ArticleBMC geriatrics2024
Exploring the impact of pharmacist-supported medication reviews in dementia care: experiences of general practitioners and nurses.
Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Effect of pharmacist-led medication reviews on appropriateness of prescribing in patients with dementia - results from the cluster randomized controlled "DemStepCare" study.BMC geriatrics · 2025Trial
- 'You get a different mindset' - primary care physicians' perceptions of interprofessional medication reviews for patients living independently.Scandinavian journal of primary health care · 2026Article
- Good Practices and Challenges in the Collaboration of Pharmacists with General Practitioners-A Scoping Review.Pharmacy (Basel, Switzerland) · 2026Review
- Utility of the Swedish Anticholinergic Burden Scale in a memory clinic setting: a comparison with the Anticholinergic Cognitive Burden scale.Scientific reports · 2026Observational
- Access of medication review for people living with dementia: An analysis of inequality using Swedish register data.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- The potential for clinical pharmacists to support older people with dementia in the community: A qualitative interview study.British journal of clinical pharmacology · 2025Article
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Authors and funding
3 authors.
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Abstract
backgroundDementia is a major global public health challenge, and with the growing elderly population, its prevalence is expected to increase in the coming years. In Sweden, municipalities are responsible for providing special housing for the elderly (SÄBO), which offers services and care for older individuals needing specific support. SÄBO is both the person´s home and a care environment and workplace. Polypharmacy in patients with dementia is common and increases the risk of medication interactions. Involving clinical pharmacists in medication reviews has been shown to enhance medication safety and improve prescribing practices. However, the views of the standard care team involved in medication prescribing, administration, monitoring and documentation on integrating pharmacist services have received less attention. Thus, this study aims to explore how pharmacists' contributions can enhance medication safety, improve patient care efficiency, and potentially alleviate the workload of general practitioners for people with dementia living in special housing.
methodsThis study has a descriptive qualitative study design using semi-structured interviews and qualitative content analysis. The study was conducted in a southern Swedish special housing and included nurses, assistant nurses, general practitioners (GPs), and a pharmacist. Due to the COVID-19 pandemic, interviews were conducted over the phone. The Swedish Ethical Review Authority approved the study.
resultsThe analysis revealed three main categories, and eleven subcategories.: (1) Integrating multidisciplinary approaches for holistic dementia care, (2) Strengthening dementia care through effective medication management and (3) Advancing dementia care through pharmacist integration and role expansion. Nurses focused on non-pharmacological treatments, while GPs emphasized the importance of medication reviews in assessing the benefits and side-effects of prescribed medication. Pharmacists were valued for their reliable medication expertise, appreciated by GPs for saving time and providing recommendations prior to consultations with individuals with dementia and their next-of-kin. Although medication reviews were considered beneficial, there was skepticism about their ability to solve all medication-related problems associated with dementia care.
conclusionsThis study highlights the critical role pharmacists play in enhancing medication safety and patient care efficiency in special housing for individuals with dementia. Despite the value of their contributions, communication barriers within healthcare teams pose significant challenges. Recognising potential pharmacist role expansion is essential to alleviate the workload of GPs and ensure effective collaborative practices for better patient outcomes.
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