An ideal holistic health care model, where an apt, cost-effective and well-timed medicine
is available and the patient is fittingly counseled on his or her medications, is
still a fantasy to most of the common people in a developing country. Factors like
inappropriate medication use, polypharmacy, intentional and nonintentional nonadherence
to medications, high drug costs, present barriers to ideal patient care.
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The complex process of deprescribing is gaining merit as one of the tools that can
reduce the incidence of the previously mentioned issues. In spite of the documented
efficacy of deprescribing in improving patients' outcomes,
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its utility still remains lagging. The suboptimal use of deprescribing can stem from
both patient- and prescriber-related factors. Our study aimed at developing and validating
a novel questionnaire, thus offering the opportunity to correct the shortcomings in
the current system. Because there are no standard questionnaires currently available
to explore the prestated area, the Perceptions, Attitudes, and Challenges of Physicians
towards Deprescribing (PACPD-12) questionnaire has large potential as an exploratory
tool.To read this article in full you will need to make a payment
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References
- Development and validation of the Patients' Attitudes Towards Deprescribing (PATD) questionnaire.Int J Clin Pharm. 2013; 35: 51-56
- Health outcomes associated with potentially inappropriate medication use in older adults.Res Nurs Health. 2008; 31: 42-51
- Safety and benefit of discontinuing statin therapy in the setting of advanced, life-limiting illness: A randomized clinical trial.JAMA Intern Med. 2015; 175: 691-700
- Cost-utility analysis of a treatment advice to discontinue inappropriate long-term antidepressant use in primary care.Fam Pract. 2014; 31: 578-584
- Medication withdrawal trials in people aged 65 years and older.Drugs Aging. 2008; 25: 1021-1031
- Deprescribing trials: Methods to reduce polypharmacy and the impact on prescribing and clinical outcomes.Clin Geriatr Med. 2012; 28: 237-253
- The feasibility and effect of deprescribing in older adults on mortality and health: A systematic review and meta-analysis.Br J Clin Pharm. 2016; 82: 583-623
- Impact of strategies to reduce polypharmacy on clinically relevant endpoints: A systematic review and meta-analysis.Br J Clin Pharm. 2016; 82: 532-548
- Interventions to improve the appropriate use of polypharmacy in older people: A Cochrane systematic review.BMJ Open. 2015; 5: e009235
- India has low doctor to patient ratio, study finds.BMJ. 2015; 351: h5195
Article info
Publication history
Published online: August 30, 2018
Footnotes
The authors declare no conflicts of interest.
Identification
Copyright
© 2018 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
