Related Experiment Video
Updated: Apr 11, 2026
05:10
Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
1.5K
Clinical provider perceptions of proactive medication discontinuation
Amy Linsky1, Steven R Simon, Thomas B Marcello
1VA Boston Healthcare System, 150 S Huntington Ave, Bldg 9, Rm 425 (152G), Boston, MA 02130.
The American Journal of Managed Care
|May 28, 2015
Summary
Provider decisions on stopping unnecessary medications are complex. Factors include drug characteristics, patient status, provider beliefs, and healthcare system issues, impacting costs and patient safety.
Area of Science:
- Medical Informatics
- Health Services Research
- Qualitative Research Methods
Background:
- Polypharmacy and adverse drug events contribute significantly to healthcare costs and patient morbidity.
- Clinical guidelines for discontinuing unnecessary medications are limited, posing challenges for healthcare providers.
Purpose of the Study:
- To explore healthcare providers' beliefs and attitudes regarding polypharmacy.
- To understand provider perspectives on medication discontinuation.
Main Methods:
- Qualitative study involving semi-structured interviews with 20 healthcare providers.
- Grounded thematic analysis of transcribed interviews to identify key themes.
Main Results:
- Ten themes emerged across four domains: medication factors, patient factors, clinical provider factors, and system factors.
- Key themes included medication characteristics, patient adherence, provider professional identity, and system-level issues like workload and policies.
Conclusions:
- Medication discontinuation decisions are influenced by multifaceted factors at individual, patient, and system levels.
- Interventions focusing on medication reviews, patient-provider communication, and system improvements can optimize medication discontinuation.
- Reducing inappropriate prescribing can mitigate adverse outcomes and healthcare expenditures.
More Related Videos
11:17Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive Disorder
Published on: November 25, 2025
886
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
9.4K
Related Concept Videos
01:28Drug Therapy
414
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
414
01:26Psychosis: Goals of Pharmacotherapy
676
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
676
01:15Drug Abuse and Addiction: Pharmacological Phenomena
1.6K
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
1.6K
01:17Drug Dependence
2.0K
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
2.0K
01:23Nonlinear Pharmacokinetics: Dependence of Elimination Half-Life and Dose Clearance
896
The elimination half-life and drug clearance of drugs following nonlinear kinetics can vary with dosage. The Michaelis-Menten parameters and drug concentration influence these factors. As the dose increases, the elimination half-life tends to lengthen, resulting in a reduction in clearance and a disproportionately larger area under the curve. The total clearance can be derived from the Michaelis-Menten equation for drugs following a one-compartment model.
A study on guinea pigs examined the...
A study on guinea pigs examined the...
896
01:20Desensitization and Tachyphylaxis
3.5K
Tachyphylaxis is described as a rapid decrease in response to a drug after repeated or continuous administration of the same drug dose. It is a phenomenon where the body becomes less responsive to a particular substance or intervention over time, requiring higher doses or stronger interventions to achieve the same effect. It results from adaptive changes in the body's receptors, signaling pathways, or physiological processes that occur in response to prolonged exposure to a stimulus.
3.5K