Instruments for assessing healthcare professionals’ knowledge, attitudes and practices regarding deprescribing: a scoping review protocol
BMJ Open,
Journal Year:
2025,
Volume and Issue:
15(1), P. e095584 - e095584
Published: Jan. 1, 2025
Objective
To
map
instruments
for
assessing
healthcare
professionals’
knowledge,
attitudes
and
practices
regarding
deprescribing.
Introduction
Deprescribing
is
essential
improving
patient
outcomes
by
managing
polypharmacy,
reducing
fall
risks
decreasing
medication
costs.
However,
there
a
limited
exploration
of
perspectives
about
Methods
analysis
Studies
involving
professionals
directly
involved
in
the
use
process
(nurses,
pharmacists
physicians)
will
be
included,
while
those
which
it
not
possible
to
identify
professional
excluded.
Any
definition
deprescribing,
as
well
any
stage
deprescribing
process,
without
clear
employing
whether
validated
or
not,
included.
focusing
on
algorithms
setting
Data
presented
absolute
relative
frequencies,
world
heatmap,
heatmaps,
bar
plots
word
cloud
when
appropriate.
Ethics
dissemination
The
findings
from
this
review
discussed
with
stakeholders
processes.
Additionally,
results
disseminated
through
publications
conference
presentations.
Protocol
registration
https://osf.io/tgjyc/
Language: Английский
Enablers and barriers to community pharmacists’ readiness to implement deprescribing of inappropriate medications for older adults in Qatar
PLoS ONE,
Journal Year:
2025,
Volume and Issue:
20(1), P. e0316363 - e0316363
Published: Jan. 30, 2025
There
is
paucity
of
studies
focused
on
the
enablers
and
barriers
to
community
pharmacists’
readiness
deprescribe
inappropriate
medications
for
older
adults
in
developing
settings.
The
current
study
assessed
implement
deprescribing
adults.
A
cross-sectional
survey
252
pharmacists
was
conducted
Qatar
with
a
pre-tested
24-item
questionnaire
developed
theory
domain
framework.
Information
about
perceived
were
elicited
5-point
Likert-type
scale.
response
rate
79.4%
(200/252).
majority
females
(54.5%),
within
age
range
20–40
years
(88.0%),
had
BSc
/
BPharm
as
highest
educational
qualification
(70.5%),
full-time
employee
(97.0%).
top-ranked
exposure
CPD
use
toolkits
algorithm
(66%),
interprofessional
collaboration
physicians
(60.5%)
shared
electronic
patient
record
(59.5%),
improved
remuneration
re-imbursement
58%).
lack
access
records
ineffective
(66.5%),
time
due
heavy
workload
(65%),
regulatory
framework
that
limit
expansion
clinical
roles
(51%)
intense
focus
sales
target
(49%).
algorithm,
record.
These
findings
bode
well
implementation
pharmacists-led
Qatar.
However,
number
critical
identified,
these
will
require
institutional,
organizational
interventions
improve
readiness.
Language: Английский
Unmet healthcare needs of people with multimorbidity—can community pharmacists close the gap?
International Journal of Pharmacy Practice,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 4, 2025
Abstract
Objectives
Identify
factors
associated
with
unmet
healthcare
needs
in
patients
multimorbidity
and
determine
the
support
community
pharmacists
can
offer
to
meet
these
needs.
Methods
People
were
recruited
from
pharmacies
where
research
assistants
approached
all
asked
them
questions
their
eligibility:
having
two
or
more
chronic
conditions,
being
at
least
18
years
old,
speaking
either
Arabic
English.
Those
who
met
criteria
invited
participate
study.
Consenting
participants
completed
a
survey
designed
based
on
international
guidelines,
utilizing
validated
tools
measure
needs,
quality
of
life,
treatment
burden,
medication
self-efficacy.
Generalized
linear
models
used
identify
predictors
Key
findings
Two
hundred
twenty-four
(response
rate
=
81%).
Participants
indicated
significant
particularly
areas
such
as
communication
relationships
(M
4.4
±
0.9)
information
3.8
0.7).
Higher
education
self-efficacy
lower
for
counselling
(B
−0.966;
P
<
.001
B
−113;
.001,
respectively)
−0.547;
.008
−0.088;
.003,
respectively).
Conclusions
This
study
demonstrated
pharmacists’
potential
address
multimorbidity.
