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Table 7 Responses to the open-ended question about factors that might influence deprescription

From: Evaluation of deprescription by general practitioners in elderly people with different levels of dependence: cross-sectional study

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