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 th...

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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
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:5aebd311ef79442984d24eb4c182375a2021-11-25T06:19:47ZReduction of inappropriate prescriptions in older adults through the support of Asynchronous Geriatric Counseling Online (AGAlink): Implemented in primary care1932-6203https://doaj.org/article/5aebd311ef79442984d24eb4c182375a2021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8598027/?tool=EBIhttps://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 (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/5aebd311ef79442984d24eb4c182375a
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