ORBi: Belche Jean-Luc - Suggestions for improving continuity of medication between hospital and home in a local context of Wallonia

Reference : Suggestions for improving continuity of medication between hospital and home in a local ...


	Document type :	Scientific congresses and symposiums : Unpublished conference
	Discipline(s) :	Human health sciences : Public health, health care sciences & services
	To cite this reference:	http://hdl.handle.net/2268/133376

Title :	Suggestions for improving continuity of medication between hospital and home in a local context of Wallonia
Language :	English
Author, co-author :	Belche, Jean-Luc [Université de Liège - ULg > Département des sciences cliniques > Médecine générale >]
	Berrewaerts, Marie-Astrid [Université de Liège - ULg > Département des sciences cliniques > Médecine générale >]
	Duchesnes, Christiane [Université de Liège - ULg > Département des maladies infectieuses et parasitaires > Département des maladies infectieuses et parasitaires >]
	Ketterer, Frédéric [Université de Liège - ULg > Département des sciences cliniques > Médecine générale >]
	Giet, Didier [Université de Liège - ULg > > IFRES >]
Publication date :	20-Oct-2012
On invitation :	No
Audience :	International
Event name :	European General Practice Research Network Meeting
Event date :	du 18 octobre 2012 au 21 octobre 2012
Event organizer :	EGPRN
Event place (city) :	Antwerp
Event country :	Belgium
Abstract :	[en] Background: Unjustified modifications of the patient’s usual medication during his hospitalisation induce various problems for the patient (confusion, additional costs) and for healthcare professionals (work overload, additional cost). The principle of favouring dialogue between local actors to reach commonly accepted solutions (KCE, 2010) was used in the current study. Research question: Which local strategies could be implemented to improve continuity of drug therapy when the patient moves to hospital or back home? Method: The study took place in Liège (Wallonia). Participants were recruited within four professional groups: general practitioners, hospital specialists, pharmacists and hospital stakeholders. First, a nominal group was carried out for each professional group. Prioritized suggestions were obtained. In a second phase, Delphi method was used. Suggestions from the nominal group were submitted to representatives of each profession (a total of 40) to evaluate relevance, acceptability and feasibility of each one. Results: A total of 101 suggestions were evoked in the first phase. They were related to two main themes: implication of well-defined actors and development of specific means. Five consensual suggestions emerged from the Delphi process: provision by the general practitioner of a complete list of medication on hospital admission; provision by the hospital specialist of a list of drugs at discharge; development of formal hospital processes to keep the patient’s usual medication; centralisation of medication data; development and use of a unique medical record. Conclusion: A link medium handled by the patient when he moves to the hospital and back home is the major idea mentioned and accepted by local actors.
Research units :	Département Universitaire de Médecine générale
Funders :	GLS
Name of the research project :	Medic Hop
Target :	Researchers ; Professionals
Permalink :	http://hdl.handle.net/2268/133376

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