Health outcomes following provision of Home Medicines Reviews for older people receiving aged care services at home

Janet K. Sluggett; Gillian E. Caughey; Tracy Air; Catherine Lang; Max Moldovan; Grant Martin; Andrew C. Stafford; Stephen R. Carter; Shane Jackson; Steve L. Wesselingh; Maria C. Inacio

doi:10.1016/j.sapharm.2024.08.004

Health outcomes following provision of Home Medicines Reviews for older people receiving aged care services at home

Janet K. Sluggett, Gillian E. Caughey, Tracy Air, Catherine Lang, Max Moldovan, Grant Martin, Andrew C. Stafford, Stephen R. Carter, Shane Jackson, Steve L. Wesselingh, Maria C. Inacio

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Abstract

Background: The impact of Home Medicines Reviews (HMRs) on long-term health outcomes among individuals receiving long-term in-home aged care services is unknown.

Objectives: To examine associations between HMR provision and hospitalization, long-term care facility (LTCF) entry and mortality among older people receiving long-term in-home aged care services.

Methods: This retrospective cohort study included individuals aged 65–105 years from three Australian states who accessed in-home aged care services between 2013 and 2017. Using propensity score matching, HMR recipients (n = 1530) were matched to individuals who did not receive an HMR (n = 1530). Associations between HMR provision and outcomes were estimated using multivariable regression models.

Results: Over a median of 414 days (interquartile range 217–650) of follow-up, HMR provision was not associated with hospitalizations for unplanned events (subdistribution hazard ratio (sHR) 1.04, 95%CI 0.96–1.14), falls-related hospitalizations (sHR 0.97, 95%CI 0.83–1.13), LTCF entry (sHR 0.97, 95%CI 0.83–1.13), or all-cause mortality (adjusted HR 0.86, 95%CI 0.72–1.01).

Conclusions: In a cohort of older people receiving long-term in-home aged care services, no differences in unplanned hospitalizations, falls, LTCF entry or mortality were observed those with HMRs compared to those that did not receive an HMR.

Original language	English
Pages (from-to)	1064-1069
Number of pages	6
Journal	Research in Social and Administrative Pharmacy
Volume	20
Issue number	11
Early online date	13 Aug 2024
DOIs	https://doi.org/10.1016/j.sapharm.2024.08.004
Publication status	Published - Nov 2024
Externally published	Yes

Keywords

Aged
Australia
Home care services
Hospitalization
Medication review
Medication therapy management
Mortality
Pharmaceutical services
Pharmacists
Treatment outcome

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Sluggett, J. K., Caughey, G. E., Air, T., Lang, C., Moldovan, M., Martin, G., Stafford, A. C., Carter, S. R., Jackson, S., Wesselingh, S. L., & Inacio, M. C. (2024). Health outcomes following provision of Home Medicines Reviews for older people receiving aged care services at home. Research in Social and Administrative Pharmacy, 20(11), 1064-1069. https://doi.org/10.1016/j.sapharm.2024.08.004

@article{d1e09f465ddb46e78e0b254c8fa7d778,

title = "Health outcomes following provision of Home Medicines Reviews for older people receiving aged care services at home",

abstract = "Background: The impact of Home Medicines Reviews (HMRs) on long-term health outcomes among individuals receiving long-term in-home aged care services is unknown. Objectives: To examine associations between HMR provision and hospitalization, long-term care facility (LTCF) entry and mortality among older people receiving long-term in-home aged care services. Methods: This retrospective cohort study included individuals aged 65–105 years from three Australian states who accessed in-home aged care services between 2013 and 2017. Using propensity score matching, HMR recipients (n = 1530) were matched to individuals who did not receive an HMR (n = 1530). Associations between HMR provision and outcomes were estimated using multivariable regression models. Results: Over a median of 414 days (interquartile range 217–650) of follow-up, HMR provision was not associated with hospitalizations for unplanned events (subdistribution hazard ratio (sHR) 1.04, 95%CI 0.96–1.14), falls-related hospitalizations (sHR 0.97, 95%CI 0.83–1.13), LTCF entry (sHR 0.97, 95%CI 0.83–1.13), or all-cause mortality (adjusted HR 0.86, 95%CI 0.72–1.01). Conclusions: In a cohort of older people receiving long-term in-home aged care services, no differences in unplanned hospitalizations, falls, LTCF entry or mortality were observed those with HMRs compared to those that did not receive an HMR.",

keywords = "Aged, Australia, Home care services, Hospitalization, Medication review, Medication therapy management, Mortality, Pharmaceutical services, Pharmacists, Treatment outcome",

author = "Sluggett, {Janet K.} and Caughey, {Gillian E.} and Tracy Air and Catherine Lang and Max Moldovan and Grant Martin and Stafford, {Andrew C.} and Carter, {Stephen R.} and Shane Jackson and Wesselingh, {Steve L.} and Inacio, {Maria C.}",

