Does a Consumer-Targeted Deprescribing Intervention Compromise Patient-Healthcare Provider Trust?

作者: Yi Zhang , Justin Turner , Philippe Martin , Cara Tannenbaum

DOI: 10.3390/PHARMACY6020031

关键词:

摘要: One in four community-dwelling older adults is prescribed an inappropriate medication. Educational interventions aimed at patients to reduce medications may cause question their prescriber’s judgment. The objective of this study was determine whether a patient-focused deprescribing intervention compromised trust between and healthcare providers. An educational brochure distributed by community pharmacists order trigger conversations. At baseline 6-months post-intervention, participants completed the Primary Care Assessment Survey, which measures patient doctors pharmacists. Changes were ascertained post-intervention. Proportions with 95% confidence intervals (CI), logistic regression used shift associated predictors. 352 responded questionnaire both time points. majority had no change or gained for items related choice medical care (78.5%, CI = 74.2–82.8), communication transparency (75.4%, 70.7–79.8), overall (81.9%, 77.9–86.0). Similar results obtained participants’ perceptions pharmacists, remaining intact (79.4%, 75.3–83.9), communicating (82.0%, 78.0–86.1), (81.6%, 77.5–85.7). Neither age, sex nor medication class targeted loss trust. Overall, indicate that do not patients’ providers negative direction.

参考文章(26)
Amy T. Page, Christopher D. Etherton-Beer, Rhonda M. Clifford, Sally Burrows, Marnee Eames, Kathleen Potter, Deprescribing in frail older people--Do doctors and pharmacists agree? Research in Social & Administrative Pharmacy. ,vol. 12, pp. 438- 449 ,(2016) , 10.1016/J.SAPHARM.2015.08.011
P. Gallagher, C. Ryan, S. Byrne, J. Kennedy, D. O’Mahony, STOPP (Screening Tool of Older Person's Prescriptions) and START (Screening Tool to Alert doctors to Right Treatment). Consensus validation. principles and practice of constraint programming. ,vol. 46, pp. 72- 83 ,(2008) , 10.5414/CPP46072
Alvin R. Tarlov, Mark Kosinski, Deborah A. Taira, John E. Ware, William H. Rogers, Dana Gelb Safran, Linking primary care performance to outcomes of care. Journal of Family Practice. ,vol. 47, pp. 213- 220 ,(1998)
Dana Gelb Safran, Mark Kosinski, Alvin R. Tarlov, William H. Rogers, Deborah A. Taira, Naomi Lieberman, John E. Ware, The Primary Care Assessment Survey Tests of Data Quality and Measurement Performance Medical Care. ,vol. 36, pp. 728- 739 ,(1998) , 10.1097/00005650-199805000-00012
Sigall K. Bell, Andrew A. White, Jean C. Yi, Joyce P. Yi-Frazier, Thomas H. Gallagher, Transparency When Things Go Wrong: Physician Attitudes About Reporting Medical Errors to Patients, Peers, and Institutions. Journal of Patient Safety. ,vol. 13, pp. 243- 248 ,(2017) , 10.1097/PTS.0000000000000153
Cara Tannenbaum, Philippe Martin, Robyn Tamblyn, Andrea Benedetti, Sara Ahmed, Reduction of Inappropriate Benzodiazepine Prescriptions Among Older Adults Through Direct Patient Education: The EMPOWER Cluster Randomized Trial JAMA Internal Medicine. ,vol. 174, pp. 890- 898 ,(2014) , 10.1001/JAMAINTERNMED.2014.949
S. Weich, H. L. Pearce, P. Croft, S. Singh, I. Crome, J. Bashford, M. Frisher, Effect of anxiolytic and hypnotic drug prescriptions on mortality hazards: retrospective cohort study. BMJ. ,vol. 348, ,(2014) , 10.1136/BMJ.G1996
Mary E. Tinetti, Terri R. Fried, Cynthia M. Boyd, Designing Health Care for the Most Common Chronic Condition—Multimorbidity JAMA. ,vol. 307, pp. 2493- 2494 ,(2012) , 10.1001/JAMA.2012.5265
Robert G Cumming, David G Le Couteur, Benzodiazepines and risk of hip fractures in older people: a review of the evidence. CNS Drugs. ,vol. 17, pp. 825- 837 ,(2003) , 10.2165/00023210-200317110-00004