Health outcomes following provision of Home Medicines Reviews for older people receiving aged care services at home
Date
2024
Authors
Sluggett, J.K.
Caughey, G.E.
Air, T.
Lang, C.
Moldovan, M.
Martin, G.
Stafford, A.C.
Carter, S.R.
Jackson, S.
Wesselingh, S.L.
Editors
Advisors
Journal Title
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Volume Title
Type:
Journal article
Citation
Research in Social and Administrative Pharmacy, 2024; 20(11):1064-1069
Statement of Responsibility
Janet K. Sluggett, Gillian E. Caughey, Tracy Air, Catherine Lang, Max Moldovan, Grant Martin, Andrew C. Stafford, Stephen R. Carter, Shane Jackson, Steve L. Wesselingh, Maria C. Inacio
Conference Name
Abstract
Background: The impact of Home Medicines Reviews (HMRs) on long-term health outcomes among individuals receiving long-term in-home aged care services is unknown. Objectives: To examine associations between HMR provision and hospitalization, long-term care facility (LTCF) entry and mortality among older people receiving long-term in-home aged care services. Methods: This retrospective cohort study included individuals aged 65–105 years from three Australian states who accessed in-home aged care services between 2013 and 2017. Using propensity score matching, HMR recipients (n = 1530) were matched to individuals who did not receive an HMR (n = 1530). Associations between HMR provision and outcomes were estimated using multivariable regression models. Results: Over a median of 414 days (interquartile range 217–650) of follow-up, HMR provision was not associated with hospitalizations for unplanned events (subdistribution hazard ratio (sHR) 1.04, 95%CI 0.96–1.14), falls- related hospitalizations (sHR 0.97, 95%CI 0.83–1.13), LTCF entry (sHR 0.97, 95%CI 0.83–1.13), or all-cause mortality (adjusted HR 0.86, 95%CI 0.72–1.01). Conclusions: In a cohort of older people receiving long-term in-home aged care services, no differences in unplanned hospitalizations, falls, LTCF entry or mortality were observed those with HMRs compared to those that did not receive an HMR.
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Description
Data source: Supplemeentary data, https://doi.org/10.1016/j.sapharm.2024.08.004
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© 2024 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license ( http://creativecommons.org/licenses/by/4.0/ ).