Home medicines reviews: a quantitative study of the views of recipients and eligible non-recipients

Int J Pharm Pract. 2012 Aug;20(4):209-17. doi: 10.1111/j.2042-7174.2011.00180.x. Epub 2011 Nov 8.


Objective: There is a lack of knowledge regarding recipients' experiences with, perceptions of, and willingness to reuse the Home Medicines Review (HMR) programme in Australia. In addition, little is known about eligible non-recipients' awareness of and willingness to use the HMR service. The aim of the study was therefore to explore perceptions of, and willingness to use, HMRs.

Methods: A cross-sectional questionnaire was conducted with recipients and eligible non-recipients of HMRs. Eligible non-recipients were defined as those who had not had an HMR and were at risk of medication misadventure. The questionnaire was distributed by 264 practising pharmacists throughout Australia.

Results: A total of 595 out of 1893 (31%) HMR recipients and 293 out of 1829 (16%) eligible non-recipients completed the questionnaires. Overall, 91% of recipients were satisfied with the service. Compared with eligible non-recipients, recipients were more willing to have an HMR if their general practitioner (GP) suggested it (91% versus 71%, P < 0.001) and more willing to ask for an HMR if they were having concerns about their medicines (82% versus 63%, P < 0.001). Among eligible non-recipients, 23% were aware of HMRs. Predominantly pharmacists (68%) and GPs (36%) provided awareness of HMRs, which was associated with increased willingness to have an HMR if their GP suggested it (83% versus 67%, P < 0.014).

Conclusions: An overwhelming majority of patients were satisfied with the HMR programme. Experience with HMR, and to a lesser extent, prior awareness, increased willingness to use HMR. Therefore, pharmacists and GPs who introduce HMR to eligible non-recipients may increase their willingness to use this service.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Australia
  • Cross-Sectional Studies
  • Drug Utilization Review / methods*
  • Female
  • General Practitioners
  • Home Care Services / organization & administration*
  • Humans
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care
  • Patient Satisfaction*
  • Perception
  • Pharmaceutical Services / organization & administration*
  • Pharmacists / organization & administration
  • Surveys and Questionnaires