Decision-making about changing medications across transitions of care: Opportunities for enhanced patient and family engagement

Abstract

Background: Older patients often have complex medication regimens, which change as they move across transitions of care. Engagement of older patients and families in making medication decisions across transitions of care is important for safe and high-quality medication management. Aims: To explore decision-making between health professionals, older patients and families about medication changes across transitions of care, and to examine how patient and family engagement is enacted in the process of decision-making in relation to these medication changes. Methods: A focused ethnographic design was undertaken with semi-structured interviews, observations, and reflective focus groups or interv..