Acceptability of a Novel Telemedication Review for Older Adults in Nursing Homes in France: A Qualitative Study
Marie Costa,1,2 Florian Correard,3,4 Maeva Montaleytang,3,4 Karine Baumstarck,5 Sandrine Loubière,5 Kahena Amichi,6 Patrick Villani,7 Stephane Honore,3,4,8 Aurélie Daumas,7 Pierre Verger1,2 1ORS PACA, Southeastern Health Regional Observatory, Marseille, France; 2Aix Marseille U...
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Dove Medical Press
2021
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oai:doaj.org-article:912e267be5d242a3975472b56d1528dd2021-12-02T15:14:32ZAcceptability of a Novel Telemedication Review for Older Adults in Nursing Homes in France: A Qualitative Study1178-1998https://doaj.org/article/912e267be5d242a3975472b56d1528dd2021-01-01T00:00:00Zhttps://www.dovepress.com/acceptability-of-a-novel-telemedication-review-for-older-adults-in-nur-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Marie Costa,1,2 Florian Correard,3,4 Maeva Montaleytang,3,4 Karine Baumstarck,5 Sandrine Loubière,5 Kahena Amichi,6 Patrick Villani,7 Stephane Honore,3,4,8 Aurélie Daumas,7 Pierre Verger1,2 1ORS PACA, Southeastern Health Regional Observatory, Marseille, France; 2Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, IHU-Méditerranée Infection, Marseille, France; 3AP-HM, Service Pharmacie, Hôpital de la Timone, Marseille 13385, France; 4Laboratoire de Pharmacie Clinique, faculté de pharmacie, Aix-Marseille Université, Marseille 13385, France; 5EA3279, Self-Perceived Health Assessment Research Unit, Aix-Marseille University, Marseille 13385, France; 6Direction de la Recherche Clinique et de l’Innovation (DRCI), AP-HM, Marseille 13354, France; 7Service de Médecine Interne Gériatrie et Thérapeutique, CHU Sainte Marguerite, Assistance Publique des Hôpitaux de Marseille (AP-HM), Marseille 13274, France; 8Service de Pharmacie Clinique, Faculté de Pharmacie Timone, Aix-Marseille Université, Marseille F-13000, FranceCorrespondence: Marie Costa Email Mariecosta1212@gmail.comPurpose: In France, polypharmacy among older people living in nursing homes (NH) is a major public health concern. In this context, the randomized controlled trial TEM-EHPAD was recently launched in various NH in southern France to evaluate the impact of implementing a novel telemedication review (TMR) on hospital admission rates of NH residents at high risk of iatrogenic disease. A qualitative study was integrated into the main trial study to assess general practitioners’ (GP) and other NH healthcare professionals’ (HP) acceptability of the proposed TMR before its implementation.Material and Methods: A qualitative study using face-to-face semi-structured interviews was conducted with 16 HP before the beginning of the intervention. A manual thematic analysis was performed on the transcribed interviews.Results: Four main themes emerged from the thematic analysis: HP perceptions of the TMR, difficulties related to medication management for NH residents, HP perceptions of the roles of different professionals, and facilitators of good practices. Most participants were favorable to the TMR, but some GP expressed fears about loss of control over their prescription writing.Conclusion: This study fulfilled its objective to assess pre-intervention acceptability by GP and other HP. Results provided important information about how to adapt the TMR intervention to make it more acceptable to HP who will be involved in TEM-EHPAD. One of the main recommendations is the importance of providing participating GP with the opportunity to take part in the process of reviewing prescriptions.Keywords: qualitative study, telemedicine, older adults, telemedication review, nursing home, acceptability study, satisfaction assessmentCosta MCorreard FMontaleytang MBaumstarck KLoubière SAmichi KVillani PHonore SDaumas AVerger PDove Medical Pressarticlequalitative studytelemedicineolder adultstelemedication reviewnursing homeacceptability studysatisfaction assessmentGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 16, Pp 19-34 (2021) |
| institution |
DOAJ |
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DOAJ |
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EN |
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qualitative study telemedicine older adults telemedication review nursing home acceptability study satisfaction assessment Geriatrics RC952-954.6 |
