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GPs' perspectives on prescribing for older people in primary care: a qualitative study

AIMS: The aim of this study was firstly to reveal the determinants of GP prescribing behaviour for older adults in primary care and secondly to elicit GPs' views on the potential role for broad intervention strategies involving pharmacists and/or information technology systems in general practi...

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Autores principales: Riordan, David O., Byrne, Stephen, Fleming, Aoife, Kearney, Patricia M., Galvin, Rose, Sinnott, Carol
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5465342/
https://www.ncbi.nlm.nih.gov/pubmed/28071806
http://dx.doi.org/10.1111/bcp.13233
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author Riordan, David O.
Byrne, Stephen
Fleming, Aoife
Kearney, Patricia M.
Galvin, Rose
Sinnott, Carol
author_facet Riordan, David O.
Byrne, Stephen
Fleming, Aoife
Kearney, Patricia M.
Galvin, Rose
Sinnott, Carol
author_sort Riordan, David O.
collection PubMed
description AIMS: The aim of this study was firstly to reveal the determinants of GP prescribing behaviour for older adults in primary care and secondly to elicit GPs' views on the potential role for broad intervention strategies involving pharmacists and/or information technology systems in general practice. METHODS: Semi‐structured qualitative interviews were carried out with a purposive sample of GPs. Three multidisciplinary researchers independently coded the interview data using a framework approach. Emerging themes were mapped to the Theoretical Domains Framework (TDF), a tool used to apply behaviour change theories. RESULTS: Sixteen GPs participated in the study. The following domains in the TDF were identified as being important determinants of GP prescribing behaviour: ‘Knowledge’, ‘Skills’, ‘Reinforcement’, ‘Memory Attention and Decision Process’, ‘Environmental Context and Resources’, ‘Social Influences’, ‘Social/Professional Role and Identity’. Participants reported that the challenges associated with prescribing for an increasingly older population will require them to become more knowledgeable in pharmacology and drug interactions and they called for extra training in these topics. GPs viewed strategies such as academic detailing sessions delivered by pharmacists or information technology systems as having a positive role to play in optimizing prescribing. CONCLUSION: This study highlights the complexities of behavioural determinants of prescribing for older people in primary care and the need for additional supports to optimize prescribing for this growing cohort of patients. Interventions that incorporate, but are not limited to interprofessional collaboration with pharmacists and information technology systems, were identified by GPs as being potentially useful for improving prescribing behaviour, and therefore require further exploration.
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spelling pubmed-54653422017-06-14 GPs' perspectives on prescribing for older people in primary care: a qualitative study Riordan, David O. Byrne, Stephen Fleming, Aoife Kearney, Patricia M. Galvin, Rose Sinnott, Carol Br J Clin Pharmacol Therapeutics AIMS: The aim of this study was firstly to reveal the determinants of GP prescribing behaviour for older adults in primary care and secondly to elicit GPs' views on the potential role for broad intervention strategies involving pharmacists and/or information technology systems in general practice. METHODS: Semi‐structured qualitative interviews were carried out with a purposive sample of GPs. Three multidisciplinary researchers independently coded the interview data using a framework approach. Emerging themes were mapped to the Theoretical Domains Framework (TDF), a tool used to apply behaviour change theories. RESULTS: Sixteen GPs participated in the study. The following domains in the TDF were identified as being important determinants of GP prescribing behaviour: ‘Knowledge’, ‘Skills’, ‘Reinforcement’, ‘Memory Attention and Decision Process’, ‘Environmental Context and Resources’, ‘Social Influences’, ‘Social/Professional Role and Identity’. Participants reported that the challenges associated with prescribing for an increasingly older population will require them to become more knowledgeable in pharmacology and drug interactions and they called for extra training in these topics. GPs viewed strategies such as academic detailing sessions delivered by pharmacists or information technology systems as having a positive role to play in optimizing prescribing. CONCLUSION: This study highlights the complexities of behavioural determinants of prescribing for older people in primary care and the need for additional supports to optimize prescribing for this growing cohort of patients. Interventions that incorporate, but are not limited to interprofessional collaboration with pharmacists and information technology systems, were identified by GPs as being potentially useful for improving prescribing behaviour, and therefore require further exploration. John Wiley and Sons Inc. 2017-02-08 2017-07 /pmc/articles/PMC5465342/ /pubmed/28071806 http://dx.doi.org/10.1111/bcp.13233 Text en © 2017 The Authors. British Journal of Clinical Pharmacology published by John Wiley & Sons Ltd on behalf of British Pharmacological Society. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Therapeutics
Riordan, David O.
Byrne, Stephen
Fleming, Aoife
Kearney, Patricia M.
Galvin, Rose
Sinnott, Carol
GPs' perspectives on prescribing for older people in primary care: a qualitative study
title GPs' perspectives on prescribing for older people in primary care: a qualitative study
title_full GPs' perspectives on prescribing for older people in primary care: a qualitative study
title_fullStr GPs' perspectives on prescribing for older people in primary care: a qualitative study
title_full_unstemmed GPs' perspectives on prescribing for older people in primary care: a qualitative study
title_short GPs' perspectives on prescribing for older people in primary care: a qualitative study
title_sort gps' perspectives on prescribing for older people in primary care: a qualitative study
topic Therapeutics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5465342/
https://www.ncbi.nlm.nih.gov/pubmed/28071806
http://dx.doi.org/10.1111/bcp.13233
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