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Themes associated with uncollected paediatric prescriptions at a large tertiary children's hospital: a retrospective,

Chloe Elizabeth Charlotte Williams1,2, Louise Bracken3, Andrea Gill3

  • 1Royal Liverpool and Broadgreen Hospitals NHS Trust, Liverpool, UK.

BMJ Paediatrics Open
|July 8, 2024
PubMed

Insights

Many children miss out on essential medications due to uncollected prescriptions. Barriers for caregivers, including distance and socioeconomic factors, require urgent intervention to ensure children receive necessary treatments.

Area of Science:

  • Pediatric pharmacology
  • Healthcare access and equity
  • Medication adherence

Background:

  • Uncollected prescriptions represent a significant barrier to pediatric medication access.
  • Identifying systemic themes is crucial for understanding caregiver challenges.

Purpose of the Study:

  • To quantify uncollected prescriptions in a pediatric setting.
  • To identify predisposing factors and systemic themes acting as barriers to medication collection for children.

Main Methods:

  • Retrospective data collection over a 2-month period at a tertiary pediatric center.
  • Analysis of prescription details: drug type, prescriber specialty, and patient postcode.
  • Assessment of socioeconomic factors using the Index of Multiple Deprivation (IMD).

Main Results:

  • 124 uncollected prescriptions involving 94 patients were identified.
  • Gastrointestinal and skin medications were most frequently uncollected (21% and 19% respectively).
  • Patients resided significant distances from the hospital, with many in low socioeconomic areas (42% in lowest IMD decile).

Conclusions:

  • Significant barriers exist for caregivers in collecting pediatric prescriptions.
  • Urgent interventions are necessary to address these barriers.
  • Further prospective studies are recommended to develop targeted solutions.
Abstract

Keywords:
CaregiversHealth services researchPharmacology

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