Attitudes and beliefs of patients and primary caregivers towards deprescribing in a tertiary health care facility

Autor: Narayan Gaurang, Rajendran Priyadharsini, Kandan Balamurugesan, Mathiyalagen Prakash, Devanathan Reka
Rok vydání: 2021
Předmět:
Health Knowledge
Attitudes
Practice
Cross-sectional study
mesh:Patients
cross-sectional studies
Pharmaceutical Science
Inappropriate Prescribing
Personal Satisfaction
Pharmacy
mesh:Personal Satisfaction
patients
Deprescriptions
Cohen's kappa
Surveys and Questionnaires
Health care
Prospective cohort study
Original Research
deprescriptions
india
inappropriate prescribing
mesh:Health Knowledge
Attitudes
Practice
mesh:Attitude
mesh:India
Caregivers
Deprescribing
mesh:Caregivers
Elderly age
caregivers
medicine.medical_specialty
Patients
health knowledge attitudes practice
India
RM1-950
Pharmacy and materia medica
Pharmacotherapy
medicine
personal satisfaction
mesh:Inappropriate Prescribing
business.industry
RS1-441
Cross-Sectional Studies
Attitude
mesh:Cross-Sectional Studies
mesh:Deprescriptions
attitude
Family medicine
surveys and questionnaires
mesh:Surveys and Questionnaires
Therapeutics. Pharmacology
business
Zdroj: Pharmacy Practice, Vol 19, Iss 3, p 2350 (2021)
Pharmacy Practice (Granada) v.19 n.3 2021
SciELO España. Revistas Científicas Españolas de Ciencias de la Salud
instname
Pharmacy Practice
ISSN: 1886-3655
1885-642X
DOI: 10.18549/pharmpract.2021.3.2350
Popis: Background: Good prescribing practices form the essence of drug therapy for better patient care. The major aim of better prescribing is to improve rational prescribing. Deprescribing gained momentum in recent decades. Objective: This study aimed to explore the attitude and beliefs of deprescribing among patients and their caregivers forming dyads in a tertiary health care facility. Methods: Cross-sectional, questionnaire-based prospective study done for two months. Attitude towards deprescribing was assessed by using validated rPATD (revised Patient attitude towards deprescribing) questionnaire. Cohen's kappa coefficient was used to measure the agreement between the views of people and their caregivers forming dyads about medication cessation. Results: 312 patients and caregivers (156 forming dyads) participated in the study. Among 156 patients, 25.6% were hypertensives & 21.2% had diabetes. 41.7% were between 36-50 years of age. Only 16.7% belong to the elderly age group. 2.5% were taking >5 medications. 43.6% of patients and 62.2% of caregivers were female. 51.3% of the patients were willing to stop one or more of their regular medicine(s) under the treating physician's advice, but 62% were satisfied with their current medicine(s). 33.4% were reluctant to stop taking medicines for a long time. Conclusions: In our study, more than 50% of people and their caregivers were willing to try medication cessation under their physician's recommendation. There was moderate agreement between patients and their caregivers in the trial of medication cessation. Thus, the results obtained from this study may help towards improving rationalized prescribing practices in the institutional setup.
Databáze: OpenAIRE
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