Use of an Electronic Medication Management Support System in Patients with Polypharmacy in General Practice: A Quantitative Process Evaluation of the AdAM Trial

Brünn R, Lemke D, Basten J, Kellermann-Mühlhoff P, Köberlein-Neu J, Muth C, van den Akker M (2022)
Pharmaceuticals 15(6): 759.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Autor*in
Brünn, Robin; Lemke, Dorothea; Basten, Jale; Kellermann-Mühlhoff, Petra; Köberlein-Neu, Juliane; Muth, ChristianeUniBi; van den Akker, Marjan
Abstract / Bemerkung
Polypharmacy is associated with a risk of negative health outcomes. Potentially inappropriate medications, interactions resulting from contradicting medical guidelines, and inappropriate monitoring, all increase the risk. This process evaluation (PE) of the AdAM study investigates implementation and use of a computerized decision-support system (CDSS). The CDSS analyzes medication appropriateness by including claims data, and hence provides general practitioners (GPs) with full access to patients’ medical treatments. We based our PE on pseudonymized logbook entries into the CDSS and used the four dimensions of the Medical Research Council PE framework. Reach, which examines the extent to which the intended study population was included, and Dose, Fidelity, and Tailoring, which examine how the software was actually used by GPs. The PE was explorative and descriptive. Study participants were representative of the target population, except for patients receiving a high level of nursing care, as they were treated less frequently. GPs identified and corrected inappropriate prescriptions flagged by the CDSS. The frequency and intensity of interventions documented in the form of logbook entries lagged behind expectations, raising questions about implementation barriers to the intervention and the limitations of the PE. Impossibility to connect the CDSS to GPs’ electronic medical records (EMR) of GPs due to technical conditions in the German healthcare system may have hindered the implementation of the intervention. Data logged in the CDSS may underestimate medication changes in patients, as documentation was voluntary and already included in EMR.
Erscheinungsjahr
2022
Zeitschriftentitel
Pharmaceuticals
Band
15
Ausgabe
6
Art.-Nr.
759
eISSN
1424-8247
Page URI
https://pub.uni-bielefeld.de/record/2963966

Zitieren

Brünn R, Lemke D, Basten J, et al. Use of an Electronic Medication Management Support System in Patients with Polypharmacy in General Practice: A Quantitative Process Evaluation of the AdAM Trial. Pharmaceuticals. 2022;15(6): 759.
Brünn, R., Lemke, D., Basten, J., Kellermann-Mühlhoff, P., Köberlein-Neu, J., Muth, C., & van den Akker, M. (2022). Use of an Electronic Medication Management Support System in Patients with Polypharmacy in General Practice: A Quantitative Process Evaluation of the AdAM Trial. Pharmaceuticals, 15(6), 759. https://doi.org/10.3390/ph15060759
Brünn, R., Lemke, D., Basten, J., Kellermann-Mühlhoff, P., Köberlein-Neu, J., Muth, C., and van den Akker, M. (2022). Use of an Electronic Medication Management Support System in Patients with Polypharmacy in General Practice: A Quantitative Process Evaluation of the AdAM Trial. Pharmaceuticals 15:759.
Brünn, R., et al., 2022. Use of an Electronic Medication Management Support System in Patients with Polypharmacy in General Practice: A Quantitative Process Evaluation of the AdAM Trial. Pharmaceuticals, 15(6): 759.
R. Brünn, et al., “Use of an Electronic Medication Management Support System in Patients with Polypharmacy in General Practice: A Quantitative Process Evaluation of the AdAM Trial”, Pharmaceuticals, vol. 15, 2022, : 759.
Brünn, R., Lemke, D., Basten, J., Kellermann-Mühlhoff, P., Köberlein-Neu, J., Muth, C., van den Akker, M.: Use of an Electronic Medication Management Support System in Patients with Polypharmacy in General Practice: A Quantitative Process Evaluation of the AdAM Trial. Pharmaceuticals. 15, : 759 (2022).
Brünn, Robin, Lemke, Dorothea, Basten, Jale, Kellermann-Mühlhoff, Petra, Köberlein-Neu, Juliane, Muth, Christiane, and van den Akker, Marjan. “Use of an Electronic Medication Management Support System in Patients with Polypharmacy in General Practice: A Quantitative Process Evaluation of the AdAM Trial”. Pharmaceuticals 15.6 (2022): 759.
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2022-07-27T13:40:44Z
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