Reduction of inappropriate prescriptions in older adults through the support of Asynchronous Geriatric Counseling Online (AGAlink): Implemented in primary care.

<h4>Background/aim</h4>Medication prescription is a fundamental component in the care of the elderly. Several characteristics of aging and geriatric medicine affect prescriptions for these people and make the selection of drug therapy a difficult and complex process. The objective of thi...

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Autores principales:	Annia Marisol Avalos-Mejia, Juan Carlos García-Cruz, Jorge Escobedo de la Peña, Osvaldo Garrido-Acosta, Teresa Juárez-Cedillo
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3d57993b8bf0475588c7cd5e4c0e3da3
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spelling	oai:doaj.org-article:3d57993b8bf0475588c7cd5e4c0e3da32021-12-02T20:12:58ZReduction of inappropriate prescriptions in older adults through the support of Asynchronous Geriatric Counseling Online (AGAlink): Implemented in primary care.1932-620310.1371/journal.pone.0258414https://doaj.org/article/3d57993b8bf0475588c7cd5e4c0e3da32021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258414https://doaj.org/toc/1932-6203<h4>Background/aim</h4>Medication prescription is a fundamental component in the care of the elderly. Several characteristics of aging and geriatric medicine affect prescriptions for these people and make the selection of drug therapy a difficult and complex process. The objective of this study is to develop a geriatric portal for asynchronous online counseling (AGAlink) for use by physicians specializing in family medicine to reduce medication problems among older adult patients in the first level of care.<h4>Method</h4>A qualitative study was carried out in the first level of care at the Mexican Institute of Social Security (IMSS), 31 family doctors were interviewed to identify attitudes, preferences about the use of the AGAlink geriatric portal, as well as their recommendations for the implementation of this tool in their daily practice. For the analysis of the data obtained, a qualitative thematic content analysis was used.<h4>Results</h4>90% of the physicians used the geriatric portal outside office hours without the need for the patient to be present. The perception of the physician towards the use of the AGAlink geriatric portal was favorable, provided relevant information and had several positive effects on the process of care for medical prescription. The barriers identified to accept the change in medication were not having the proposed therapeutic option, lack of any laboratory analysis, continuing to consider their experience for the prescription of the medication.<h4>Conclusions</h4>The AGAlink geriatric portal was a tool that was well received by physicians who expressed a positive attitude, considered an investment of a short time that allowed them to update and learn about strategies to reduce the prescription problems presented among the elderly population. However, the main barrier was the use of technology, especially in the doctors with more seniority in the service.Annia Marisol Avalos-MejiaJuan Carlos García-CruzJorge Escobedo de la PeñaOsvaldo Garrido-AcostaTeresa Juárez-CedilloPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11, p e0258414 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Annia Marisol Avalos-Mejia Juan Carlos García-Cruz Jorge Escobedo de la Peña Osvaldo Garrido-Acosta Teresa Juárez-Cedillo Reduction of inappropriate prescriptions in older adults through the support of Asynchronous Geriatric Counseling Online (AGAlink): Implemented in primary care.
description	<h4>Background/aim</h4>Medication prescription is a fundamental component in the care of the elderly. Several characteristics of aging and geriatric medicine affect prescriptions for these people and make the selection of drug therapy a difficult and complex process. The objective of this study is to develop a geriatric portal for asynchronous online counseling (AGAlink) for use by physicians specializing in family medicine to reduce medication problems among older adult patients in the first level of care.<h4>Method</h4>A qualitative study was carried out in the first level of care at the Mexican Institute of Social Security (IMSS), 31 family doctors were interviewed to identify attitudes, preferences about the use of the AGAlink geriatric portal, as well as their recommendations for the implementation of this tool in their daily practice. For the analysis of the data obtained, a qualitative thematic content analysis was used.<h4>Results</h4>90% of the physicians used the geriatric portal outside office hours without the need for the patient to be present. The perception of the physician towards the use of the AGAlink geriatric portal was favorable, provided relevant information and had several positive effects on the process of care for medical prescription. The barriers identified to accept the change in medication were not having the proposed therapeutic option, lack of any laboratory analysis, continuing to consider their experience for the prescription of the medication.<h4>Conclusions</h4>The AGAlink geriatric portal was a tool that was well received by physicians who expressed a positive attitude, considered an investment of a short time that allowed them to update and learn about strategies to reduce the prescription problems presented among the elderly population. However, the main barrier was the use of technology, especially in the doctors with more seniority in the service.
format	article
author	Annia Marisol Avalos-Mejia Juan Carlos García-Cruz Jorge Escobedo de la Peña Osvaldo Garrido-Acosta Teresa Juárez-Cedillo
author_facet	Annia Marisol Avalos-Mejia Juan Carlos García-Cruz Jorge Escobedo de la Peña Osvaldo Garrido-Acosta Teresa Juárez-Cedillo
author_sort	Annia Marisol Avalos-Mejia
title	Reduction of inappropriate prescriptions in older adults through the support of Asynchronous Geriatric Counseling Online (AGAlink): Implemented in primary care.
title_short	Reduction of inappropriate prescriptions in older adults through the support of Asynchronous Geriatric Counseling Online (AGAlink): Implemented in primary care.
title_full	Reduction of inappropriate prescriptions in older adults through the support of Asynchronous Geriatric Counseling Online (AGAlink): Implemented in primary care.
title_fullStr	Reduction of inappropriate prescriptions in older adults through the support of Asynchronous Geriatric Counseling Online (AGAlink): Implemented in primary care.
title_full_unstemmed	Reduction of inappropriate prescriptions in older adults through the support of Asynchronous Geriatric Counseling Online (AGAlink): Implemented in primary care.
title_sort	reduction of inappropriate prescriptions in older adults through the support of asynchronous geriatric counseling online (agalink): implemented in primary care.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/3d57993b8bf0475588c7cd5e4c0e3da3
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Reduction of inappropriate prescriptions in older adults through the support of Asynchronous Geriatric Counseling Online (AGAlink): Implemented in primary care.

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