Table 5.
Presentation of the Zoom polls and the participants’ responses during the workshops.
| Zoom polls | Responses, n (%) | |||
| Needs for the medication plan (n=13) | ||||
|
|
1. What needs are most important for a medication plan to be safe and usable? (choice of 3) | |||
|
|
|
Easily available in the medical record | 3 (23) | |
|
|
|
Information easy to understand | 4 (31) | |
|
|
|
Same information to everyone involved | 10 (77) | |
|
|
|
One way to communicate | 2 (15) | |
|
|
|
Can be printed in paper | 4 (31) | |
|
|
|
Clear agreement about responsibilities | 11 (85) | |
|
|
|
“Contact person” for continuity | 5 (38) | |
|
|
2. How will a medication plan be accessible for those needing it? (multiple choices) | |||
|
|
|
Displayed in the EHRa within the regional health care system | 5 (38) | |
|
|
|
Be visible digitally at 1177b | 10 (77) | |
|
|
|
Be visible digitally in the NPOb,c | 8 (62) | |
|
|
|
Be printed on paper | 4 (31) | |
|
|
|
Within the medication list | 12 (92) | |
|
|
|
Do not know | 0 (0) | |
|
|
3. A clear division of responsibilities between persons included is (single choice) | |||
|
|
|
Very important | 11 (85) | |
|
|
|
Important | 2 (15) | |
|
|
|
Not that important | 0 (0) | |
|
|
|
Unimportant | 0 (0) | |
|
|
|
Do not know | 0 (0) | |
|
|
4. The medication plan must be completed during the visit to a physician (single choice) | |||
|
|
|
Yes, it should be ready to hand over at the visit. | 6 (46) | |
|
|
|
No, it can be sent home or be available in 1177b and NPOb after the visit. | 6 (46) | |
|
|
|
Unimportant | 0 (0) | |
|
|
|
Do not know | 1 (8) | |
| Function and content requirements for the medication plan (n=13) | ||||
|
|
5. What information should be included in a medication plan? (multiple choices) | |||
|
|
|
Why the treatment is initiated | 10 (77) | |
|
|
|
Treatment aim | 13 (100) | |
|
|
|
When a medication will be reevaluated | 11 (85) | |
|
|
|
How a medication will be followed up | 9 (69) | |
|
|
|
Who will do the tests, measures, and take blood sample | 8 (62) | |
|
|
|
Clear agreement | 7 (54) | |
|
|
|
Who will follow up the treatment | 10 (77) | |
|
|
6. Who will use the medication plan? (multiple choices) | |||
|
|
|
The patient | 13 (100) | |
|
|
|
Next of kin | 12 (92) | |
|
|
|
Physicians | 12 (92) | |
|
|
|
Nurses in home health care | 12 (92) | |
|
|
|
Home care service staff | 7 (54) | |
|
|
|
Care coordinators | 13 (100) | |
|
|
|
Nurse in telephone counseling | 8 (62) | |
|
|
|
Other | 1 (8; pharmacist) | |
|
|
7. When will the medication plan be used? (multiple choices) | |||
|
|
|
At the annual check-up at the primary care center | 12 (92) | |
|
|
|
At all visits to the primary care center concerning medications | 11 (85) | |
|
|
|
At home when you want to know the next step | 7 (54) | |
|
|
|
In-home health care when planning care and treatment | 12 (92) | |
|
|
|
Do not know | 0 (0) | |
|
|
8. How often should a medication plan be updated? (multiple choices) | |||
|
|
|
At each change of medication | 12 (92) | |
|
|
|
At an annual check-up | 9 (69) | |
|
|
|
At each physician’s visit | 2 (15) | |
|
|
|
Unimportant | 0 (0) | |
|
|
|
Do not know | 0 (0) | |
|
|
9. Where should the information be available? (single choice) | |||
|
|
|
Included in the medication list, visible in the health care provider’s EHR, at 1177b and NPOb | 5 (38) | |
|
|
|
As text in a medical note visible in the health care provider’s EHR, at 1177b and NPOb | 3 (23) | |
|
|
|
In a shared care plan, visible in the health care provider’s EHR, 1177b and NPOb | 2 (15) | |
|
|
|
Do not know | 2 (15) | |
|
|
10. Could a medication plan promote safer medication treatment? (single choice) | |||
|
|
|
Yes | 8 (62) | |
|
|
|
Partly | 5 (38) | |
|
|
|
No | 0 (0) | |
|
|
|
Do not know | 0 (0) | |
| Specifications for the medication plan (n=12) | ||||
|
|
11. Do you agree with the summary presentation from the last session? (single choice) | |||
|
|
|
Fully agree | 10 (83) | |
|
|
|
Agree | 2 (17) | |
|
|
|
Partly agree | 0 (0) | |
|
|
|
Do not agree | 0 (0) | |
|
|
12. Where should the medication plan be positioned in the EHR? (single choice) | |||
|
|
|
As a separate care plan within the medical notes | 1 (8) | |
|
|
|
Within the medication list | 11 (92) | |
|
|
|
Do not know | 0 (0) | |
|
|
13. What 3 keywords are the most important in a medication plan, to make it usable and safe? (multiple choices) | |||
|
|
|
Indication (why treatment is given) | 6 (50) | |
|
|
|
Medication (and dosage) | 12 (100) | |
|
|
|
Treatment aim | 8 (67) | |
|
|
|
Effect and side effects | 5 (42) | |
|
|
|
Duration of treatment | 5 (42) | |
|
|
|
Planning and follow-up (in what way) | 10 (83) | |
|
|
|
Responsibility | 4 (33) | |
|
|
14. If it takes 15 min to complete a medication plan, within a 45-min visit, which option do you prioritize? (single choice) | |||
|
|
|
The medication plan is documented during the visit and handed over directly | 8 (67) | |
|
|
|
The medication plan is documented after the visit, available afterwards | 2 (17) | |
|
|
|
Do not know | 2 (17) | |
|
|
15. How safe for patients does the medication plan feel? (single choice) | |||
|
|
|
0=not safe at all | 0 (0) | |
|
|
|
1 | 1 (8) | |
|
|
|
2 | 10 (83) | |
|
|
|
3=very safe | 0 (0) | |
|
|
|
Do not know | 1 (8) | |
|
|
16. How usable does the medication plan feel? (single choice) | |||
|
|
|
0=not usable at all | 0 (0) | |
|
|
|
1 | 0 (0) | |
|
|
|
2 | 7 (58) | |
|
|
|
3=very usable | 5 (42) | |
|
|
|
Do not know | 0 (0) | |
aEHR: electronic health record.
bSecure web interface where patients (1177) and health care professionals (National Patient Overview) can access EHR.
cNPO: National Patient Overview.