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.Inacio, M.C.2025-03-192025-03-192024Research in Social and Administrative Pharmacy, 2024; 20(11):1064-10691551-74111934-8150https://hdl.handle.net/2440/143935Data source: Supplemeentary data, https://doi.org/10.1016/j.sapharm.2024.08.004Background: 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.en© 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/ ).AgedAustraliaHome care servicesHospitalizationMedication reviewMedication therapy managementMortalityPharmaceutical servicesPharmacistsTreatment outcomeHumansHospitalizationLong-Term CareRetrospective StudiesAgedAged, 80 and overHome Care ServicesAustraliaFemaleMaleJournal article10.1016/j.sapharm.2024.08.004001306794400001706695Caughey, G.E. [0000-0003-1192-4121]Moldovan, M. [0000-0001-9680-8474]