Elderly patients and the idea of having medication deprescribed: a mixed method study in Portuguese primary health care
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.6/11120 |
Resumo: | Introduction Deprescribing is the process of tapering or stopping medications aiming at improving patient outcomes and optimising current therapy. Some studies tried to identify which patients will have inappropriate medication deprescribed, but none found any association with sociodemographic and clinical characteristics, number of prescribed medications or time length. Our aim was to determine Portuguese elderly patients’ attitudes and beliefs regarding medication use and their willingness to have regular medications deprescribed. Material and methods We conducted a cross-sectional study in triangulation in primary care centres from mainland Portugal and its autonomous regions. We used a random sample of 386 polymedicated older adult patients that answered the questionnaire between October 2018 and February 2019. For the quantitative analysis, we used sociodemographic characteristics, clinical profile and medication. For the qualitative analysis, we studied an included open-question by coding participants’ answers, common codes were grouped together. Convergent mixed methods design was performed. Results 74.0% expressed the belief that medicines were generally beneficial. 19.9% reported a strong belief that medicines were harmful and 33.4% that they were overused. 61.8% were against the idea of deprescribing and 24.6% were in favour of deprescription. Those against the idea had lower education level (p=0.006) and a higher number of self-perceived morbidities (p=0.001) than those not against it. Conclusions Medication benefits were accepted by the majority of patients who also were against the idea of deprescribing. It is important that doctors are aware of this reality, namely in the primary care setting. Addressing the patients’ fears and beliefs and making the deprescribing process possible. |
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Elderly patients and the idea of having medication deprescribed: a mixed method study in Portuguese primary health carePolypharmacyAgedPatient acceptance of health careDeprescriptionIntroduction Deprescribing is the process of tapering or stopping medications aiming at improving patient outcomes and optimising current therapy. Some studies tried to identify which patients will have inappropriate medication deprescribed, but none found any association with sociodemographic and clinical characteristics, number of prescribed medications or time length. Our aim was to determine Portuguese elderly patients’ attitudes and beliefs regarding medication use and their willingness to have regular medications deprescribed. Material and methods We conducted a cross-sectional study in triangulation in primary care centres from mainland Portugal and its autonomous regions. We used a random sample of 386 polymedicated older adult patients that answered the questionnaire between October 2018 and February 2019. For the quantitative analysis, we used sociodemographic characteristics, clinical profile and medication. For the qualitative analysis, we studied an included open-question by coding participants’ answers, common codes were grouped together. Convergent mixed methods design was performed. Results 74.0% expressed the belief that medicines were generally beneficial. 19.9% reported a strong belief that medicines were harmful and 33.4% that they were overused. 61.8% were against the idea of deprescribing and 24.6% were in favour of deprescription. Those against the idea had lower education level (p=0.006) and a higher number of self-perceived morbidities (p=0.001) than those not against it. Conclusions Medication benefits were accepted by the majority of patients who also were against the idea of deprescribing. It is important that doctors are aware of this reality, namely in the primary care setting. Addressing the patients’ fears and beliefs and making the deprescribing process possible.uBibliorumSimões, Pedro Augusto Gomes Rodrigues MarquesSantiago, Luiz Miguel de Mendonça SoaresXavier, Beatriz de Oliveira2021-03-22T08:57:26Z2021-03-202021-03-20T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.6/11120engSimões P AG R M, Santiago L MM S, Xavier BD O, Simões J AR. Elderly patients and the idea of having medication deprescribed: a mixed method study in Portuguese primary health care. Archives of Medical Science. 2021.1734-192210.5114/aoms/133523info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-12-15T09:53:23Zoai:ubibliorum.ubi.pt:10400.6/11120Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T00:50:58.315682Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Elderly patients and the idea of having medication deprescribed: a mixed method study in Portuguese primary health care |
title |
Elderly patients and the idea of having medication deprescribed: a mixed method study in Portuguese primary health care |
spellingShingle |
Elderly patients and the idea of having medication deprescribed: a mixed method study in Portuguese primary health care Simões, Pedro Augusto Gomes Rodrigues Marques Polypharmacy Aged Patient acceptance of health care Deprescription |
title_short |
Elderly patients and the idea of having medication deprescribed: a mixed method study in Portuguese primary health care |
title_full |
Elderly patients and the idea of having medication deprescribed: a mixed method study in Portuguese primary health care |
title_fullStr |
Elderly patients and the idea of having medication deprescribed: a mixed method study in Portuguese primary health care |
title_full_unstemmed |
Elderly patients and the idea of having medication deprescribed: a mixed method study in Portuguese primary health care |
title_sort |
Elderly patients and the idea of having medication deprescribed: a mixed method study in Portuguese primary health care |
author |
Simões, Pedro Augusto Gomes Rodrigues Marques |
author_facet |
Simões, Pedro Augusto Gomes Rodrigues Marques Santiago, Luiz Miguel de Mendonça Soares Xavier, Beatriz de Oliveira |
author_role |
author |
author2 |
Santiago, Luiz Miguel de Mendonça Soares Xavier, Beatriz de Oliveira |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
uBibliorum |
dc.contributor.author.fl_str_mv |
Simões, Pedro Augusto Gomes Rodrigues Marques Santiago, Luiz Miguel de Mendonça Soares Xavier, Beatriz de Oliveira |
dc.subject.por.fl_str_mv |
Polypharmacy Aged Patient acceptance of health care Deprescription |
topic |
Polypharmacy Aged Patient acceptance of health care Deprescription |
description |
Introduction Deprescribing is the process of tapering or stopping medications aiming at improving patient outcomes and optimising current therapy. Some studies tried to identify which patients will have inappropriate medication deprescribed, but none found any association with sociodemographic and clinical characteristics, number of prescribed medications or time length. Our aim was to determine Portuguese elderly patients’ attitudes and beliefs regarding medication use and their willingness to have regular medications deprescribed. Material and methods We conducted a cross-sectional study in triangulation in primary care centres from mainland Portugal and its autonomous regions. We used a random sample of 386 polymedicated older adult patients that answered the questionnaire between October 2018 and February 2019. For the quantitative analysis, we used sociodemographic characteristics, clinical profile and medication. For the qualitative analysis, we studied an included open-question by coding participants’ answers, common codes were grouped together. Convergent mixed methods design was performed. Results 74.0% expressed the belief that medicines were generally beneficial. 19.9% reported a strong belief that medicines were harmful and 33.4% that they were overused. 61.8% were against the idea of deprescribing and 24.6% were in favour of deprescription. Those against the idea had lower education level (p=0.006) and a higher number of self-perceived morbidities (p=0.001) than those not against it. Conclusions Medication benefits were accepted by the majority of patients who also were against the idea of deprescribing. It is important that doctors are aware of this reality, namely in the primary care setting. Addressing the patients’ fears and beliefs and making the deprescribing process possible. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-03-22T08:57:26Z 2021-03-20 2021-03-20T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.6/11120 |
url |
http://hdl.handle.net/10400.6/11120 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Simões P AG R M, Santiago L MM S, Xavier BD O, Simões J AR. Elderly patients and the idea of having medication deprescribed: a mixed method study in Portuguese primary health care. Archives of Medical Science. 2021. 1734-1922 10.5114/aoms/133523 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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