Home Medicines Review website information: consistency or confusion?

Stephen R. Carter, Lesley White

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Since consumerawareness and understanding is asignificant component of the successof the Home Medicine Review(HMR) program, the publicly availableinformation regarding the benefitsand eligibility criteria is of interest.The objective of this study was tocompare and contrast the informationregarding HMRs made available forconsumers from a variety of sources,using the most easily accessiblechannel, the internet.Methods: A thorough internet searchof health professional and consumerdirected information about HMRswas conducted. A content analysisof all information relevant to HMRson two health professional sites andfive consumer-directed sites wasperformed and comparisons weremade.Results: Four themes were derivedfrom the analysis: 1) Rationale forHMR, 2) HMR objectives, 3) Patientcounselling, and 4) The use ofmedication risk factors in statementsabout eligibility criteria. Comparinga variety of professional andconsumer resources about HMRs,the present study found a lack ofconsistency between resources inHMR information in three main areas:1) the medication risk factors, whichare used to define those personswho may receive benefit from andbe eligible for HMRs, 2) the useof subjective patient perceptionsof negative experiences with, oremotions about medicines, which, ifused, could empower consumers toself-identify for the program, and 3)the description of positive elementsof communication during the HMRinterview, such as the extended lengthof the interview with the pharmacist and the opportunity to have questionsanswered by the pharmacist.Conclusions: Consumer-directedresources may lack salience becausemedication-related problems, theresolution of which underpins theprogram, are conceptually vague andthe various descriptions of the need forHMRs omit specific details about thenature of the problems such as timingof administration, drug interactions, or thatprescribed medications may, for avariety of reasons, be inappropriate. Inorder to improve message consistencyand salience for consumers, futureresearch and discussion is neededin order to optimally describe HMRbenefits through the use of objectiverisk factors, subjective or perceptualfactors, descriptions of medicationrelatedproblems and communicationopportunities afforded.
Original languageEnglish
Pages (from-to)882-888
Number of pages7
JournalAustralian Pharmacist
Volume29
Issue number10
Publication statusPublished - 2010

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