Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Market Access Solutions, LLC, Raritan, NJ, USA.
Patient Educ Couns. 2018 May;101(5):908-916. doi: 10.1016/j.pec.2017.12.018. Epub 2017 Dec 27.
To describe ways family members assist adult patients with prescription medications at home, during medical visits and at the pharmacy.
Online survey of 400 adults (caregivers) who help another adult (care recipient) with prescription medication use. Regression modeled the contribution of caregiver communication during recipients' medical visits, evaluation of physicians' medication communication and discussions with the dispensing pharmacist on caregivers' assistance with home medication management.
Female (68%) family members (94%) assisted care recipients with multimorbidity (mean 2.9 conditions) and polypharmacy (mean 3.2 prescriptions). On average, caregivers performed 3 visit communication behaviors (e.g., notetaking) and implemented 2.6 home medication management strategies (e.g., filling/monitoring pill boxes). Communication-related variables explained 17% of home medication management assistance; including caregivers' visit communication (std. beta 0.31), physicians' medication communication (std. beta 0.15) and pharmacist discussions (std. beta 0.10). The final model included recipients' multimorbidity and caregiver education (std. betas 0.21 and 0.13) explaining 22% of caregiver assistance with home medication management.
Caregivers' assistance with safe and effective home medication use crosses care contexts and is facilitated by clinician and pharmacist communication.
Support for caregiver engagement in healthcare conversations can contribute to patient adherence and family-centered, high quality care.
描述家庭成员在家中、就诊时和在药房协助成年患者使用处方药物的方式。
对 400 名帮助成年患者（照护者）使用处方药物的成年人（照护者）进行在线调查。回归模型分析了照护者在患者就诊期间与医生的沟通、评估医生的药物沟通以及与发药药剂师讨论对其协助患者进行家庭药物管理的作用。
女性（68%）家庭成员（94%）协助患有多种疾病（平均 2.9 种疾病）和多种药物治疗（平均 3.2 种处方）的照护者。平均而言，照护者执行了 3 次就诊沟通行为（例如，做笔记），实施了 2.6 项家庭药物管理策略（例如，填充/监测药盒）。与沟通相关的变量解释了家庭药物管理协助的 17%；包括照护者就诊沟通（标准β 0.31）、医生的药物沟通（标准β 0.15）和药剂师讨论（标准β 0.10）。最终模型包括患者的多种疾病和照护者的教育（标准β 0.21 和 0.13），解释了照护者协助家庭药物管理的 22%。
安全有效地在家中使用药物的照护者的协助跨越了护理环境，并得到临床医生和药剂师沟通的促进。
支持照护者参与医疗保健对话有助于提高患者的依从性和以家庭为中心的高质量护理。
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