Trial lecture - time and place
19.09.2025, 10.15, Auditoriet, Gydas vei 8
Risk factors and prevalence of non-adherence in different patient populations
Conferral summary
Globalt utgjør pasienter med flere langvarige tilstander en voksende pasientgruppe, som i stor grad er som følge av økt levealder og flere behandlingsalternativer. Denne pasientgruppen bruker ofte mange legemidler, som gjør det essensielt å sikre trygg og optimal bruk. Funnene fra doktorgradsarbeidet illustrerer det store forbedringspotensialet for optimalisering av legemiddelbruk hos pasienter med flere langvarige tilstander under og etter et sykehusopphold.
Main research findings
The number of patients with multiple long-term conditions is increasing. They often use numerous medications, making it essential to ensure safe and optimal use. In addition, they often experience several care transitions, underlining the importance of accurate and timely transfer of medication information to ensure continuity of care. In this thesis, three studies were conducted to investigate how to optimise medication use in this patient group during and after a hospital stay.
First, a pharmacist-led intervention improved the quality of medication prescribing, but had no effect on deprescribing of inappropriate medications, suggesting that targeted efforts to identify and prevent this can be important to improve patient outcomes. Second, medication discrepancies between the medication list in the discharge summary and medication use after hospital discharge were investigated. Almost all patients had medication discrepancies, and the clinical relevance increased over time, indicating a need for sufficient actions to obtain medication information. Furthermore, this study provides novel insights into why medication discrepancies occur, offering a target for improvements in future healthcare services. Finally, various facilitators and barriers to medication self-management in the transition from hospital to home were identified, suggesting that an overall holistic approach tailored to the individual patient should be implemented.
Read more (in Norwegian)
- Pasientar fekk betre medisinering ved utskriving frå sjukehus når ein farmasøyt vart involvert (forskning.no, 2.4.2023)
- – Sjeldan at ein pasient kjem ut frå sjukehuset med ei riktig legemiddelliste (forskning.no, 23.5.2025)
- Her oppstår ofte feil i legemiddelbruken (forskning.no, 30.6.2025)