University of Twente Student Theses


Reducing medication non-adherence in patients within home care situation

Oosterhout, Lilian van (2023) Reducing medication non-adherence in patients within home care situation.

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Abstract:The Dutch population is aging, and the proportion of people aged 65 years and older is expected to increase from 16% to 26% between 2013 and 2035. The elderly population has the highest Defined Daily Dose (DDD) per capita in combination with high medication non-adherence, which are connected to high cost. Nowadays a commonly used solution for reducing medication non-adherence is by planning medication moments where the home care workers help the patient. This, however, is impossible to maintain because the shortage of healthcare workers will continue to increase in the coming years. Especially in combination with the elderly who are required to live longer at home because of cuts within the healthcare system. A mixed-method approach was used to investigate possible solutions for the high amount of medication non-adherence in patients within the home care situation. At first, two literature reviews are executed, the first review is focussed on the main reasons for medication non-adherence in the home care situation. The second literature review focuses on the effect of medication dispensers. Questionnaires, based on the outcome of the literature review, are set out within the home care situation. The questionnaires are followed by interviews. The first literature review showed five categories that are predictive of non-adherence within the population, of which the adjustments in the behavioural category are most likely to be effective. The second literature review showed that implementing a medication dispenser can have a positive effect. Based on literature, questionnaire and interview different adjustments are found which can contribute to the improvement of the multifaceted problem. Provide information about the need for clients to take their medication and provide information about which tools are available to improve medication non-adherence. Early implementation of tools can be a big improvement as well. Furthermore, the work culture needs to be changed from a hands-on way of working to a monitoring situation to focus on implementing tools to help clients.
Item Type:Essay (Master)
Thuiszorg West-Brabant, Roosendaal, Netherlands
Faculty:TNW: Science and Technology
Subject:44 medicine
Programme:Health Sciences MSc (66851)
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