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Palliative Medicine, Vol. 22, No. 2, 185-189 (2008)
DOI: 10.1177/0269216307085722

research-article

Access to medications in the community by patients in a palliative setting. A systems analysis

M Lucey

St Francis Hospice, Raheny, Dublin

R McQuillan

St Francis Hospice and Beaumont Hospital, Dublin

A MacCallion

St Francis Hospice, Raheny, Dublin

M Corrigan

St Francis Hospice, Raheny, Dublin

J Flynn

St Francis Hospice, Raheny, Dublin

K Connaire

St Francis Hospice, Raheny, Dublin

This study performed a systems analysis of the process by which patients under the care of a specialist palliative home care obtained medications, and highlighted factors that delay this process. Systems analysis is the science dealing with analysis of complex, large-scale systems and the interactions within those systems. This study used a mixed-methods approach of questionnaires of general practitioners, pharmacists and patients, and a prospective observational study of delays experienced by patients referred to the home care team over a three-month period. This study found the main factors causing delay to be: medications not being in stock in pharmacies, medications not being available on state reimbursed schemes and inability of patients and carers to courier medications.

Key Words: community palliative care • drug availability • systems analysis


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