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The Source of Purchased Medications and Its Impact on Medication Mistakes and Hospitalizations
Journal article   Open access   Peer reviewed

The Source of Purchased Medications and Its Impact on Medication Mistakes and Hospitalizations

Martha C. Coates, Janeway Granche, Justine S. Sefcik and Rose Ann DiMaria-Ghalili
Research in gerontological nursing, v 15(2), pp 69-75
11 Feb 2022
PMID: 35148208
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9205362View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Life Sciences & Biomedicine Science & Technology Nursing
Older adults self-administer prescribed medication regimens to treat chronic diseases, which can lead to mismanagement, medication-related harm, and hospitalization. Using the National Health and Aging Trends Study (NHATS) dataset, we examined the extent to which the medication source could impact the occurrence of self-reported medication mistakes and hospitalizations in community-dwelling adults aged >= 65 years who managed medications independently (N = 3,899). The majority (65%) picked up medications, 18% had medications delivered, and 17% used both methods. Compared to those picking up their medications, those using delivery only were less likely to have a hospital stay (odds ratio [OR] = 0.61, 95% confidence interval [CI] [0.51, 0.94]) but had no difference in odds of medication mistakes (OR = 1.13, 95% CI [0.57, 2.23]). Those using both methods were more likely to report hospital stays (OR = 1.43, 95% CI [1.11, 1.85]) and medication mistakes (OR = 1.65, 95% CI [1.00, 2.73]). Health care providers should consider medication source when assessing older adults' ability to safely self-manage medications. [Research in Gerontological Nursing, xx(x), xx-xx.]

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Nursing
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