British Journal of Clinical Pharmacology,
Год журнала:
2021,
Номер
88(2), С. 452 - 463
Опубликована: Июнь 22, 2021
Community-based
pharmacists
are
an
important
stakeholder
in
providing
continuing
care
for
chronic
multi-morbid
patients,
and
their
role
is
steadily
expanding.
The
aim
of
this
study
to
examine
the
literature
exploring
community-based
pharmacist-initiated
and/or
-led
deprescribing
evaluate
impact
on
success
clinical
outcomes.Library
trials
databases
were
searched
from
inception
March
2020.
Studies
included
if
they
explored
adults,
by
available
English.
Two
reviewers
extracted
data
independently
using
a
pre-agreed
extraction
template.
Meta-analysis
was
not
performed
due
heterogeneity
designs,
types
intervention
outcomes.A
total
24
studies
review.
Results
grouped
based
method
into
four
categories:
educational
interventions;
interventions
involving
medication
review,
consultation
or
therapy
management;
pre-defined
pharmacist-led
collaborative
interventions.
All
resulted
greater
discontinuation
medications
comparison
usual
care.
Educational
reported
financial
benefits
as
well.
Medication
review
pharmacist
can
lead
successful
high-risk
medication,
but
do
affect
risk
rate
falls,
hospitalisations,
mortality
quality
life.
Pharmacist-led
patients
with
mental
illness,
resulting
improves
anticholinergic
side
effects,
memory
Pre-defined
did
reduce
healthcare
resource
consumptions
contribute
savings.
Short
follow-up
periods
prevent
evaluation
long-term
sustainability
interventions.This
systematic
suggests
that
valuable
partners
collaborations,
necessary
monitoring
throughout
tapering
post-follow-up
ensure
intervention.
British Journal of Clinical Pharmacology,
Год журнала:
2019,
Номер
85(5), С. 868 - 892
Опубликована: Янв. 10, 2019
Aims
The
aim
of
this
systematic
review
was
to
explore
health
care
professionals'
attitudes
towards
deprescribing
in
older
people
with
limited
life
expectancy.
Methods
A
literature
search
conducted
from
inception
December
2017
using
MEDLINE,
EMBASE
and
CINAHL.
Studies
were
included
if
they
specifically
concerned
(≥65
years)
expectancy,
including
those
residing
any
type
aged
facility,
or
based
on
representative
patient
profiles.
Results
analyzed
inspired
by
the
Joanna
Briggs
Institute's
method
for
synthesis
qualitative
data.
characterized
a
checklist
reporting
research.
Eight
studies
included.
Six
explored
views
general,
two
focused
psychotropic
agents.
All
eight
physicians,
mostly
general
practitioners,
while
three
also
considered
other
professionals.
Four
themes
related
identified:
(i)
relative
involvement;
(ii)
importance
teamwork;
(iii)
self‐assurance
skills;
(iv)
impact
organizational
factors.
Within
each
these
themes,
3–4
subthemes
identified
analysed.
Conclusions
Our
results
suggest
that
decisions
engage
activities
expectancy
depend
multiple
factors
which
are
highly
interdependent.
Consequently,
there
is
an
urgent
need
more
research
how
approach
clinical
practice
within
population.
Therapeutic Advances in Drug Safety,
Год журнала:
2018,
Номер
9(12), С. 687 - 698
Опубликована: Окт. 20, 2018
Little
is
known
about
the
initiation,
style
and
content
of
patient
healthcare
provider
communication
around
deprescribing.
We
report
findings
from
a
analysis
audio-recorded
discussions
proton
pump
inhibitor
(PPI)
benzodiazepine
deprescribing
in
primary
care.Participants
were
providers
(n
=
13)
care
practices
3)
patients
aged
⩾65
24)
who
chronic
users
PPIs
or
benzodiazepines.
The
EMPOWER
educational
brochures
distributed
prior
to
15)
after
9)
patient's
usual
appointment.
Conversations
coded
using
MEDICODE
analyze
initiated
different
themes,
whether
they
followed
monologue
dialogue
style,
what
extent
thematic
addressed
issues
pertaining
to:
'dosage/instructions,'
'medication
action
efficacy,'
'risk/adverse
effects,'
'attitudes/emotions,'
'adherence'
'follow
up.'
Descriptive
conversations
was
performed
with
comparison
between
received
brochure
before
their
appointments.Patients
mostly
women
(67%)
mean
age
74
±
6
years.
For
PPI
users,
education
resulted
greater
proportion
themes
by
(44%
versus
17%)
maintaining
dialogue-style
(48%
28%).
Among
conversation
initiation
(52%
47%)
similar
both
groups.
for
revealed
that
focused
less
on
more
efficacy'
necessity
stopping
benzodiazepines
likely
stagnate
'if'
rather
than
'how.'The
varied
suggesting
will
need
tailor
accordingly.
British Journal of Clinical Pharmacology,
Год журнала:
2021,
Номер
88(2), С. 452 - 463
Опубликована: Июнь 22, 2021
Community-based
pharmacists
are
an
important
stakeholder
in
providing
continuing
care
for
chronic
multi-morbid
patients,
and
their
role
is
steadily
expanding.
The
aim
of
this
study
to
examine
the
literature
exploring
community-based
pharmacist-initiated
and/or
-led
deprescribing
evaluate
impact
on
success
clinical
outcomes.Library
trials
databases
were
searched
from
inception
March
2020.
Studies
included
if
they
explored
adults,
by
available
English.
Two
reviewers
extracted
data
independently
using
a
pre-agreed
extraction
template.
Meta-analysis
was
not
performed
due
heterogeneity
designs,
types
intervention
outcomes.A
total
24
studies
review.
Results
grouped
based
method
into
four
categories:
educational
interventions;
interventions
involving
medication
review,
consultation
or
therapy
management;
pre-defined
pharmacist-led
collaborative
interventions.
All
resulted
greater
discontinuation
medications
comparison
usual
care.
Educational
reported
financial
benefits
as
well.
Medication
review
pharmacist
can
lead
successful
high-risk
medication,
but
do
affect
risk
rate
falls,
hospitalisations,
mortality
quality
life.
Pharmacist-led
patients
with
mental
illness,
resulting
improves
anticholinergic
side
effects,
memory
Pre-defined
did
reduce
healthcare
resource
consumptions
contribute
savings.
Short
follow-up
periods
prevent
evaluation
long-term
sustainability
interventions.This
systematic
suggests
that
valuable
partners
collaborations,
necessary
monitoring
throughout
tapering
post-follow-up
ensure
intervention.
