Quality of prescribing and health-related quality of life in older adults: a narrative review with a special focus on patients with atrial fibrillation and multimorbidity

Abstract

Aim: What is the relationship between quality of prescribing and health-related quality of life in older adults with atrial fibrillation and multimorbidity, and what interventions can improve both? Findings: The findings suggest a statistically significant association between PIP and lower health-related quality of life. The review identified various interventions aimed at improving quality of prescribing, including pharmacist-driven, general practitioner-driven, and multidisciplinary approaches. Although some interventions showed improvements in quality of prescribing, the evidence regarding their impact on health-related quality of life remains limited, especially in older adults with atrial fibrillation and multimorbidity. Message: There is a critical need for well-designed studies to address potentially inappropriate prescribing and explore the impact of integrated patient-centred interventions on HRQOL in older adults with atrial fibrillation and multimorbidity.