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[What do primary care physicians think about deprescription?]
E Valverde Bilbao1, A Mendizabal Olaizola1, D Mandaluniz Elgezabal2
1Farmacia de Atención Primaria, Hospital Bidasoa, OSI Bidasoa-Osakidetza, Hondarribia, Gipuzkoa, España.
Journal of Healthcare Quality Research
|April 4, 2020
Summary
Family doctors perceive deprescribing as beneficial, aiming to reduce harm and improve patient circumstances. However, barriers like time constraints and patient resistance hinder its implementation in daily practice.
Area of Science:
- Gerontology
- Pharmacology
- General Practice
Background:
- Deprescribing is crucial for optimizing medication use in patients.
- Understanding healthcare professionals' perspectives is key to successful deprescribing initiatives.
Purpose of the Study:
- To investigate family doctors' perceptions and attitudes towards deprescribing.
- To identify barriers and facilitators influencing deprescribing practices.
Main Methods:
- Cross-sectional study at Organización Sanitaria Integrada Bidasoa.
- Utilized the PACPD-12 questionnaire, translated and adapted for Spanish-speaking family doctors.
- Collected socio-demographic data alongside questionnaire responses.
Main Results:
- High perceived benefit of deprescribing among respondents (100%).
- Top drug classes considered for deprescribing: benzodiazepines, bisphosphonates, proton pump inhibitors.
- Key drivers for deprescribing: reducing adverse effects and minimal patient benefit; facilitators include training and pharmacist alerts. Barriers: time, polypharmacy, patient/family resistance.
Conclusions:
- Family doctors universally view deprescribing positively but face practical challenges.
- Addressing identified barriers and leveraging facilitators are essential for effective deprescribing strategies.
- Further research and targeted interventions are needed to support deprescribing in primary care.
Keywords:
DeprescripciónDeprescriptionEncuestas y cuestionariosFamily doctorsMédicos de familiaSurveys and questionnairesMore Related Videos
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