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Supporting medication reconciliation in primary care: a theory-informed qualitative study in Portugal
Raquel Ascenção1, João Costa1, Paula Broeiro-Gonçalves2
1Laboratory of Clinical Pharmacology and Therapeutics, Faculdade de Medicina, https://ror.org/01c27hj86Universidade de Lisboa, Lisbon, Portugal.
Primary Health Care Research & Development
|May 6, 2026
Summary
General Practitioners face barriers to medication reconciliation due to environmental factors and knowledge gaps. Tailored strategies are needed to improve medication safety in primary care.
Area of Science:
- Health Services Research
- Behavioural Science in Medicine
- Primary Care Medicine
Background:
- Medication reconciliation (MedRec) is recommended to reduce medication errors but is inconsistently implemented in primary care.
- Understanding behavioural determinants is crucial for effective MedRec implementation strategies.
Purpose of the Study:
- To explore behavioural factors influencing General Practitioner (GP)-led medication reconciliation (MedRec).
- To inform the development of a theory-informed implementation strategy for MedRec in primary care.
Main Methods:
- Qualitative study with 22 GPs in Portugal.
- Analysis using the Theoretical Domains Framework (TDF).
- Mapping determinants to intervention functions using the Behaviour Change Wheel (BCW) to propose behavioural change techniques (BCTs).
Main Results:
- Environmental context and resources (time, EHRs, patient/professional interactions) were key barriers.
- 'Knowledge' and 'Skills' domains were significant, with definition ambiguity impacting MedRec recognition.
- Proposed BCTs included feedback, self-monitoring, prompts, and environmental restructuring.
Conclusions:
- A theory-informed foundation exists for designing tailored MedRec implementation strategies in Portuguese primary care.
- Further research should assess the feasibility and acceptability of proposed BCTs in real-world settings.
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