub: Dove Medical Press Ltd place: Auckland, <Blank> artinfo: ui: 194805488 194805488 194805488 10.2147/PPA.S608783 194805488 ppf: 1 ppct: 10 formats: tig: atl: Integrated Internet-Based Pharmaceutical Care and Its Association with Clinical Outcomes and Medication Adherence in Older Adults with Multimorbidity: A Prospective Observational Study. aug: au: Zhao, Jianying Liu, Ping Liao, Huanyun Chen, Ying Li, Lanlin Yan, Ying Li, Tingting Tang, Xiangxiang Nie, Liluo Yang, Jie sug: subj: Medication Compliance In Old Age Comorbidity In Old Age Health Care Delivery, Integrated Internet-Based Intervention Pharmacy Service Treatment Outcomes Quality of Life Readmission Funding Source Human Male Female Middle Age Aged Descriptive Statistics Odds Ratio Confidence Intervals Prospective Studies Nonexperimental Studies Patient Satisfaction Hospitalization Self-Management Logistic Regression Health Resource Utilization Univariate Statistics Mann-Whitney U Test Fisher's Exact Test Data Analysis Software Paired T-Tests Chi Square Test Scales Middle Aged: 45-64 years Aged: 65+ years Male Female ab: To compare clinical outcomes, quality of life (QoL), medication behaviors, and readmission risk between older adults with multimorbidity receiving integrated Internet-based pharmaceutical care and those receiving conventional pharmaceutical care. Methods: This prospective observational study enrolled 196 older adults with multimorbidity who received either conventional or integrated Internet-based pharmaceutical care according to the service model in routine practice. After 6 months, BG and BP control rates, hospitalization rates, and patient satisfaction were compared. Frailty, health-related quality of life, medication self-management, and adherence were assessed using the FRAIL scale, EQ-5D/EQ-VAS, SEAMS, and ARMS-12, respectively. Logistic regression was used to examine the association between care model and 12-month readmission. Results: At the 6-month follow-up, the integrated Internet-based pharmaceutical care group had significantly higher BG and BP control rates and patient satisfaction than the conventional care group (P < 0.05). The integrated Internet-based care group also had lower FRAIL scores and higher EQ-5D and EQ-VAS scores. SEAMS scores were significantly higher, and ARMS scores were significantly lower in the Internet-based care group (P < 0.001). The integrated Internet-based pharmaceutical care model was significantly associated with a lower risk of 12-month readmission (OR = 0.424, 95% CI: 0.203– 0.884, P = 0.022). Conclusion: Integrated Internet-based pharmaceutical care was associated with favorable medication-related and clinical outcomes in older adults with multimorbidity. Further studies are needed to confirm these findings and clarify their generalizability. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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