Understanding older patients' willingness to have medications deprescribed in primary care: a protocol for a cross-sectional survey study in nine European countries

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Understanding older patients' willingness to have medications deprescribed in primary care : a protocol for a cross-sectional survey study in nine European countries

Luethold, Renata Vidonscky (författare): Univ Bern, Switzerland,University of Bern

Jungo, Katharina Tabea (författare): Univ Bern, Switzerland,University of Bern

Weir, Kristie Rebecca (författare): Univ Bern, Switzerland;Univ Sydney, Australia,University of Bern,University of Sydney

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Geier, Anne-Kathrin (författare): Univ Leipzig, Germany,Leipzig University

Scholtes, Beatrice (författare): Univ Liege, Belgium

Kurpas, Donata (författare): Wroclaw Med Univ, Poland,Wrocław Medical University

Wild, Dorothea M. G. (författare): Univ Bonn, Germany,University Hospital Bonn

Petrazzuoli, Ferdinando (författare): Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups,National Society of Medical Education in General Practice (SNAMID)

Thulesius, Hans (författare): Linnaeus University,Lunds universitet,Linnéuniversitetet,Institutionen för medicin och optometri (MEO),Lund University, Sweden,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups

Lingner, Heidrun (författare): Hannover Med Sch, Germany,Hannover Medical School

Assenova, Radost (författare): Med Univ Plovdiv, Bulgaria

Poortvliet, Rosalinde K. E. (författare): Leiden Univ, Netherlands,Leiden University Medical Centre

Lazic, Vanja (författare): Hlth Ctr Zagreb Ctr, Croatia

Rozsnyai, Zsofia (författare): Univ Bern, Switzerland,University of Bern

Streit, Sven (författare): Univ Bern, Switzerland,University of Bern

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2022-11-30
2022
Engelska.
Ingår i: BMC Geriatrics. - : BioMed Central (BMC). - 1471-2318. ; 22:1

Relaterad länk:: https://doi.org/10.1...; visa fler...; http://dx.doi.org/10... (free); https://urn.kb.se/re...; https://doi.org/10.1...; https://lup.lub.lu.s...; visa färre...

Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

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Introduction: To reduce inappropriate polypharmacy, deprescribing should be part of patients' regular care. Yet deprescribing is difficult to implement, as shown in several studies. Understanding patients' attitudes towards deprescribing at the individual and country level may reveal effective ways to involve older adults in decisions about medications and help to implement deprescribing in primary care settings. In this study we aim to investigate older adults' perceptions and views on deprescribing in different European countries. Specific objectives are to investigate the patients' willingness to have medications deprescribed by medication type and to have herbal or dietary supplements reduced or stopped, the role of the Patient Typology (on medication perspectives), and the impact of the patient-GP relationship in these decisions. Methods and analysis: This cross-sectional survey study has two parts: Part A and Part B. Data collection for Part A will take place in nine countries, in which per country 10 GPs will recruit 10 older patients (>= 65 years old) each (n = 900). Part B will be conducted in Switzerland only, in which an additional 35 GPs will recruit five patients each and respond to a questionnaire themselves, with questions about the patients' medications, their willingness to deprescribe those, and their patient-provider relationship. For both Part A and part B, a questionnaire will be used to assess the willingness of older patients with polypharmacy to have medications deprescribed and other relevant information. For Part B, this same questionnaire will have additional questions on the use of herbal and dietary supplements. Discussion: The international study design will allow comparisons of patient perspectives on deprescribing from different countries. We will collect information about willingness to have medications deprescribed by medication type and regarding herbal and dietary supplements, which adds important information to the literature on patients' preferences. In addition, GPs in Switzerland will also be surveyed, allowing us to compare GPs' and patients' views and preferences on stopping or reducing specific medications. Our findings will help to understand patients' attitudes towards deprescribing, contributing to improvements in the design and implementation of deprescribing interventions that are better tailored to patients' preferences.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Samhällsfarmaci och klinisk farmaci (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Social and Clinical Pharmacy (hsv//eng)

Nyckelord

Deprescribing
Polypharmacy
Primary care
Survey study
Older adults
Gerontologi
Gerontology
Deprescribing
Older adults
Polypharmacy
Primary care
Survey study

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