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Initial evaluation of a computer-based medication management tool in a geriatric clinic
Thomas R Hornick1, Patricia A Higgins, Charles Stollings
1School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA. Thomas.Hornick@med.va.gov
The American Journal of Geriatric Pharmacotherapy
|May 30, 2006
Summary
The Visual Medication Profile (VMP) is a computer-based tool developed to improve medication management for elderly patients. Both patients and providers found the VMP promising for enhancing communication and adherence.
Area of Science:
- Geriatric Medicine
- Health Informatics
- Patient Adherence
Background:
- Medication regimen management is challenging for elderly patients and providers.
- Existing adherence tools often fail to meet expectations.
Purpose of the Study:
- To describe the development of the Visual Medication Profile (VMP), a computer-based medication management tool.
- To report preliminary evaluation and feedback from geriatric patient and provider focus groups.
Main Methods:
- An interdisciplinary team developed a Web-based VMP integrating pharmacy and patient record systems.
- Mixed methods design, focus groups, and a pilot study were used for data collection.
- Evaluated acceptance, feasibility, and usefulness of the VMP.
Main Results:
- Patients identified challenges including understanding information, multiple providers, and medication name complexity.
- Providers noted communication gaps, data congruence issues, and time constraints.
- Both groups favored a VMP-like tool; pilot study showed varied home use but positive reception.
Conclusions:
- The VMP shows promise for improving patient-provider communication and medication management.
- Its Web-based nature allows for potential adaptation to other healthcare systems.
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