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Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System

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Prescriber perspectives on low-value prescribing: A qualitative study.

Eric L Walter¹, Alicia Dawdani², Alison Decker²

¹Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Journal of the American Geriatrics Society

|March 12, 2021

Summary

This summary is machine-generated.

Primary care physicians recognize low-value prescribing in older adults as common. Interventions to reduce it must address patient, prescriber, and system factors, minimizing physician burden.

Keywords:

deprescribing low-value care medication value polypharmacy

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Area of Science:

Geriatric Medicine
Health Services Research
Primary Care

Background:

Health systems aim to decrease low-value medication use in older adults.
Physician perspectives on medication value and interventions are not well understood.

Purpose of the Study:

To identify factors influencing medication value and low-value prescribing from primary care physicians' viewpoints.
To understand physician perspectives on interventions aimed at reducing low-value prescribing.

Main Methods:

Qualitative study utilizing semi-structured interviews.
Sixteen primary care physicians from academic and community practices participated.

Main Results:

Low-value prescribing in older adults is common, influenced by medication and patient characteristics.
Causes are multifactorial, involving patients, prescribers, and health systems, leading to default prescribing patterns.
Acceptable interventions must minimize cognitive load and time pressures; increased documentation is less favored.

Conclusions:

Low-value prescribing is a recognized issue among physicians.
Effective interventions require consideration of physician perspectives.
Addressing patient, prescriber, and health system factors is crucial for reducing low-value prescribing.