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Table 4 Labels and categories of problems for pharmacists in home care in medically underserved areas

From: A qualitative study on the current status and problems of pharmacists in home healthcare from the viewpoint of care managers in medically underpopulated areas in Japan

Main labels

Subcategory

Category

Medication management and guidance on medication, Medication management using a medication calendar, Checking medication status through frequent visits

Patient medication management

Difficulties in medication management

Medication management of patients with dementia living alone, Interventions for the management of medication in patients with dementia

Patient medication management problems

Absence of family members to support the management of medication, Concerns about the medication situation, Resignation to poor compliance, Problems with medication in patients with dementia, Difficulties in managing medication in elderly dementia patients, Giving up on medication for patients with dementia who live alone, Discovery of large quantities of leftover medication, Problems with how medicines are managed, Challenges in stabilising medication compliance

Patient medication problems

Lack of confidence due to lack of knowledge of medicines

Resistance by care managers to collaborating with pharmacists by care managers.

Internal Problems for visiting pharmacists

Lack of engagement with pharmacists

Lack of understanding of pharmacists by care managers

Past failure to get pharmacists to visit, Resignation to the lack of feasibility of pharmacist visits

Visiting pharmacist problems

Medication management by visiting nurses, Dependence on visiting nurses, Smooth cooperation with home care nurses, Consultation with visiting nurses on medication management

Involvement of visiting nurses

Patient care by other professions

Unavoidable accompaniment to medical examinations

Supporting staff in administering medication

Prompting of medication by care managers

Medication management by care managers

Medication administration by caregivers, Checking medication by caregivers and nurses

Checking medication by other professionals

Difficulties in visiting the backcountry, Difficulties in dealing with the backcountry

Difficulties in dealing with remote areas

Factors of concern for pharmacists

Problems that cannot be solved due to unprofitability, Few services in depopulated areas, Areas where home visits are not possible

Problems of healthcare in underpopulated areas