year = "2024",

month = nov,

doi = "10.1016/j.sapharm.2024.08.004",

language = "English",

volume = "20",

pages = "1064--1069",

journal = "Research in Social and Administrative Pharmacy",

issn = "1551-7411",

publisher = "Elsevier Inc.",

number = "11",

}

Sluggett, JK, Caughey, GE, Air, T, Lang, C, Moldovan, M, Martin, G, Stafford, AC, Carter, SR, Jackson, S, Wesselingh, SL & Inacio, MC 2024, 'Health outcomes following provision of Home Medicines Reviews for older people receiving aged care services at home', Research in Social and Administrative Pharmacy, vol. 20, no. 11, pp. 1064-1069. https://doi.org/10.1016/j.sapharm.2024.08.004

TY - JOUR

T1 - Health outcomes following provision of Home Medicines Reviews for older people receiving aged care services at home

AU - Sluggett, Janet K.

AU - Caughey, Gillian E.

AU - Air, Tracy

AU - Lang, Catherine

AU - Moldovan, Max

AU - Martin, Grant

AU - Stafford, Andrew C.

AU - Carter, Stephen R.

AU - Jackson, Shane

AU - Wesselingh, Steve L.

AU - Inacio, Maria C.

PY - 2024/11

Y1 - 2024/11

N2 - Background: The impact of Home Medicines Reviews (HMRs) on long-term health outcomes among individuals receiving long-term in-home aged care services is unknown. Objectives: To examine associations between HMR provision and hospitalization, long-term care facility (LTCF) entry and mortality among older people receiving long-term in-home aged care services. Methods: This retrospective cohort study included individuals aged 65–105 years from three Australian states who accessed in-home aged care services between 2013 and 2017. Using propensity score matching, HMR recipients (n = 1530) were matched to individuals who did not receive an HMR (n = 1530). Associations between HMR provision and outcomes were estimated using multivariable regression models. Results: Over a median of 414 days (interquartile range 217–650) of follow-up, HMR provision was not associated with hospitalizations for unplanned events (subdistribution hazard ratio (sHR) 1.04, 95%CI 0.96–1.14), falls-related hospitalizations (sHR 0.97, 95%CI 0.83–1.13), LTCF entry (sHR 0.97, 95%CI 0.83–1.13), or all-cause mortality (adjusted HR 0.86, 95%CI 0.72–1.01). Conclusions: In a cohort of older people receiving long-term in-home aged care services, no differences in unplanned hospitalizations, falls, LTCF entry or mortality were observed those with HMRs compared to those that did not receive an HMR.

AB - Background: The impact of Home Medicines Reviews (HMRs) on long-term health outcomes among individuals receiving long-term in-home aged care services is unknown. Objectives: To examine associations between HMR provision and hospitalization, long-term care facility (LTCF) entry and mortality among older people receiving long-term in-home aged care services. Methods: This retrospective cohort study included individuals aged 65–105 years from three Australian states who accessed in-home aged care services between 2013 and 2017. Using propensity score matching, HMR recipients (n = 1530) were matched to individuals who did not receive an HMR (n = 1530). Associations between HMR provision and outcomes were estimated using multivariable regression models. Results: Over a median of 414 days (interquartile range 217–650) of follow-up, HMR provision was not associated with hospitalizations for unplanned events (subdistribution hazard ratio (sHR) 1.04, 95%CI 0.96–1.14), falls-related hospitalizations (sHR 0.97, 95%CI 0.83–1.13), LTCF entry (sHR 0.97, 95%CI 0.83–1.13), or all-cause mortality (adjusted HR 0.86, 95%CI 0.72–1.01). Conclusions: In a cohort of older people receiving long-term in-home aged care services, no differences in unplanned hospitalizations, falls, LTCF entry or mortality were observed those with HMRs compared to those that did not receive an HMR.

KW - Aged

KW - Australia

KW - Home care services

KW - Hospitalization

KW - Medication review

KW - Medication therapy management

KW - Mortality

KW - Pharmaceutical services

KW - Pharmacists

KW - Treatment outcome

UR - http://www.scopus.com/inward/record.url?scp=85202465207&partnerID=8YFLogxK

UR - http://purl.org/au-research/grants/NHMRC/119378

U2 - 10.1016/j.sapharm.2024.08.004

DO - 10.1016/j.sapharm.2024.08.004

M3 - Article

C2 - 39187425

AN - SCOPUS:85202465207

SN - 1551-7411

VL - 20

SP - 1064

EP - 1069

JO - Research in Social and Administrative Pharmacy

JF - Research in Social and Administrative Pharmacy

IS - 11

ER -

Health outcomes following provision of Home Medicines Reviews for older people receiving aged care services at home

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Keywords

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