Qualitative insights into general practitioners views on polypharmacy.
Qualitative insights into general practitioners views on polypharmacy.
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DOI：
10.1186/1471-2296-11-65
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发表时间：
2010-09-15
影响因子：
2.9
通讯作者：
Christiaens T
中科院分区：
文献类型：
--
作者：
Anthierens S;Tansens A;Petrovic M;Christiaens T
多种药物在老年人中很常见。本研究的目的是描述全科医生的观点和信念，以确定作用的全科医生在改善处方行为。认识到这些经常建立的信念是理解行为和促进改变的关键，这可以指导行动走向更合理的处方。定性描述方法与半结构化访谈。访谈进行了65个全科医生从该地区的阿尔斯特，一个区的混合城市和农村人口在比利时。本研究的目的是描述全科医生对初级保健中多种药物治疗的看法。全科医生承认，多药治疗在他们的老年患者群体中是一个问题，特别是因为药物不良反应、相互作用和依从性降低的风险。全科医生提到，难以全面了解确切的药物摄入量是多药疗法造成的一个重要问题。患者对药物治疗和自我药物治疗的强烈信念被视为减少药物服用数量的重要障碍。除了这些与患者相关的因素外，还有一些与开处方者相关的因素，例如全科医生缺乏对药物治疗计划的定期评估，以及多名开处方者的参与，特别是在医院环境中。据受访者称，预防和循证医学指南往往会导致多种药物。全科医生指出，在他们的老年患者群体中，多种药物是一个重要的问题。他们认为自己在为患者优化药物治疗方案方面发挥着重要作用。然而，他们没有一个现成的解决方案，多药。解决多种药物的有限选择让全科医生感到无力解决这个问题。需要简单的全科医生友好的工具和获得药学建议。未来在这一领域的研究和干预措施，以改善处方的老年人将不得不把重点放在实用的工具，并考虑到全科医生的无助感。
Polypharmacy is common among older people. The purpose of this study is to describe GPs' views and beliefs on polypharmacy in order to identify the role of the GP in relation to improving prescribing behaviour. The awareness of these often established beliefs is key for understanding behaviour and promoting change which can guide action towards more rational prescribing. A qualitative descriptive methodology was used with semi-structured interviews. Interviews were conducted with 65 GPs from the region of Aalst, a district of a mixed urban and rural population in Belgium. The aim of the study was to describe the GPs' perspectives on polypharmacy in primary care. GPs acknowledge that polypharmacy is a problem in their older patient population, especially because of the risk of adverse drug reactions, interactions and lowered adherence. GPs mention that difficulties in keeping an overview of the exact medication intake is an important problem caused by polypharmacy. The patients' strong belief in their medication and self-medication are seen as important barriers in reducing the number of drugs taken. Next to these patient related factors, there are some factors related to the prescriber, such as the lack of regular evaluation of the medication schedule by GPs and the involvement of several prescribers, especially in a hospital setting. According to the respondents, prevention and evidence based medicine guidelines often induce polypharmacy. GPs point out that polypharmacy is an important problem in their older patient population. They see an important role for themselves in optimizing drug regimens for their patients. However, they do not have a readymade solution for polypharmacy. The limited set of options for addressing polypharmacy leave GPs feeling powerless to tackle the problem. There is a need for simple GP friendly tools and access to pharmacotherapeutic advice. Future research in this area and interventions seeking to improve prescribing for the elderly will have to focus on practical tools and take into account the GPs' sense of helplessness.
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影响因子：
2.2
作者：
Junius-Walker, U.;Theile, G.;Hummers-Pradier, E.
通讯作者：
Hummers-Pradier, E.
影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
--
作者：
Beijer, HJM;de Blaey, CJ
通讯作者：
de Blaey, CJ
影响因子：
5.9
作者：
Hanlon, JT;Weinberger, M;Feussner, JR
通讯作者：
Feussner, JR
影响因子：
2
作者：
SANDELOWSKI, M
通讯作者：
SANDELOWSKI, M