Access to medications in the community by patients in a palliative setting. A systems analysis.
prospective_cohort · Level II
Where this comes from
- Record sourced from PubMed, PMID 18372383.
- Also identified by DOI 10.1177/0269216307085722.
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Abstract
This study performed a systems analysis of the process by which patients under the care of a specialist palliative home care obtained medications, and highlighted factors that delay this process. Systems analysis is the science dealing with analysis of complex, large-scale systems and the interactions within those systems. This study used a mixed-methods approach of questionnaires of general practitioners, pharmacists and patients, and a prospective observational study of delays experienced by patients referred to the home care team over a three-month period. This study found the main factors causing delay to be: medications not being in stock in pharmacies, medications not being available on state reimbursed schemes and inability of patients and carers to courier medications.
Medical subject headings
- Community Pharmacy Services
- Community Pharmacy Services/standards
- Community Pharmacy Services/supply & distribution
- Delivery of Health Care
- Delivery of Health Care/organization & administration
- Delivery of Health Care/standards
- Family Practice
- Family Practice/organization & administration
- Family Practice/standards
- Home Care Services
- Home Care Services/organization & administration
- Home Care Services/standards
- Humans
- Palliative Care
- Palliative Care/organization & administration
- Palliative Care/standards
- Patient Satisfaction
- Pharmaceutical Preparations
- Pharmaceutical Preparations/supply & distribution
- Quality of Health Care
- Quality of Health Care/organization & administration
- Quality of Health Care/standards
- Systems Analysis
- Terminal Care
- Terminal Care/organization & administration
- Terminal Care/standards