Implementing pharmacist-led home medicines reviews within fracture liaison services for better post-fracture care: a qualitative study of patient and practitioner experience
Authors' conclusion
Home medicines review pharmacists delivering multifaceted, collaborative, and patient-centred interventions can support effective transition of care between fracture liaison services and primary care.
Study context
- Population
- Patients and healthcare practitioners responsible for providing osteoporosis services, fracture liaison services in Australia
- Participants
- 56 interviews
- Comparison
- Pharmacists vs Fracture liaison service clinicians vs GPs vs Patients
- Pharmacistsn = 25
- Fracture liaison service cliniciansn = 14
- GPsn = 7
- Patientsn = 10
- Outcome
- How home medicines reviews facilitate transition from fracture liaison service to primary care
Methodological detailsnested within a randomised trial, semi-structured interviews, inductive thematic analysis, deductive directed content analysis using consolidated framework for implementation research (CFIR) domains, Data collection September 2022 to January 2024
- Nested within a randomised trial
- Semi-structured interviews
- Inductive thematic analysis
- Deductive directed content analysis using CFIR domains
- Data collection September 2022 to January 2024
Main finding
As reported in the abstract
- Home medicines review pharmacists perceived as uniquely positioned to favourably influence transition to primary care by identifying gaps in care, promoting patient empowerment, facilitating a GP-patient discussion about bone health and improving coordination of care
Further findings
Factors affecting home medicines review implementation (CFIR domains)
- Individuals: patient and GP engagement and willingness to accept advice, patient preparedness, GP confidence deprescribing
- Innovation: hospital endorsement of home medicines review reports, perception of intervention value, embedded administrative assistants, pharmacist expertise
- Inner setting: role clarity, multidisciplinary teamwork culture, patient-centred focus, scheduling practices, communication systems
- Outer setting: access to telehealth services, a network of mobile pharmacists, appropriate remuneration systems
Original publication
Implementing pharmacist-led home medicines reviews within fracture liaison services for better post-fracture care: a qualitative study of patient and practitioner experience. Osteoporos Int. Published 1 July 2025. doi:10.
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