PLoS ONE (Jan 2024)

Healthcare provider-related perceptions toward deprescribing inappropriate medications among older adult outpatients.

  • Mohammad Jamil Rababa,
  • Ali Al Ghazo

DOI
https://doi.org/10.1371/journal.pone.0312762
Journal volume & issue
Vol. 19, no. 11
p. e0312762

Abstract

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ObjectivesTo examine healthcare provider-related perceptions toward deprescribing inappropriate medications among older adults.MethodsA cross-sectional, correlational study used a convenience sample of outpatient older adults to measure their perception toward deprescribing using a Patient's Perceptions of Deprescribing (PPoD), which include 57 multiple-choice questions related to patients' sociodemographic data, health, medicines, healthcare providers, and experience of care provided by the clinic. Data were collected by a graduate nursing student from one pharmacy in a public hospital, five days per week, via in-person interviews.ResultsData were analyzed for 200 participants. The level of patient collaboration with their primary care providers (PCPs) is linked to their trust in PCPs, beliefs about medication use, PCP knowledge, and medication concerns (p ConclusionsThe study found that older adults' trust in their PCP, collaboration with their PCP, involvement in the decision-making of deprescribing, and knowledge about medication are associated with clinical and medicine-related factors. Therefore, PCPs should discuss the benefits of deprescribing inappropriate medications to prevent long-term side effects. Future studies should focus on the effectiveness of evidence-based deprescribing protocols for older adults.