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Deprescribing, shared decision-making, and older people: perspectives in primary care

Polypharmacy is an issue that affects many people, especially older adults, and could result in negative outcomes such as lower medication adherence and an increase in the likelihood of adverse drug reactions. Deprescribing is a possible solution to mitigating this issue. Examining polypharmacy and...

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Autor principal: Alrawiai, Sumaiah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10680318/
https://www.ncbi.nlm.nih.gov/pubmed/38012778
http://dx.doi.org/10.1186/s40545-023-00671-9
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author Alrawiai, Sumaiah
author_facet Alrawiai, Sumaiah
author_sort Alrawiai, Sumaiah
collection PubMed
description Polypharmacy is an issue that affects many people, especially older adults, and could result in negative outcomes such as lower medication adherence and an increase in the likelihood of adverse drug reactions. Deprescribing is a possible solution to mitigating this issue. Examining polypharmacy and deprescribing in primary care settings is important as it could help older adults living in the community and their relatives by lowering their treatment burden and medication cost. Some guidelines have been developed to help with the deprescribing process; however, these guidelines are not applicable to all patients and situations. Thus, the deprescribing process needs to be based mainly on the patient’s current situations, preferences, and values and this could be achieved using shared decision-making. However, some barriers slow down the process to deprescribe in primary care settings and measures should be taken to overcome these barriers. This review aims to examine the current situation of deprescribing, especially in primary care settings, and how SDM can be used to optimize the deprescribing process. To achieve this an illustration using one prominent model in SDM and one prominent model in deprescribing will be presented to showcase how SDM can be used in the deprescribing process.
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spelling pubmed-106803182023-11-27 Deprescribing, shared decision-making, and older people: perspectives in primary care Alrawiai, Sumaiah J Pharm Policy Pract Review Polypharmacy is an issue that affects many people, especially older adults, and could result in negative outcomes such as lower medication adherence and an increase in the likelihood of adverse drug reactions. Deprescribing is a possible solution to mitigating this issue. Examining polypharmacy and deprescribing in primary care settings is important as it could help older adults living in the community and their relatives by lowering their treatment burden and medication cost. Some guidelines have been developed to help with the deprescribing process; however, these guidelines are not applicable to all patients and situations. Thus, the deprescribing process needs to be based mainly on the patient’s current situations, preferences, and values and this could be achieved using shared decision-making. However, some barriers slow down the process to deprescribe in primary care settings and measures should be taken to overcome these barriers. This review aims to examine the current situation of deprescribing, especially in primary care settings, and how SDM can be used to optimize the deprescribing process. To achieve this an illustration using one prominent model in SDM and one prominent model in deprescribing will be presented to showcase how SDM can be used in the deprescribing process. BioMed Central 2023-11-27 /pmc/articles/PMC10680318/ /pubmed/38012778 http://dx.doi.org/10.1186/s40545-023-00671-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Review
Alrawiai, Sumaiah
Deprescribing, shared decision-making, and older people: perspectives in primary care
title Deprescribing, shared decision-making, and older people: perspectives in primary care
title_full Deprescribing, shared decision-making, and older people: perspectives in primary care
title_fullStr Deprescribing, shared decision-making, and older people: perspectives in primary care
title_full_unstemmed Deprescribing, shared decision-making, and older people: perspectives in primary care
title_short Deprescribing, shared decision-making, and older people: perspectives in primary care
title_sort deprescribing, shared decision-making, and older people: perspectives in primary care
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10680318/
https://www.ncbi.nlm.nih.gov/pubmed/38012778
http://dx.doi.org/10.1186/s40545-023-00671-9
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