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Drug consumption among elderly--a four-year study

L Wagner, V Wahlberg, A M Worning

    Scandinavian Journal of Caring Sciences
    |January 1, 1994
    PubMed
    Summary
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    A Danish nursing home implemented a new medication management system, empowering elderly residents with greater autonomy. This change significantly reduced daily drug consumption among residents, indicating a positive impact of patient-centered care models.

    Area of Science:

    • Gerontology
    • Pharmacology
    • Healthcare Management

    Background:

    • Investigated the impact of a radical structural change in elderly care on medication administration patterns.
    • Focused on a Danish nursing home that underwent comprehensive reorganization in the mid-1980s.
    • Introduced a new model in 1986 allowing residents greater autonomy in managing their own medications.

    Observation:

    • A survey was conducted over four years (1985-1988) involving 48 nursing home residents.
    • Drug administration patterns were analyzed before and after the intervention.
    • Data collected from residents who participated in all four surveys.

    Findings:

    • A significant decrease in the average number of regularly administered drugs per day was observed post-intervention (from 4.6 to 3.6 drugs/person, p < 0.05).

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  • Drug consumption initially reached a minimum immediately after the regimen change.
  • While a slight increase occurred in subsequent years, drug consumption did not return to pre-intervention levels.

    • Implications:

    • Empowering elderly residents with medication self-management can lead to reduced polypharmacy.
    • Patient-centered care models in nursing homes show potential for optimizing drug use.
    • Structural changes in care provision can positively influence medication consumption in geriatric populations.