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Supporting medication reconciliation in primary care

2026-05-06Artigo científico Acesso aberto
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dc.contributor.authorAscenção, Raquel
dc.contributor.authorCosta, João
dc.contributor.authorBroeiro-Gonçalves, Paula
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblCambridge University Press
dc.date.accessioned2026-06-19T14:01:01Z
dc.date.available2026-06-19T14:01:01Z
dc.date.issued2026-05-06
dc.descriptionPublisher Copyright: © The Author(s), 2026. Published by Cambridge University Press.
dc.description.abstractAim: To explore behavioural determinants influencing General Practitioner (GP)-led medication reconciliation (MedRec) and inform the development of a theory-informed implementation strategy tailored to the primary care context. Background: Despite national and international recommendations endorsing MedRec to reduce medication errors, its consistent implementation in primary care remains limited. Methods: We conducted a qualitative study involving GPs working in the largest Health Region in Portugal, building on findings from preceding quantitative studies. Data were analysed using a Theoretical Domains Framework (TDF)-informed approach. Key determinants were mapped to intervention functions using the Behaviour Change Wheel (BCW), and candidate behavioural change techniques (BCTs) were subsequently proposed. Findings: A total of 22 GPs participated in three focus group discussions. The ‘Environmental context and resources’ domain gathered the most coded segments, related to patients, other health professionals, electronic health records, and time constraints, mainly reflecting perceived barriers. ‘Knowledge’ and ‘Skills’ emerged as key domains, with ambiguity in the MedRec definition undermining its explicit recognition and influencing other domains. Facilitators included GPs’ commitment to patient safety aligned with GPs’ professional role. The interplay between barriers and facilitators suggested a cascading effect across domains. Candidate BCTs proposed to address these determinants included feedback on behaviour/outcomes, self-monitoring, prompts/cues, restructuring and adding objects to the environment. This study provides a theory-informed foundation for designing tailored implementation strategies to support MedRec practices in Portuguese primary care. Future work should focus on assessing the appropriateness, feasibility and acceptability of the proposed BCTs within the constraints of real-world primary care settings.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent372152
dc.identifier.doi10.1017/S1463423626101200
dc.identifier.issn1463-4236
dc.identifier.otherPURE: 163573180
dc.identifier.otherPURE UUID: dbfb951a-a4ee-43f9-beb5-fa80a86a766e
dc.identifier.otherScopus: 105038637365
dc.identifier.urihttp://hdl.handle.net/10362/203909
dc.identifier.urlhttps://www.scopus.com/pages/publications/105038637365
dc.language.isoeng
dc.peerreviewedyes
dc.subjectfamily practice
dc.subjectmedication errors/prevention and control
dc.subjectmedication reconciliation
dc.subjectprimary health care
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectCare Planning
dc.subjectSDG 3 - Good Health and Well-being
dc.titleSupporting medication reconciliation in primary careen
dc.title.subtitlea theory-informed qualitative study in Portugalen
dc.typejournal article
degois.publication.titlePrimary Health Care Research and Development
degois.publication.volume27
dspace.entity.typePublication
rcaap.rightsopenAccess

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