Back to Journals » Patient Preference and Adherence » Volume 13

Polypharmacy Among Home-Dwelling Older Adults: The Urgent Need for an Evidence-Based Medication Management Model

Authors Pereira F, von Gunten A, Rosselet Amoussou J, De Giorgi Salamun I, Martins MM, Verloo H

Received 30 September 2019

Accepted for publication 23 November 2019

Published 16 December 2019 Volume 2019:13 Pages 2137—2143


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Johnny Chen

Filipa Pereira,1,2 Armin von Gunten,3 Joëlle Rosselet Amoussou,4 Isabella De Giorgi Salamun,5 Maria Manuela Martins,2,6 Henk Verloo1,3

1School of Health Sciences, HES-SO Valais-Wallis, Sion, Switzerland; 2Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal; 3Service of Old Age Psychiatry, Lausanne University Hospital, Lausanne, Switzerland; 4Psychiatry Library, Education and Research Department, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland; 5Service of Pharmacy, Lausanne University Hospital, Lausanne, Switzerland; 6Higher School of Nursing of Porto, Porto, Portugal

Correspondence: Filipa Pereira
School of Health Sciences, HES-SO Valais-Wallis, Chemin de l’Agasse 5, Sion CH-1950, Switzerland
Tel +41 78 666 17 00
Fax +41 27 606 84 00

Abstract: Ageing populations with multiple chronic conditions challenge low-, middle-, and high-income countries. Older adults frequently depend on complex medication regimens and polypharmacy, both of which can lead to potentially devastating and debilitating medication-related problems and to subsequent far-reaching public health, social, and economic effects. This perspectives article provides an overview of the current state of medication management, reflects on its relevance among polymedicated home-dwelling older adults living with multiple chronic conditions, and proposes patient-centered approaches for optimizing medication management and preventing medication-related problems.

Keywords: multiple chronic conditions, medication-related problems, caregivers, interprofessional collaboration, patient-centered care

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]