"I must, and I can live with that": a thematic analysis of patients' perspectives on polypharmacy and a digital decision support system for GPs.

Autor:	Brünn, Robin, Müller, Beate S., Flaig, Benno, Kellermann-Mühlhoff, Petra, Karbach, Ute, Söling, Sara, Muth, Christiane, van den Akker, Marjan, AdAM Study consortium, Düvel, Lara, Beckmann, Till, Hammerschmidt, Reinhard, Jachmich, Julia, Leicher, Eva, Brandt, Benjamin, Richard, Johanna, Meyer, Frank, Flume, Mathias, Müller, Thomas, Gerlach, Ferdinand M.
Předmět:	CAREGIVER attitudes INFORMATION storage & retrieval systems MEDICAL databases POLYPHARMACY PHYSICIAN-patient relations INTERVIEWING MEDICAL personnel PATIENTS' attitudes DECISION support systems QUALITATIVE research PATIENTS' families PRIMARY health care MEDICATION reconciliation THEMATIC analysis
Zdroj:	BMC Family Practice; 8/21/2021, Vol. 22 Issue 1, p1-9, 9p
Abstrakt:	Background: To investigate patients' perspectives on polypharmacy and the use of a digital decision support system to assist general practitioners (GPs) in performing medication reviews. Methods: Qualitative interviews with patients or informal caregivers recruited from participants in a cluster-randomized controlled clinical trial (cRCT). The interviews were transcribed verbatim and analyzed using thematic analysis. Results: We conducted 13 interviews and identified the following seven themes: the patients successfully integrated medication use in their everyday lives, used medication plans, had both good and bad personal experiences with their drugs, regarded their healthcare providers as the main source of medication-related information, discussed medication changes with their GPs, had trusting relationships with them, and viewed the use of digital decision support tools for medication reviews positively. No unwanted adverse effects were reported. Conclusions: Despite drug-related problems, patients appeared to cope well with their medications. They also trusted their GPs, despite acknowledging polypharmacy to be a complex field for them. The use of a digital support system was appreciated and linked to the hope that reasons for selecting specific medication regimens would become more comprehensible. Further research with a more diverse sampling might add more patient perspectives. Trial registration: ClinicalTrials.gov, NCT03430336. Registered on February 6, 2018. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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