University of Tasmania
Browse
- No file added yet -

Deprescribing medications among patients with multiple prescribers: A socioecological model

Version 2 2024-09-27, 01:29
Version 1 2023-11-23, 01:57
journal contribution
posted on 2024-09-27, 01:29 authored by Armando Silva Almodovar, Michelle Keller, Jiha Lee, Hemalkumar Mehta, Veena Manja, Thanh Phuong Pham Nguyen, Juliessa Pavon, Samuel Terman, Daniel HoyleDaniel Hoyle, Amanda Mixon, Amy Linsky
Deprescribing is the intentional dose reduction or discontinuation of a medication. The development of deprescribing interventions should take into consideration important organizational, interprofessional, and patient-specific barriers that can be further complicated by the presence of multiple prescribers involved in a patient's care. Patients who receive care from an increasing number of prescribers may experience disruptions in the timely transfer of relevant healthcare information, increasing the risk of exposure to drug-drug interactions and other medication-related problems. Furthermore, the fragmentation of healthcare information across health systems can contribute to the refilling of discontinued medications, reducing the effectiveness of deprescribing interventions. Thus, deprescribing interventions must carefully consider the unique characteristics of patients and their prescribers to ensure interventions are successfully implemented. In this special article, an international working group of physicians, pharmacists, nurses, epidemiologists, and researchers from the United States Deprescribing Research Network (USDeN) developed a socioecological model to understand how multiple prescribers may influence the implementation of a deprescribing intervention at the individual, interpersonal, organizational, and societal level. This manuscript also includes a description of the concept of multiple prescribers and outlines a research agenda for future investigations to consider. The information contained in this manuscript should be used as a framework for future deprescribing interventions to carefully consider how multiple prescribers can influence the successful implementation of the service and ensure the intervention is as effective as possible.

History

Publication title

Journal of the American Geriatrics Society

Volume

72

Issue

3

Pagination

660-669:10

eISSN

1532-5415

ISSN

0002-8614

Department/School

Pharmacy

Publisher

WILEY

Publication status

  • Published

Rights statement

Copyright 2023 The Authors. Journal of the American Geriatrics Societypublished by Wiley Periodicals LLC on behalf of The American Geriatrics Society. This is an open access article under the terms of theCreative Commons Attribution-NonCommercial-NoDerivsLicense, which permits use and distribution in anymedium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

UN Sustainable Development Goals

3 Good Health and Well Being

Usage metrics

    School of Pharmacy and Pharmacology

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC