Realist review: understanding the challenges of medicine optimisation among older people from ethnic minority communities with polypharmacy in primary care.

ABSTRACT:

Introduction

Polypharmacy is growing among older people from ethnic minority communities in the United Kingdom, due to a higher prevalence of chronic conditions like diabetes and cardiovascular diseases. Health disparities and unequal access to healthcare services further complicate treatment. Medicine optimisation aims to identify suboptimal medication use, reduce unnecessary medications, and improve adherence. However, medicine optimisation within ethnic minority communities presents challenges because of cultural differences, language barriers, and systemic issues.

Aims and objectives

To understand how Medicine optimisation works (or does not work) for older people from ethnic minority communities within primary care, identifying what works, for whom, and under what circu

SUBMITTER: Hamed N 

PROVIDER: S-EPMC12625021 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature