Back to Search
Start Over
General practitioners' views on polypharmacy and its consequences for patient health care.
- Source :
- BMC Family Practice; 2013, Vol. 14 Issue 1, p119-125, 7p, 1 Diagram, 1 Chart
- Publication Year :
- 2013
-
Abstract
- Background: Multimorbidity is defined as suffering from coexistent chronic conditions. Multimorbid patients demand highly complex patient-centered care which often includes polypharmacy, taking an average of six different drugs per day. Adverse drug reactions, adverse drug events and medication errors are all potential consequences of polypharmacy. Our study aims to detect the status quo of the health care situation in Saxony's general practices for multimorbid patients receiving multiple medications. We will identify the most common clinical profiles as well as documented adverse drug events and reactions that occur during the treatment of patients receiving multiple medications. We will focus on exploring the motives of general practitioners for the prescription of selected drugs in individual cases where there is evidence of potential drug-drug-interactions and potentially inappropriate medications in elderly patients. Furthermore, the study will explore general practitioners' opinions on delegation of skills to other health professions to support medical care and monitoring of patients receiving multiple medications. Methods/design: This is a retrospective cross sectional study using mixed methods. Socio-demographic data as well as diagnoses, medication regimens and clinically important events will be analyzed retrospectively using general practitioners documentation in patients' records. Based on these data, short vignettes will be generated and discussed by general practitioners in qualitative telephone interviews. Discussion: To be able to improve outpatient health care management for patients receiving multiple medications, the current status quo of care, risk factors for deficient treatment and characteristics of concerned patients must be investigated. Furthermore, it is necessary to understand the physicians' decision making process regarding treatment. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHRONIC diseases
CONTENT analysis
DISEASES
DRUGS
EXPERIMENTAL design
INTERVIEWING
RESEARCH methodology
CASE studies
GENERAL practitioners
QUESTIONNAIRES
RESEARCH funding
TELEPHONES
QUALITATIVE research
CROSS-sectional method
RETROSPECTIVE studies
DATA analysis software
PHYSICIANS' attitudes
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 14712296
- Volume :
- 14
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- BMC Family Practice
- Publication Type :
- Academic Journal
- Accession number :
- 90279843
- Full Text :
- https://doi.org/10.1186/1471-2296-14-119