Interprofessional medication assessment to be made part of the medication of the elderly
Health care must meet the needs of the ageing Finnish population. Citizens must be provided with personalised services in a cost-effective way. New practices must also be developed to enable us to continue providing ageing Finns good care.
Successful pharmacotherapy is a part of comprehensive care. New practices that promote implementation of rational pharmacotherapy should be developed and implemented in health care. In particular, there is a need for practices that can be used for supporting home care clients’ wellbeing and coping at home. The Finnish Interprofessional Medication Assessment (FIMA) provides one solution to manage medication as a part of comprehensive care in the elderly population.
Information spreads in interprofessional teams
Medication assessment is carried out in collaboration between health care professionals. An interprofessional team comprises at least a physician, a nurse and a pharmacist and, when necessary, the client and a family member. The assessment carried out using the FIMA model is based on the information gathered about the client’s health, functional capacity and medication. The health care professionals included in the team come together to assess the client's treatment as a whole and make the necessary changes to the client's medication. This approach enables discussion between team members and, consequently, full use of the expertise available in the team. After the assessment, it is import to also monitor the effects of the changes made.
The Finnish Interprofessional Medication Assessment (FIMA) study examined the effects of medication assessment on medication, functional capacity, quality of life and use of health and home care services in home care patients. The study was carried out as a randomised controlled trial. The results indicate that interprofessional medication assessment can promote rational pharmacotherapy in home care. However, the effects of an individual assessment on clients’ functional capacity, quality of life and use of health and home care services are minimal. It would therefore be important to adopt interprofessional assessment as a constant treatment practice in health care units.
Final report of the study “The Finnish Interprofessional Medication Assessment (FIMA). Effects on medication, functional capacity, quality of life and use of health and home care services in home care patients” (in Finnish).
Interprofessional medication assessment infograph (illustration, in Finnish)