To
optimize
role,
primary
delivery
be
reorganized
empower
complex
Language: Английский
Knowledge and Opinions of Family Physicians in Denizli Regarding Deprescribing
Cagla Sila Nerkiz,
No information about this author
Nilüfer Emre,
No information about this author
Aysun Özşahin
No information about this author
et al.
Eurasian Journal of Family Medicine,
Journal Year:
2025,
Volume and Issue:
14(1), P. 9 - 17
Published: March 30, 2025
Aim:
This
study
aims
to
assess
the
knowledge
and
opinions
of
family
physicians
in
Denizli
regarding
deprescribing.
Method:
descriptive
was
conducted
between
January
April
2024,
involving
working
at
health
centers
Denizli.
The
sociodemographic
characteristics
participants
were
surveyed,
their
about
term
"deprescribing"
evaluated.
Results:
included
223
physicians.
Of
participants,
72.2%
(n=161)
had
not
heard
"deprescribing".
A
total
15.7%
(n=35)
received
training
on
polypharmacy
or
statistically
significant
relationship
found
having
being
familiar
with
its
meaning.
Participants
identified
"polypharmacy"
as
primary
motivating
factor
for
Nonsteroidal
anti-inflammatory
drugs
considered
most
frequent
main
barrier
by
reluctance
interfere
treatment
initiated
another
specialist.
Conclusion:
Although
majority
unfamiliar
meaning,
three-quarters
them
applied
process
last
two
months.
Polypharmacy
deprescribing,
while
intervene
treatments
other
specialists.
Keywords:
knowledge,
polypharmacy,
care
Language: Английский
Awareness, perspectives and practices of antibiotics deprescribing among physicians in Jordan: a cross-sectional study
Journal of Pharmaceutical Policy and Practice,
Journal Year:
2024,
Volume and Issue:
17(1)
Published: July 19, 2024
Background:
Antibiotics
have
significantly
reduced
mortality
and
improved
outcomes
across
various
medical
fields;
however,
the
rise
of
antibiotic
resistance
poses
a
major
challenge,
causing
millions
deaths
annually.
Deprescribing,
process
that
involves
discontinuing
unnecessary
antibiotics,
is
crucial
for
combating
this
threat.
This
study
was
designed
to
assess
knowledge,
perceptions,
practices
physicians
regarding
deprescribing
in
Jordan.
Language: Английский
Characterization of Potentially Inappropriate Medications That Need Special Attention in the Elderly with Dementia by Analyzing Pharmacy Claims Data
Yoshihito Kasanami,
No information about this author
Takashi Yamamoto,
No information about this author
Tomoyoshi Miyamoto
No information about this author
et al.
Biological and Pharmaceutical Bulletin,
Journal Year:
2023,
Volume and Issue:
46(12), P. 1699 - 1705
Published: Nov. 30, 2023
Community
pharmacists
may
play
a
key
role
in
promoting
deprescribing
of
potential
inappropriate
medications
(PIMs)
that
are
highly
prevalent
among
community-dwelling
elderly
with
dementia.
To
characterize
PIMs
categories
need
special
attention
for
dementia
patients,
the
present
study,
we
analyzed
anonymized
pharmacy
claims
data
patients
aged
65
years
and
older
(n
=
333869)
who
visited
nationwide
905
community-based
pharmacies
Sugi
Pharmacy
Co.,
Ltd.
during
December
1-31,
2019.
A
group
was
defined
as
received
typical
marketed
Japan,
i.e.,
donepezil,
galantamine,
memantine
or
rivastigmine,
non-dementia
no
such
medications.
After
propensity
score
matching
on
basis
patients'
age,
gender
home
healthcare
insurance
usage,
11486
each
were
subjected
to
logistic
regression
analyses,
identify
particularly
important
patients.
Univariate
analysis
indicated
proportions
1
2≤
significantly
(p
<
0.001)
greater
than
those
(odds
ratios
1.35
1.47,
respectively).
Multivariate
analyses
identified
5
more
frequently
prescribed
'H2
blockers,'
'drugs
overactive
bladder,'
'anti-diabetes
drugs'
'sulpiride'
listed
non-specific
cases
(adjusted
odds
(aORs):
1.29,
1.91,
1.17,
1.38,
respectively),
addition
'antipsychotics'
only
(aOR:
4.29).
These
results
provide
useful
information
establish
strategies
pharmacist-led
Language: Английский