The current demographic panorama in Spain corresponds to an aging population; this
situation is characterized by the need to care for an elderly population, which contains polymedicated
and pluripathological individuals. Polymedication is a criterion of frailty in the elderly and a risk
factor for mortality and morbidity due to the increased risk of drug interactions and medication
errors. There are numerous studies that measure reconciliation at hospital discharge and at admission,
and even the methodology of reconciliation, but we have not found many studies that measure
reconciliation in the context of the COVID-19 pandemic from the point of view of health professionals
regarding difficulties and the strategies carried out, which is essential to begin to glimpse solutions.
Methods. This was a qualitative study based on 21 in-depth interviews and two discussion groups,
conducted between January and April 2021 (13 nurses and 8 doctors, in rural and urban areas). The
discourse was analyzed according to the Taylor–Bodgan model and processed using Atlas.ti software.
Results. The areas altered by the health crisis were access to patients, their reconciliation of medication,
and changes in the care modality, including the greater use of telephone communication, changes
in work organization, and time dedicated to patient care and family work. Difficulties encountered
during COVID-19: change in medication format, the specific characteristics of the patient and their
pathologies, and difficulties arising from communication with the patient and their family. The
strategies applied: the collaboration of home assistants and caregivers, emphasis on patient–health
professional communication, and the use of Information and Communication Technologies (ICT).
Conclusion. The discharge was interrupted by the health crisis caused by COVID-19, in terms of both
the traditional access of patients and by the remote care modalities generated by telemedicine