Norwegian elderly patients' need for drug information and attitudes towards medication use reviews in community pharmacies

Int J Pharm Pract. 2015 Dec;23(6):423-8. doi: 10.1111/ijpp.12184. Epub 2015 Mar 20.

Abstract

Objectives: Medication use review (MUR) is a community pharmacy service in several countries. Knowledge about what patients want from such a service is limited. The aim of this study was therefore to investigate Norwegian elderly patients' need for drug information and their attitudes towards MURs.

Methods: In Norway's two largest cities, 162 patients (72% women; mean age: 78.9 years) who used at least one prescription drug were recruited from 18 senior centres. They were interviewed personally with a structured questionnaire (29 closed and 4 open-ended questions).

Key findings: The average number of prescription drugs used was 4.4. Seventy per cent also used over-the-counter drugs. The main source of drug information was the general practitioner (GP) followed by package inserts and pharmacy staff. For drug-related problems, 62% would contact the GP compared with 24% who preferred the pharmacist. Fifty per cent remembered no information when collecting prescriptions. However, 56% wanted to know more about their medication and 55% were interested in a MUR. The main topics they wished to address were effect/side effects and interactions. Lack of privacy was reported to be a major obstacle in the current situation.

Conclusions: This study shows that community pharmacies in Norway play a minor role regarding drug information to elderly polypharmacy patients. The GP is both their main information source and whom they contact for drug-related problems. However, half of the patients would like to know more about their medication. More than half were positive towards taking part in a MUR.

Keywords: community pharmacy; drug information; elderly; medication reviews.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Community Pharmacy Services / organization & administration*
  • Drug Utilization Review / methods*
  • Drug-Related Side Effects and Adverse Reactions
  • Female
  • Humans
  • Male
  • Middle Aged
  • Norway
  • Patient Acceptance of Health Care
  • Patient Education as Topic / methods*
  • Pharmacists / organization & administration*
  • Polypharmacy
  • Prescription Drugs / administration & dosage
  • Prescription Drugs / adverse effects
  • Privacy
  • Professional Role
  • Surveys and Questionnaires

Substances

  • Prescription Drugs