The impact of medication management interventions on healthcare utilisation in people with dementia: a systematic review with meta-analysis.
Background Medication management interventions are designed to reduce medication-related harms in older people with dementia; however, their effect on healthcare utilisation remains unclear. Objective To summarise the impact of medication management interventions on healthcare utilisation in people...
| Publicado en: | Age & Ageing Vol. 55; no. 6; pp. 1 - 13 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jun2026
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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=ssf&AN=195099720&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195099720 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jun2026 vid: 55 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195099720 10.1093/ageing/afag172 ppf: 1 ppct: 12 formats: tig: atl: The impact of medication management interventions on healthcare utilisation in people with dementia: a systematic review with meta-analysis. aug: au: Yu, Jiefei Gnjidic, Danijela Nastatos, Xenia Sawan, Mouna affil: The University of Sydney, School of Pharmacy, Faculty of Medicine and Health, Sydney, New South Wales, Australia su: Australia Taiwan United States Sweden Institutional care Hospital care Primary health care Evaluation of medical care Caregivers Professions Senile dementia Psychiatric drugs Education of physicians Medical care use Medical information storage & retrieval systems Statistical models Patient education Research funding CINAHL database Emergency room visits Meta-analysis Systematic reviews MEDLINE Odds ratio Medication therapy management Medical databases Confidence intervals Data analysis software Dementia patients Psychology information storage & retrieval systems Proportional hazards models Residential care Health care teams sug: subj: Institutional care Hospital care Primary health care Evaluation of medical care Caregivers Professions Senile dementia Psychiatric drugs Australia Taiwan United States Sweden Residential Mental Health and Substance Abuse Facilities Other Residential Care Facilities Offices of physicians Offices of Physicians (except Mental Health Specialists) Professional Organizations Education of physicians Medical care use Medical information storage & retrieval systems Statistical models Patient education Research funding CINAHL database Emergency room visits Meta-analysis Systematic reviews MEDLINE Odds ratio Medication therapy management Medical databases Confidence intervals Data analysis software Dementia patients Psychology information storage & retrieval systems Proportional hazards models Residential care Health care teams keyword: aged caregivers copyrightHolder:British Geriatrics Society copyrightYear:2026 dementia emergency room visits health care use healthcare utilisation https://dx.doi.org/10.1093/ageing/afag172 inLanguage:en medication management older people publisher:Oxford University Press randomization sameAs:https://pubmed.ncbi.nlm.nih.gov/42315167/ systematic review aged caregivers copyrightHolder:British Geriatrics Society copyrightYear:2026 dementia emergency room visits health care use healthcare utilisation https://dx.doi.org/10.1093/ageing/afag172 inLanguage:en medication management older people publisher:Oxford University Press randomization sameAs:https://pubmed.ncbi.nlm.nih.gov/42315167/ systematic review ab: Background Medication management interventions are designed to reduce medication-related harms in older people with dementia; however, their effect on healthcare utilisation remains unclear. Objective To summarise the impact of medication management interventions on healthcare utilisation in people with dementia. Data sources Embase, MEDLINE, Web of Science, Cochrane CENTRAL Register of Controlled Trials, CINAHL, PsycINFO. Study selection Interventional studies assessing the impact of medication management interventions on healthcare utilisation in people with dementia aged ≥65. Data extraction and synthesis Eligible randomised controlled trials (RCTs) were meta-analysed with risk ratios (RR), 95% confidence intervals (CIs) using a fixed-effect model. Outcomes from non-randomised studies were summarised through narrative synthesis. Main outcomes Healthcare utilisation, including hospitalisation, emergency department visits, primary care and residential aged care home admissions. Results Seven RCTs and five non-randomised studies were eligible for inclusion. Common interventions were physician education (n = 5), physician and patient/carer education (n = 2), physician targeted prescribing reminders (n = 1) and multidisciplinary team-based interventions (n = 5). Among these, physician and patient/carer targeted education resulted in a reduction in all-cause hospitalisation (RR =0.92, 95% CI [0.84–0.99], P = .04) and emergency department visits (RR = 0.92, 95% CI [0.86–0.98], P = .007) while multidisciplinary team-based interventions were effective in reducing drug-related hospital readmission (Hazard Ratio = 0.49, 95% CI [0.27–0.90], P = .02). Conclusion This review found that physician and patient/carer targeted education showed the most promising effect on all-cause hospitalisation and emergency department visits. Future research should develop tailored educational interventions that address key aspects of medication management to optimise healthcare utilisation in people with dementia. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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