Medication education of acutely hospitalized older patients.
OBJECTIVE
To determine the amount of time spent providing medication education to older patients, the impact of medication education on patients' knowledge and satisfaction, and barriers to providing medication education.


METHODS
Telephone survey of patients within 48 hours of hospital discharge and direct survey of physicians and pharmacists.


METHODS
Internal medicine ward in a tertiary care teaching hospital.


METHODS
Patients 65 years of age and over regularly taking at least one medication.


METHODS
Patient demographics, medication use, time spent receiving or providing medication education, and satisfaction scores.


RESULTS
Forty-seven respondents with a mean age of 77.1 years reported that physicians spent a mean of 10.5 minutes (range, 0-60 minutes) and pharmacists spent a mean of 5.3 minutes (range, 0-40 minutes) providing medication education. Fifty-one percent reported receiving no education from either physician or pharmacist, and only 30% reported receiving written medication instructions. Respondents were generally quite satisfied with their education. Physicians identified one or more barriers to providing education 51% of the time and pharmacists 80%. Lack of time was the most common barrier (18%) identified by physicians, but pharmacists cited lack of notification of discharge plans (41%) and lack of time (39%) as the main barriers. Respondents made many medication errors and knew little about their medications.


CONCLUSIONS
Although older hospitalized patients received little medication education or written information and made many medication errors with and without medication education, approximately one half of physicians perceived no barriers to providing education.
Alibhai
S M
SM
Department of Medicine, University of Toronto, Ontario, Canada.
Han
R K
RK
Naglie
G
G
D000368:Aged; D003144:Communication Barriers; D004358:Drug Therapy; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008508:Medication Errors; D010349:Patient Compliance; D010353:Patient Education as Topic; D010817:Physician-Patient Relations