The older population is at high risk of medicine-related complications because of the complex regimens, polypharmacy and medication side effects.
1 Medication management is a complicated process that necessitates mental and physical health abilities, a high level of processing and retention of information, all of which may deteriorate with aging. Medication management is defined as “the entire way that medicines are selected, procured, delivered, prescribed, administered and reviewed to optimize the contribution that medicines make to producing informed and desired outcomes of patient care”. Future research should look at recruiting participants from specific ethnic groups and from rural as well as urban areas to explore how medication management operates in different areas of the United Kingdom. Our findings suggest tailored education as a possible intervention to improve medication management amongst these minority groups. Despite extensive searching, the team identified a limited number of studies and a lack of intersectional studies focussing on minority ethnic groups and the older population. Poor communication is perceived as barrier to successful medication management. Poor health literacy around medications influences patients' adherence to treatments.
Misbeliefs around long-term illnesses exert a negative impact on medication management. Three main themes were identified: misbeliefs around medications, poor health literacy, communication and education as possible intervention to improve medication management.
#REGRESS SYNONYM UPDATE#
Nine studies (eight from initial searches, one from a search update in 2021) met the inclusion criteria. A thematic analysis was used to synthesize the results. Studies conducted in the United Kingdom on individuals over 60 years of age and from a minority ethnic background were included. The review was conducted and reported according to methods in the Cochrane Handbook and in the PRISMA 2020 statement using databases such as EMBASE, ASSIA, MEDLINE, PsychINFO and others. The aim of this systematic review was to review the literature focussing on medication management in the older population amongst ethnic minority communities in United Kingdom. Minority ethnic groups in the United Kingdom are at risk of poor medication management because factors such as cultural beliefs, language barriers, lack of knowledge of how the healthcare system works may affect their ability to safely manage their medications. Older people from ethnic minorities experience the intersectionality of age and ethnicity in relation to complex medication management and polypharmacy.
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