{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T16:20:10Z","timestamp":1770567610706,"version":"3.49.0"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T00:00:00Z","timestamp":1656028800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Inappropriate management of medications is a major threat to homebound patients with chronic conditions. Despite many efforts in improving medication reconciliation in ambulatory and inpatient settings, little research has focused on home care settings. In 2016, Taiwan initiated the Integrated Home Health Care programme, which was intended to reduce potentially inappropriate medication management and risks of uncontrolled polypharmacy through the integration of different medication sources for chronic conditions among homebound patients. This study investigated factors associated with having home care physicians as an integrated source of medications for chronic conditions among homebound patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Method<\/jats:title>\n                  <jats:p>This retrospective cohort study enrolled 3142 community-dwelling homebound patients from Taipei City Hospital. Homebound patients\u2019 adherence to using home care physicians as an integrated source of chronic condition medications was defined as having all prescriptions for their chronic conditions prescribed by a single home care physician for at least 6\u2009months. Both patient and home care physician characteristics were analysed. Multivariable logistic regression was applied.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of the 3142 patients with chronic conditions, 1002 (31.9%) had consistently obtained all medications for their chronic illnesses from their home care physicians for 6\u2009months and 2140 (68.1%) had not. The most common chronic diseases among homebound patients were hypertension, diabetes mellitus, dementia, cerebrovascular disease and constipation. Oldest-old patients with poor functional status, fewer daily medications, no co-payment exemption and no recent inpatient experience were more likely to adhere to this medication integration system. In addition, patients whose outpatient physicians were also their home care physicians were more likely to adhere to the system.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The finding suggests that building trust and enhancing communication among homebound patients, caregivers and home care physicians are critical. Patient and provider variations highlight the need for further improvement and policy modification for medication reconciliation and management in home care settings. The improvement in medication management and care integration in home care settings may reduce misuse and polypharmacy and improve homebound patients\u2019 safety.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/intqhc\/mzac055","type":"journal-article","created":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T10:50:54Z","timestamp":1656067854000},"source":"Crossref","is-referenced-by-count":4,"title":["Factors associated with having home care physicians as an integrated source of medications for chronic conditions among homebound patients"],"prefix":"10.1093","volume":"34","author":[{"given":"Jason Jiunshiou","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Taipei City Hospital , Yangming Branch, No. 105, Yusheng Street, Shilin District, Taipei City 111, Taiwan"},{"name":"Institute of Public Health, National Yang Ming Chiao Tung University , No. 155, Sec.2, Linong Street, Taipei City 112, Taiwan"},{"name":"Department of Health and Welfare, University of Taipei , No. 101, Section\u00a02, Zhongcheng Rd, Shilin District, Taipei City 111, Taiwan"},{"name":"Department of Education and Research, Taipei City Hospital , No. 10, Section\u00a04, Ren\u2019ai Rd, Da\u2019an District, Taipei City 106, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsiao-Yun","family":"Hu","sequence":"additional","affiliation":[{"name":"Institute of Public Health, National Yang Ming Chiao Tung University , No. 155, Sec.2, Linong Street, Taipei City 112, Taiwan"},{"name":"Department of Health and Welfare, University of Taipei , No. 101, Section\u00a02, Zhongcheng Rd, Shilin District, Taipei City 111, Taiwan"},{"name":"Department of Education and Research, Taipei City Hospital , No. 10, Section\u00a04, Ren\u2019ai Rd, Da\u2019an District, Taipei City 106, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu-Yi","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Education 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