Addressing Barriers to Reducing Prescribing and Implementing Deprescribing of Sedative-Hypnotics in Primary Care.

ABSTRACT:

Objective

To describe interventions that target patient, provider, and system barriers to sedative-hypnotic (SH) deprescribing in the community and suggest strategies for healthcare teams.

Data sources

Ovid MEDLINE ALL and EMBASE Classic + EMBASE (March 10, 2021).

Study selection and data extraction

English-language studies in primary care settings.

Data synthesis

20 studies were themed as patient-related and prescriber inertia, physician skills and awareness, and health system constraints. Patient education strategies reduced SH dose for 10% to 62% of participants, leading to discontinuation in 13% to 80% of participants. Policy interventions reduced targeted medication use by 10% to 50%.

Relevance to patient care and clinical practice

Patient engagemen

SUBMITTER: Burry L 

PROVIDER: S-EPMC8899816 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature