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Health outcomes following provision of Home Medicines Reviews for older people receiving aged care services at home

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dc.contributor.authorSluggett, J.K.
dc.contributor.authorCaughey, G.E.
dc.contributor.authorAir, T.
dc.contributor.authorLang, C.
dc.contributor.authorMoldovan, M.
dc.contributor.authorMartin, G.
dc.contributor.authorStafford, A.C.
dc.contributor.authorCarter, S.R.
dc.contributor.authorJackson, S.
dc.contributor.authorWesselingh, S.L.
dc.contributor.authorInacio, M.C.
dc.date.issued2024
dc.descriptionData source: Supplemeentary data, https://doi.org/10.1016/j.sapharm.2024.08.004
dc.description.abstractBackground: 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.
dc.description.statementofresponsibilityJanet 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
dc.identifier.citationResearch in Social and Administrative Pharmacy, 2024; 20(11):1064-1069
dc.identifier.doi10.1016/j.sapharm.2024.08.004
dc.identifier.issn1551-7411
dc.identifier.issn1934-8150
dc.identifier.orcidCaughey, G.E. [0000-0003-1192-4121]
dc.identifier.orcidMoldovan, M. [0000-0001-9680-8474]
dc.identifier.urihttps://hdl.handle.net/2440/143935
dc.language.isoen
dc.publisherElsevier BV
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/GNT1156439
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/119378
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/GNT2016277
dc.rights© 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/ ).
dc.source.urihttp://dx.doi.org/10.1016/j.sapharm.2024.08.004
dc.subjectAged
dc.subjectAustralia
dc.subjectHome care services
dc.subjectHospitalization
dc.subjectMedication review
dc.subjectMedication therapy management
dc.subjectMortality
dc.subjectPharmaceutical services
dc.subjectPharmacists
dc.subjectTreatment outcome
dc.subject.meshHumans
dc.subject.meshHospitalization
dc.subject.meshLong-Term Care
dc.subject.meshRetrospective Studies
dc.subject.meshAged
dc.subject.meshAged, 80 and over
dc.subject.meshHome Care Services
dc.subject.meshAustralia
dc.subject.meshFemale
dc.subject.meshMale
dc.titleHealth outcomes following provision of Home Medicines Reviews for older people receiving aged care services at home
dc.typeJournal article
pubs.publication-statusPublished

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