Can Telephone Contact After Discharge Between Geriatrician, Clinical Pharmacist and General Practitioner About Medication Review in Hospital Improve the Medication in Older Patients? A Feasibility Study.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Odense University Hospital
- Enrollment
- 232
- Locations
- 3
- Primary Endpoint
- Parts of the intervention completed
Study Overview
Brief Summary
In this trial, the feasibility of cooperation between clinical pharmacists and physicians by conducting a telephone follow-up conversation between the hospital geriatrician, the general practitioner and the clinical pharmacist is evaluated. During hospital stay the clinical pharmacist and the geriatrician will review older patients' medication and discuss the future treatment with the general practitioner after discharge by telephone or medico-technology.
The first part of the feasibility study will be a qualitative baseline measure of characteristics of the participants and work flow. The second part will be a pilot randomized controlled study where participants will be allocated to either usual care or medication review and follow up contact
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 65 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •* 5 drugs or more
Exclusion Criteria
- •Terminal illness
- •Not able to speak and understand Danish
Arms & Interventions
Intervention
Medication history by pharmaconomist. Medication review by pharmacist, patient interview, and conference with physician in hospital, telephone contact to general practitioner after discharge, medication report sent to primary care.
Intervention: Medication review (Behavioral)
Control
Medication history by pharmaconomist. Usual care by physicians.
Outcomes
Primary Outcomes
Parts of the intervention completed
Time Frame: Day 1 after discharge
In the intervention Group only, it is measured, how many of the elements of the intervention the patient actually have received
Changes in number of medications
Time Frame: At admission and at discharge
Increase or decrease in number of medications from admission to discharge
Changes in the Electronic Medication Profile (FMK)
Time Frame: 14 days after discharge
How many changes have been Applied to the Electronic Medication Profile
Secondary Outcomes
- Changes in patient-experienced quality of life(At admission and 14 days after discharge)
- Number of readmissions(within 30 days after discharge)
- Number of visits at general practitioner(within 30 days after discharge)
- Number of emergency visits(within 30 days after discharge)
- Patient satisfaction with the discharge(14 days after discharge)
- Health care professionals satisfaction(3 months after implementation)
Investigators
Lene V. Ravn-Nielsen
Pharmacist
Odense University Hospital