Categories | Examples | GP, n (%) | |
---|---|---|---|
Conscience | • “Making life easier for the patient who has less medication to take” • “Sensitivity of the impact of each drug on quality of life” | 2 (1.45) | |
Inertia | Attitudes and Beliefs | • “Adverse effects” • “Benefit-risk of the drug” • “Medication intolerance” • “Psychological effect of deprescription on the patient” • “Pharmacodynamics and pharmacokinetics” • “Fears and beliefs of the physician; defensive medicine” | 17 (12.32) |
Behaviour | • “Who prescribed it (GFM versus hospital)” • “Withdrawing medication prescribed by other doctors a long time ago (especially privately)” | 2 (1.45) | |
Self-efficacy | Information/ Influence | • “Non-medical advertising about the medication” • “Association of the drug with the physician who prescribed it, who was very good” • “Lack of communication between specialties” • Non-existence of guidelines • “Opinion of other physicians who follow the patient” | 8 (5.8) |
Capabilities/ Knowledge | • “Physician’s prior knowledge” • “Prior experience with deprescription” • “Unawareness” • “Professional training” | 11 (7.97) | |
Feasibility | Regulation | • “Factors related to clinical governance and safety culture” | 1 (0.72) |
Health culture | 0 | ||
Medical Culture | 0 | ||
Clinical practice | 0 | ||
Resources (psychosocial support) | • “Family/social support • “Existence of alternatives” • “Feedback from pharmacies” • “Other priority actions” • “Consultation time” | 20 (14.49) | |
Patient (will, preference, etc.) | • “The patient’s adhesion” • The patient’s willingness • Acceptance of the patient/relatives • “Background, degree of dependence, frailty” • Patient’s beliefs • Literacy • Economic aspects” | 73 (52.9) | |
Non codable | • “Difficulty in effectively controlling complaints” • “Control test results; controlled diet” • “Changes in habits of the user that no longer justify taking the medication” • “Anxiety disorders/psychiatric illness in general” | 4 (2.9) | |
Total | 138 |