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Access to medications in the community by patients in a palliative setting. A systems analysis
M Lucey1, R McQuillan, A MacCallion
1St Francis Hospice, Raheny, Dublin, Ireland. lucey_mike@hotmail.com
Abstract:
This study performed a systems analysis of the process by which patients under the care of a specialist palliative home care obtained medications, and highlighted factors that delay this process. Systems analysis is the science dealing with analysis of complex, large-scale systems and the interactions within those systems. This study used a mixed-methods approach of questionnaires of general practitioners, pharmacists and patients, and a prospective observational study of delays experienced by patients referred to the home care team over a three-month period. This study found the main factors causing delay to be: medications not being in stock in pharmacies, medications not being available on state reimbursed schemes and inability of patients and carers to courier medications.
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