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Establishing Interprofessional Medication Reviews in Home Care Patients - A Feasibility Study
Carla Meyer-Massetti1,2, Anita Sommer1, Estelle Kaiser1
1Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.
Drug, Healthcare and Patient Safety
|October 14, 2025
Summary
Community pharmacists identified medication problems in home-care patients but faced barriers. Improving interprofessional collaboration and data sharing is crucial for optimizing medication management and deprescribing in this population.
Area of Science:
- Geriatrics
- Pharmacology
- Health Services Research
Background:
- Medication-related problems are common in home-care patients, who are often older, have multiple comorbidities, and take numerous medications.
- Effective communication of drug information is essential for this complex patient group interacting with multiple healthcare professionals.
Purpose of the Study:
- To pilot a standardized approach for interprofessional home-care medication management.
- Focus on deprescribing interventions for at-risk patients.
Main Methods:
- Utilized the interprofessional doMESTIC RISK tool to assess medication-related risk in home-care patients (≥64 years, ≥4 medications).
- Community pharmacists conducted structured medication reviews for high-risk patients.
- Pharmacists communicated recommendations to primary care physicians using a standardized form.
Main Results:
- Of 76 patients with completed risk assessments, 49 qualified for medication reviews.
- Pharmacists identified a median of two medication problems per patient, suggesting potential interventions.
- Physicians accepted 57% of pharmacists' deprescribing recommendations for 18 patients.
Conclusions:
- Structured medication reviews by pharmacists can identify potential improvements in home-care medication management.
- Limited clinical information access and poor interprofessional communication were identified as key barriers.
- Enhanced interprofessional collaboration, structured communication, and shared data platforms are vital for optimizing medication management and deprescribing in home-care settings.
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