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Medication discrepancy: a concordance problem between dialysis patients and caregivers.
University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap. Centre for Research and Development, Uppsala University/County Council of Gävleborg, Gävle, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.ORCID iD: 0000-0003-1289-9896
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Department of Medical Sciences, Uppsala University, Uppsala University Hospital, Uppsala, Sweden.
2007 (English)In: Scandinavian Journal of Urology and Nephrology, ISSN 0036-5599, E-ISSN 1651-2065, Vol. 41, no 6, p. 546-52Article in journal (Refereed) Published
Abstract [en]

Objectives. Extensive drug utilization, and non-concordance between the patient and the caregiver about prescriptions andactual medicine intake, are associated with the risk of non-adherence to medication as well as medication-related illness. Toachieve reliable estimates of drug use, it is important to consider the patient’s self-reported drug utilization as well as toconsult his/her medical record. The present multicentre study was conducted with the aim of examining the self-reporteddrug consumption of dialysis patients and its congruence with medical records.

Material and methods. Consumption ofpharmaceutical agents was recorded by 204 patients undergoing haemo- or peritoneal dialysis at 10 Swedish clinics. Drugrecord discrepancies were identified by comparing the self-reported use of prescribed medicines with the subsequentlyobtained medication lists.

Results. The median drug intake was 11 prescribed medicines and by including on-demand drugsthis increased to 12. Discrepancies between the self-reported use of prescribed drugs and the medical record were prevalentin 80.4% of cases, with a median of three discrepancies per patient.

Conclusions. Dialysis patients have an extensive need formedication but there is an undesirable deviation between consumption and prescription. A single medication list, accessiblefor the patient and for all prescribers, is a possible solution to achieve concordance but other measures, such as analysis ofthe reasons for discrepancy and tailored measures, would also benefit concordant medicine-taking.

Place, publisher, year, edition, pages
2007. Vol. 41, no 6, p. 546-52
Keywords [en]
Concordance, medication non-adherence, dialysis
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-5332DOI: 10.1080/00365590701421363ISI: 000251281000014PubMedID: 17853014OAI: oai:DiVA.org:hig-5332DiVA, id: diva2:234307
Available from: 2009-09-07 Created: 2009-09-07 Last updated: 2018-03-13Bibliographically approved

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