Development of a shared decision-making intervention to improve drug safety and to reduce polypharmacy in frail elderly patients living at home.

ABSTRACT:

Objectives

For patients with geriatric frailty, reducing inappropriate medication is an important goal to improve patient safety in primary care. GP-side barriers include knowledge gaps, legal concerns, and lack of communication between the actors involved. The aim was to develop a multi-faceted intervention to facilitate deprescribing and shared prioritisation among frail elderlies with polypharmacy living at home.

Methods

Mixed methods study including: 1) scoping review on family conferences, expert panels; 2) group discussions with GPs, mapping of needs and challenges in Primary Care; 3) workshops and expert interviews with GPs, patient advocates, researchers as a basis for a theoretical intervention model; 4) piloting.

Results

A major challenge for GPs is to condu

SUBMITTER: Drewelow E 

PROVIDER: S-EPMC10194292 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature