30. Polypharmacy and Integrated Care

This chapter delves into the growing issue of polypharmacy, particularly in the context of an aging global population. It highlights the prevalence of multimorbidity and the associated challenges of managing multiple medications, which can lead to adverse drug reactions, increased healthcare costs, and reduced quality of life. The text emphasizes the importance of integrated care approaches to optimize medication management and improve patient outcomes. It explores various strategies for conducting polypharmacy reviews, including a seven-step process that considers patient priorities, medication necessity, effectiveness, and safety. The chapter also discusses the role of patient-centered decision-making and the importance of involving patients in their treatment plans. Additionally, it presents case studies from different countries, showcasing successful polypharmacy management programs and the key principles that contributed to their success. The text concludes with recommendations for implementing polypharmacy programs and measuring their effectiveness, providing a roadmap for healthcare professionals to improve medication safety and patient care.