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[Challenges for and potential approaches to deprescribing].
Carina Lundby1,2, Jesper Ryg3,4,5, Anton Pottegård1,2
1Sygehusapotek Fyn, Odense Universitetshospital.
Understanding patient, relative, and healthcare professional attitudes is key to successful deprescribing. Addressing barriers like lack of guidance and resource constraints improves shared decision-making and patient care.
Area of Science:
- Gerontology
- Pharmacology
- Health Services Research
Background:
- Deprescribing medications is crucial for optimizing patient outcomes and reducing polypharmacy.
- Differing attitudes among stakeholders present significant challenges to effective deprescribing.
Purpose of the Study:
- To review and summarize the attitudes of patients, relatives, and healthcare professionals regarding deprescribing.
- To identify barriers and facilitators influencing deprescribing decisions.
Main Methods:
- Systematic review of literature on stakeholder attitudes towards deprescribing.
- Analysis of patient, relative, and healthcare professional perspectives.
Main Results:
- Patients may have conflicting views on stopping medications.
- Relatives significantly influence deprescribing decisions.
- Healthcare professionals face barriers including lack of clear guidance, uncertainty about risks/benefits, and resource limitations.
Conclusions:
- Awareness of diverse stakeholder perspectives is essential for successful deprescribing.
- Structured tools, clear guidelines, and patient involvement can enhance shared decision-making.
- Improving deprescribing practices can lead to better clinical outcomes and patient well-being.
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