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KMID : 0370220230670020103
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Yakhak Hoeji
2023 Volume.67 No. 2 p.103 ~ p.117
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Barriers to Safe and Effective Medication for Individuals with Sensory Impairment: A Systematic Literature Review
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Lee Jong-Wook
Kwak Na-Young
Han Eun-A
Kang Hye-Young
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Abstract
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Visual impairment (VI) and hearing impairment (HI) are common disabilities whose prevalence increases withage, potentially presenting a major challenge in the future. Identifying the types of obstacles which they encounter duringdrug administration is essential to improve health outcomes. This systematic literature review aimed to identify types ofmedication barriers encountered by individuals with VI or HI to improve their health outcomes. Combination of keywordsindicating VI or HI, barrier, challenge, or difficulty, and drug or medication were used to identify potential studies up toMay 31, 2021, from Ovid Medline, Embase, and Cochrane. Overall, 20 and 17 articles met the predefined eligibilitycriteria for VI and HI, respectively. Individuals with VI were found to encounter difficulties in the entire process ofpharmaceutical therapy, including drug identification, medication management, access to pharmacies, medicationinstructions, drug information (labeling), and communication. Individuals with HI were found to experience challenges incommunication, health literacy, and negative experiences and emotions toward doctors/pharmacists. The drug managementneeds of individuals with VI and HI remain unmet. For safe and effective medication in individuals with VI and HI, itis essential to establish practical solutions, such as providing identification tools for tablets for those with VI, deployingsign language interpreters at designated healthcare institutions and pharmacies for individuals with HI, utilizing noveltechnologies, including audio prescription labeling systems or mobile applications, and providing education for bothhealthcare providers and individuals with disabilities to improve their partnership in drug therapy.
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KEYWORD
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Barrier, Communication, Hearing impairment, Medication, Safety, Visual impairment
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