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qualitative study telemedicine older adults telemedication review nursing home acceptability study satisfaction assessment Geriatrics RC952-954.6 Costa M Correard F Montaleytang M Baumstarck K Loubière S Amichi K Villani P Honore S Daumas A Verger P Acceptability of a Novel Telemedication Review for Older Adults in Nursing Homes in France: A Qualitative Study |
| description |
Marie Costa,1,2 Florian Correard,3,4 Maeva Montaleytang,3,4 Karine Baumstarck,5 Sandrine Loubière,5 Kahena Amichi,6 Patrick Villani,7 Stephane Honore,3,4,8 Aurélie Daumas,7 Pierre Verger1,2 1ORS PACA, Southeastern Health Regional Observatory, Marseille, France; 2Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, IHU-Méditerranée Infection, Marseille, France; 3AP-HM, Service Pharmacie, Hôpital de la Timone, Marseille 13385, France; 4Laboratoire de Pharmacie Clinique, faculté de pharmacie, Aix-Marseille Université, Marseille 13385, France; 5EA3279, Self-Perceived Health Assessment Research Unit, Aix-Marseille University, Marseille 13385, France; 6Direction de la Recherche Clinique et de l’Innovation (DRCI), AP-HM, Marseille 13354, France; 7Service de Médecine Interne Gériatrie et Thérapeutique, CHU Sainte Marguerite, Assistance Publique des Hôpitaux de Marseille (AP-HM), Marseille 13274, France; 8Service de Pharmacie Clinique, Faculté de Pharmacie Timone, Aix-Marseille Université, Marseille F-13000, FranceCorrespondence: Marie Costa Email Mariecosta1212@gmail.comPurpose: In France, polypharmacy among older people living in nursing homes (NH) is a major public health concern. In this context, the randomized controlled trial TEM-EHPAD was recently launched in various NH in southern France to evaluate the impact of implementing a novel telemedication review (TMR) on hospital admission rates of NH residents at high risk of iatrogenic disease. A qualitative study was integrated into the main trial study to assess general practitioners’ (GP) and other NH healthcare professionals’ (HP) acceptability of the proposed TMR before its implementation.Material and Methods: A qualitative study using face-to-face semi-structured interviews was conducted with 16 HP before the beginning of the intervention. A manual thematic analysis was performed on the transcribed interviews.Results: Four main themes emerged from the thematic analysis: HP perceptions of the TMR, difficulties related to medication management for NH residents, HP perceptions of the roles of different professionals, and facilitators of good practices. Most participants were favorable to the TMR, but some GP expressed fears about loss of control over their prescription writing.Conclusion: This study fulfilled its objective to assess pre-intervention acceptability by GP and other HP. Results provided important information about how to adapt the TMR intervention to make it more acceptable to HP who will be involved in TEM-EHPAD. One of the main recommendations is the importance of providing participating GP with the opportunity to take part in the process of reviewing prescriptions.Keywords: qualitative study, telemedicine, older adults, telemedication review, nursing home, acceptability study, satisfaction assessment |
| format |
article |
| author |
Costa M Correard F Montaleytang M Baumstarck K Loubière S Amichi K Villani P Honore S Daumas A Verger P |
| author_facet |
Costa M Correard F Montaleytang M Baumstarck K Loubière S Amichi K Villani P Honore S Daumas A Verger P |
| author_sort |
Costa M |
| title |
Acceptability of a Novel Telemedication Review for Older Adults in Nursing Homes in France: A Qualitative Study |
| title_short |
Acceptability of a Novel Telemedication Review for Older Adults in Nursing Homes in France: A Qualitative Study |
| title_full |
Acceptability of a Novel Telemedication Review for Older Adults in Nursing Homes in France: A Qualitative Study |
| title_fullStr |
Acceptability of a Novel Telemedication Review for Older Adults in Nursing Homes in France: A Qualitative Study |
| title_full_unstemmed |
Acceptability of a Novel Telemedication Review for Older Adults in Nursing Homes in France: A Qualitative Study |
| title_sort |
acceptability of a novel telemedication review for older adults in nursing homes in france: a qualitative study |
| publisher |
Dove Medical Press |
| publishDate |
2021 |
| url |
https://doaj.org/article/912e267be5d242a3975472b56d1528dd |
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