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dc.contributor.authorSpinks, Jean Marie
dc.contributor.authorKalisch Ellett, Lisa M
dc.contributor.authorSpurling, Geoffrey
dc.contributor.authorTheodoros, Theo
dc.contributor.authorWilliamson, Daniel
dc.contributor.authorWheeler, Amanda J
dc.date.accessioned2019-12-02T04:06:50Z
dc.date.available2019-12-02T04:06:50Z
dc.date.issued2019
dc.identifier.issn2044-6055
dc.identifier.doi10.1136/bmjopen-2019-031369
dc.identifier.urihttp://hdl.handle.net/10072/389436
dc.description.abstractObjectives: One of the outcomes of a medication review service is to identify and manage medication-related problems (MRPs). The most serious MRPs may result in hospitalisation, which could be preventable if appropriate processes of care were adopted. The aim of this study was to update and adapt a previously published set of clinical indicators for use in assessing the effectiveness of a medication review service tailored to meet the needs of Indigenous, please note that the use of the term ‘Indigenous’ in this manuscript includes all Aboriginal and Torres Strait Islander people and acknowledges their rich traditions and heterogenous cultures, people, who experience some of the worst health outcomes of all Australians. Design: A modified Delphi technique was used to: (i) identify additional indicators for consideration, (ii) assess whether the original indicators were relevant in the context of Indigenous health and (iii) reach consensus on a final set of indicators. Three rounds of rating were used via an anonymous online survey, with 70% agreement required for indicator inclusion. Setting: The indicators were designed for use in Indigenous primary care in Australia. Participants: Thirteen panellists participated including medical specialists, general practice doctors, pharmacists and epidemiologists experienced in working with Indigenous patients. Results: Panellists rated 101 indicators (45 from the original set and 57 newly identified). Of these, 41 were accepted unchanged, seven were rejected and the remainder were either modified before acceptance or merged with other indicators. A final set of 81 indicators was agreed. Conclusions: This study provides a set of clinical indicators to be used as a primary outcome measure for medication review services for Indigenous people in Australia and as a prompt for pharmacists and doctors conducting medication reviews.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherBMJ Publishing Group Ltd
dc.publisher.placeUnited Kingdom
dc.relation.ispartofpagefrome031369: 1
dc.relation.ispartofpagetoe031369: 13
dc.relation.ispartofissue11
dc.relation.ispartofjournalBMJ Open
dc.relation.ispartofvolume9
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchOther Medical and Health Sciences
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1199
dc.titleAdaptation of potentially preventable medication-related hospitalisation indicators for indigenous populations in Australia using a modified Delphi technique
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationSpinks, JM; Kalisch Ellett, LM; Spurling, G; Theodoros, T; Williamson, D; Wheeler, AJ, Adaptation of potentially preventable medication-related hospitalisation indicators for indigenous populations in Australia using a modified Delphi technique, BMJ Open, 2019, 9 (11), pp. e031369: 1-e031369: 13
dcterms.licensehttps://creativecommons.org/licenses/by-nc/4.0/
dc.date.updated2019-12-02T03:12:33Z
dc.description.versionPublished
gro.rights.copyright© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
gro.hasfulltextFull Text
gro.griffith.authorWheeler, Amanda
gro.griffith.authorSpinks, Jean M.


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