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Deprescribing for older adults in Australia: factors influencing GPs.
- Source :
- Australian Journal of Primary Health; 2018, Vol. 24 Issue 6, p463-469, 7p
- Publication Year :
- 2018
-
Abstract
- Polypharmacy is increasing among older Australians, raising their risk of experiencing medication-related harm. As part of the prescribing continuum, deprescribing is a strategy proposed to reduce inappropriate polypharmacy. This study explored factors that influence deprescribing among Australian GPs using a new 21-item survey to measure GP attitudes and practices. The 85 GP responses indicated that many factors are supportive of deprescribing. GPs suggest that they are willing to explore their older patients' deprescribing preferences; they believe that they have enough information about the potential harms and benefits of medication to inform their deprescribing decisions and are confident to communicate this information to their patients. GPs did not consider their patients would interpret deprescribing as being 'given up on'. Limited time to review medications, poor communication between prescribers and a perception that other prescribers do not respect their role as overall coordinators of their older patients' medications were considered by respondents to be unsupportive of deprescribing. Overall, despite GPs reporting many supportive factors for deprescribing, the influence of unsupportive factors appears to remain strong, as deprescribing is not routinely considered in practice. [ABSTRACT FROM AUTHOR]
- Subjects :
- DEPRESCRIBING
CHI-squared test
DRUG prescribing
PHYSICIAN-patient relations
GENERAL practitioners
STATISTICS
PHYSICIAN practice patterns
OCCUPATIONAL roles
STATISTICAL significance
CROSS-sectional method
POLYPHARMACY
MEDICATION therapy management
DATA analysis software
PHYSICIANS' attitudes
DESCRIPTIVE statistics
OLD age
PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 14487527
- Volume :
- 24
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Australian Journal of Primary Health
- Publication Type :
- Academic Journal
- Accession number :
- 133607353
- Full Text :
- https://doi.org/10.1071/PY18056