title: Transitions of care: Medication-related barriers identified by low socioeconomic patients of a federally qualified health center following hospital discharge.
abstract: This article describes a qualitative research study using a semi-structured interview process to describe barriers surrounding medication access, use, and adherence for recently discharged patients of a federally qualified health center. Common themes which emerged were: 1) Team assumptions regarding patient plans to access or appropriately use discharge medications negatively impact adherence; 2) Unmet expectation for care coordination between primary care physician (PCP) and hospital; 3) Disconnect between patients and health care workers leads to disengagement; and 4) Lack of personal contact hinders access to services.
authors.affiliation: Touro College of Pharmacy, New York, NY, United States.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Cope
authors.affiliation: University of Pittsburgh School of Pharmacy, Pittsburgh, PA, United States.
authors.forename: Lauren
authors.initials: L
authors.lastname: Jonkman
authors.affiliation: University of Pittsburgh School of Pharmacy, Pittsburgh, PA, United States.
authors.forename: Karen
authors.initials: K
authors.lastname: Quach
authors.affiliation: University of Pittsburgh School of Pharmacy, Pittsburgh, PA, United States.
authors.forename: John
authors.initials: J
authors.lastname: Ahlborg
authors.affiliation: University of Pittsburgh School of Pharmacy, Pittsburgh, PA, United States. Electronic address: sconnor@pitt.edu.
authors.forename: Sharon
authors.initials: S
authors.lastname: Connor
mesh_terms: D000368:Aged; D003266:Continuity of Patient Care / Q000191:economics / Q000458:organization & administration*; D003299:Cooperative Behavior; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D010351:Patient Discharge; D058007:Physicians, Primary Care / Q000458:organization & administration*; D011203:Poverty; D011369:Professional-Patient Relations; D012959:Socioeconomic Factors
keywords: Access to care; Care transitions; Communication; Disparities; Medication adherence