Knowledge and willingness of physicians about deprescribing among older patients: a qualitative study

Maha M AlRasheed,1 Tariq M Alhawassi,1–3 Alanoud Alanazi,1 Nouf Aloudah,1 Fowad Khurshid,1 Mohammed Alsultan1 1Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia; 2Medication Safety Research Chair, College of Pharmacy, King Saud University, Ri...

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Autores principales:	Alrasheed MM, Alhawassi TM, Alanazi A, Aloudah N, Khurshid F, Alsultan M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Deprescribing Barrier Enablers Polypharmacy Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/93a9b2ec4cdf4f7d9d0ff1771b56bf50
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spelling	oai:doaj.org-article:93a9b2ec4cdf4f7d9d0ff1771b56bf502021-12-02T07:46:06ZKnowledge and willingness of physicians about deprescribing among older patients: a qualitative study1178-1998https://doaj.org/article/93a9b2ec4cdf4f7d9d0ff1771b56bf502018-08-01T00:00:00Zhttps://www.dovepress.com/knowledge-and-willingness-of-physicians-about-deprescribing-among-olde-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Maha M AlRasheed,1 Tariq M Alhawassi,1–3 Alanoud Alanazi,1 Nouf Aloudah,1 Fowad Khurshid,1 Mohammed Alsultan1 1Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia; 2Medication Safety Research Chair, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia; 3Pharmacy Services, King Saud University Medical City, Riyadh, Saudi Arabia Purpose: This study aimed to explore the physician’s knowledge and identify the perceived barriers that prevent family medicine physicians from engaging in deprescribing among older patients. Methods: This qualitative study was designed and conducted using an interpretive theoretical approach. Purposive sampling was undertaken, whereby family medicine physicians of King Saud University Medical City (KSUMC), Riyadh, Saudi Arabia, were invited to participate in the study. The topic guidelines were designed to give the physicians the freedom to express their views on exploring their knowledge about deprescribing and to identify the perceived barriers and enablers that prevent them from engaging in the practice in older patients. The focus group discussions were conducted in English, audio-taped with permission, and transcribed verbatim. Each transcript was independently reviewed and coded separately to explore the themes and sub-themes. Results: A total of 15 physicians participated in three focus group discussions. Their thematic content analysis identified 24 factors that facilitated or hindered deprescribing. The facilitators included cost-effectiveness and time effectiveness, side effects avoidance, clinical pharmacist’s role, need for system(s) to help in applying deprescribing, and patient counseling/education. Similarly, barriers included lack of knowing the deprescribing term and process, patient comorbidities, risk/fear of conflict between physicians and clinical pharmacists, lack of documentation and communication, lack of time or crowded clinics, and patient resistance/acceptance. Conclusion: The study identified several factors affecting family medicine physician’s deprescribing behavior. The use of theoretical underpinning design helped to provide a comprehensive range of factors that can be directed when defining targets for intervention(s). Keywords: deprescribing, barrier, enablers, polypharmacyAlrasheed MMAlhawassi TMAlanazi AAloudah NKhurshid FAlsultan MDove Medical PressarticleDeprescribingBarrierEnablersPolypharmacyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 1401-1408 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Deprescribing Barrier Enablers Polypharmacy Geriatrics RC952-954.6
spellingShingle	Deprescribing Barrier Enablers Polypharmacy Geriatrics RC952-954.6 Alrasheed MM Alhawassi TM Alanazi A Aloudah N Khurshid F Alsultan M Knowledge and willingness of physicians about deprescribing among older patients: a qualitative study
description	Maha M AlRasheed,1 Tariq M Alhawassi,1–3 Alanoud Alanazi,1 Nouf Aloudah,1 Fowad Khurshid,1 Mohammed Alsultan1 1Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia; 2Medication Safety Research Chair, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia; 3Pharmacy Services, King Saud University Medical City, Riyadh, Saudi Arabia Purpose: This study aimed to explore the physician’s knowledge and identify the perceived barriers that prevent family medicine physicians from engaging in deprescribing among older patients. Methods: This qualitative study was designed and conducted using an interpretive theoretical approach. Purposive sampling was undertaken, whereby family medicine physicians of King Saud University Medical City (KSUMC), Riyadh, Saudi Arabia, were invited to participate in the study. The topic guidelines were designed to give the physicians the freedom to express their views on exploring their knowledge about deprescribing and to identify the perceived barriers and enablers that prevent them from engaging in the practice in older patients. The focus group discussions were conducted in English, audio-taped with permission, and transcribed verbatim. Each transcript was independently reviewed and coded separately to explore the themes and sub-themes. Results: A total of 15 physicians participated in three focus group discussions. Their thematic content analysis identified 24 factors that facilitated or hindered deprescribing. The facilitators included cost-effectiveness and time effectiveness, side effects avoidance, clinical pharmacist’s role, need for system(s) to help in applying deprescribing, and patient counseling/education. Similarly, barriers included lack of knowing the deprescribing term and process, patient comorbidities, risk/fear of conflict between physicians and clinical pharmacists, lack of documentation and communication, lack of time or crowded clinics, and patient resistance/acceptance. Conclusion: The study identified several factors affecting family medicine physician’s deprescribing behavior. The use of theoretical underpinning design helped to provide a comprehensive range of factors that can be directed when defining targets for intervention(s). Keywords: deprescribing, barrier, enablers, polypharmacy
format	article
author	Alrasheed MM Alhawassi TM Alanazi A Aloudah N Khurshid F Alsultan M
author_facet	Alrasheed MM Alhawassi TM Alanazi A Aloudah N Khurshid F Alsultan M
author_sort	Alrasheed MM
title	Knowledge and willingness of physicians about deprescribing among older patients: a qualitative study
title_short	Knowledge and willingness of physicians about deprescribing among older patients: a qualitative study
title_full	Knowledge and willingness of physicians about deprescribing among older patients: a qualitative study
title_fullStr	Knowledge and willingness of physicians about deprescribing among older patients: a qualitative study
title_full_unstemmed	Knowledge and willingness of physicians about deprescribing among older patients: a qualitative study
title_sort	knowledge and willingness of physicians about deprescribing among older patients: a qualitative study
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/93a9b2ec4cdf4f7d9d0ff1771b56bf50
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Knowledge and willingness of physicians about deprescribing among older patients: a qualitative study

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