How does the healthcare system affect medication self-management among older adults with
multimorbidity?
Engelsk titel: How does the healthcare system affect medication self-management among older adults with
multimorbidity?
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Författare:
Summer Meranius, Martina
;
Marmstål Hammar, Lena
Email: martina.summer.meranius@mdh.se
Språk: Eng
Antal referenser: 52
Dokumenttyp:
Artikel
UI-nummer: 16043557
Sammanfattning
ndividuals with multimorbidity commonly have several concurrent prescriptions and experience
healthcare obstacles related to managing different diagnoses and medications. This study aimed to
provide a deeper understanding of how older adults with multimorbidity experience medication self-
management and how this is affected by the healthcare system. The National Board of Research
Ethics approved the study, and 20 older adults with multimorbidity participated in in-depth interviews
that were analysed using a hermeneutic approach. Three levels of interpretation emerged. At the first
level, lack of participation in healthcare communication hinders adherence and safety, and feeling
abandoned to self-care leads to health risk-taking. At the second level, the healthcare organisation is
seen as an obstacle to medication self-management. The overall interpretation was a system of
repairing ‘parts’ but not enabling the experience of health. This study shows that the healthcare
system is able to treat and relieve an individual's symptoms, but seems unable to help them achieve
and promote good health, or to provide the support they need to function in everyday life. Published
by arrangement with John Wiley & Sons.