The association between patient self-reported experiences with medication discharge counselling and hospital readmissions: A cross-sectional analysis of a population-based survey.

IF 3.7 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Research in Social & Administrative Pharmacy Pub Date : 2024-09-25 DOI:10.1016/j.sapharm.2024.09.007

Edwin Ck Tan, Bich Nh Tran, Diane E Watson, Zhaoli Dai

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引用次数: 0

Abstract

Objective: To investigate the association between patient-reported experiences with new medication discharge counselling and readmission to hospital or emergency department (ED) visits within 30 days of discharge.

Methods: A retrospective cross-sectional study of patient-reported experiences from 8715 patients who reported being prescribed a new medication at discharge from a public hospital. Completeness of medication counselling was assessed based on (i) explanation of medication purpose, (ii) explanation of medication side effects, (iii) patient involvement in decision to use medication, (iv) provision of contradictory information. Multilevel models were used to estimate self-reported 30-day readmission or ED visit related to care received using adjusted odds ratios (AORs).

Results: Patients who were explained medication purpose were half as likely to report a readmission (AOR 0.54, 95%CI 0.31-0.93) or ED visit (AOR 0.65, 95%CI 0.48-0.87) within 30 days of discharge. Conversely, those who reported receiving contradictory information were more likely to report a readmission (AOR 1.62, 95%CI 1.16-2.26) and ED visit (AOR 1.82, 95%CI 1.41-2.34).

Conclusion: Patients who reported receiving comprehensive counselling on new medications were less likely to report being readmitted or visiting an ED within 30 days of discharge.

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患者自我报告的出院用药咨询经历与再入院之间的关系：基于人群调查的横断面分析。

目的调查患者报告的新药出院咨询经历与出院后 30 天内再次入院或急诊就诊之间的关系：方法：这是一项回顾性横断面研究，对 8715 名公立医院出院时开具新药处方的患者报告的经历进行分析。药物咨询的完整性根据以下方面进行评估：(i) 解释用药目的；(ii) 解释药物副作用；(iii) 患者参与用药决定；(iv) 提供相互矛盾的信息。采用多层次模型，使用调整后的几率比（AORs）估算自我报告的 30 天再入院或急诊室就诊与所接受护理的相关性：结果：接受过用药目的解释的患者在出院后 30 天内再次入院（AOR 0.54，95%CI 0.31-0.93）或去急诊室就诊（AOR 0.65，95%CI 0.48-0.87）的几率是接受过用药目的解释的患者的一半。相反，报告收到矛盾信息的患者更有可能再次入院（AOR 1.62，95%CI 1.16-2.26）或去急诊室就诊（AOR 1.82，95%CI 1.41-2.34）：结论：接受过全面新药咨询的患者在出院后 30 天内再次入院或到急诊室就诊的可能性较低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Research in Social & Administrative Pharmacy PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.20

自引率

10.30%

发文量

225

审稿时长

47 days

期刊介绍： Research in Social and Administrative Pharmacy (RSAP) is a quarterly publication featuring original scientific reports and comprehensive review articles in the social and administrative pharmaceutical sciences. Topics of interest include outcomes evaluation of products, programs, or services; pharmacoepidemiology; medication adherence; direct-to-consumer advertising of prescription medications; disease state management; health systems reform; drug marketing; medication distribution systems such as e-prescribing; web-based pharmaceutical/medical services; drug commerce and re-importation; and health professions workforce issues.