Table 3 Labels and categories of actual situation of home healthcare and pharmacists in medically underpopulated areas
Main labels | Subcategory | Category |
|---|---|---|
The desire to end up at home | Problems specific to home healthcare | Psychological and social factors of the patient |
Living with low levels of medical dependency, Minimal use of welfare services, Refusal to intervene from non-caregivers due to financial considerations. | Resistance to home healthcare | |
Refusal to accompany clients to outpatient clinics | Refusal to support intervention | |
Difficulties in home care for users requiring nursing care 3 and above | Difficulties with home healthcare | |
Areas where people are treated at home to the limit, Old age and few medical resources, Elderly care and limited medical resources, The lives of users who can no longer drive, Inability to obtain out-of-hospital prescriptions in close proximity, Inconvenience of not having a dispensing pharmacy | Characteristics of depopulated areas | Life, environmental, and institutional factors |
Limitations of health care resources in the Misugi area | Limitations of healthcare resources | |
Limitations of human resources of home care nurses | Limitations of human resources | |
Relationships with families of older people with dementia, Lack of understanding of families of elderly household members with dementia, Lack of engagement with families, How to deal with family members, | Family relationships | |
The need for home visiting services in depopulated areas, Transition to home visiting services | The need for home healthcare | |
Patients unable to pick up their medicines on their own | Restrictions on means of transport | |
Economic burden due to health services, Restriction of use of services due to financial burden | Economic burden | |
Limits on the number of visits by pharmacists | Factors in the health and care system | |
Ease of multidisciplinary collaboration, Good system of collaboration with multiple professions, Practice of multidisciplinary collaboration with visiting nurses, Confirmation of medication status by multidisciplinary staff, Experience of multidisciplinary cooperation | Multidisciplinary collaboration | Current state of multidisciplinary collaboration |
The need for multidisciplinary help | The need for multidisciplinary collaboration | |
Economic burden on operators, Limited establishments and day services, Withdrawal of establishments due to declining numbers of users | Issues for providers | Problems faced by business establishments |
Good relationship with pharmacists, Checking for residual medication and careful medication guidance, Appreciation of drug distribution and medication guidance through visits Satisfaction reported, Satisfaction with the relationship with the pharmacist, Smooth communication | Pharmacist evaluation by other professionals | Evaluation of pharmacists by care managers |
Medicines management and liaison with the attending physician, Residual medication reconciliation, On-site drug management for those unable to manage their medicines, Addressing medication errors, Intervention by pharmacists to identify problems | Role of the visiting pharmacist | |
Current lack of understanding of medicines, Difficulties in answering questions about medicines, Difficulty in understanding terminology, Slippage of questions about medicines | Knowledge of medicines | |
Checking of oral medication status and suggestions for reducing medication, Bridging the gap with the doctor, Good acceptance of explanations from doctors and pharmacists | Pharmacists’ expertise | |
Resignation to inadequate administrative response, The need for support from the public administration | Need for public authorities to collaborate | Need for collaboration with government |
Expectations for medical progress | Expectations for medical progress | Future medical progress |