Version 1
: Received: 25 July 2024 / Approved: 26 July 2024 / Online: 26 July 2024 (12:48:17 CEST)
How to cite:
Scott, S.; Buac, N.; Bhattacharya, D. An Internationally-Derived Process of Healthcare Professionals’ Proactive Deprescribing Steps and Constituent Activities. Preprints2024, 2024072145. https://doi.org/10.20944/preprints202407.2145.v1
Scott, S.; Buac, N.; Bhattacharya, D. An Internationally-Derived Process of Healthcare Professionals’ Proactive Deprescribing Steps and Constituent Activities. Preprints 2024, 2024072145. https://doi.org/10.20944/preprints202407.2145.v1
Scott, S.; Buac, N.; Bhattacharya, D. An Internationally-Derived Process of Healthcare Professionals’ Proactive Deprescribing Steps and Constituent Activities. Preprints2024, 2024072145. https://doi.org/10.20944/preprints202407.2145.v1
APA Style
Scott, S., Buac, N., & Bhattacharya, D. (2024). An Internationally-Derived Process of Healthcare Professionals’ Proactive Deprescribing Steps and Constituent Activities. Preprints. https://doi.org/10.20944/preprints202407.2145.v1
Chicago/Turabian Style
Scott, S., Natalie Buac and Debi Bhattacharya. 2024 "An Internationally-Derived Process of Healthcare Professionals’ Proactive Deprescribing Steps and Constituent Activities" Preprints. https://doi.org/10.20944/preprints202407.2145.v1
Abstract
Proactive deprescribing is the process of stopping a medicine before harm occurs. This study aimed to specify and validate with an international sample of healthcare professionals, a proactive deprescribing process of steps and constituent activities. We developed a proactive deprescribing process framework of steps which we populated with literature-derived activities required to be undertaken by healthcare professionals. We distributed a survey to healthcare professionals in-ternationally requesting for each activity; the frequency of its occurrence in practice and whether it was important. Extended response questions invited barriers and enablers to deprescribing. The 263 survey respondents were from 25 countries. A proactive deprescribing process was developed comprising four steps: (1) Identify a patient for potential stop of a medicine, (2) Evaluate a patient for potential stop of a medicine, (3) Stop a medicine(s), (4) After a medicine has been stopped, and 17 activities. All activities were considered important by ≥70% respondents. Nine activities re-quired healthcare professionals to undertake in direct partnership with the patient and/or care-giver, of which seven were only sometimes undertaken. Deprescribing interventions should focus on addressing the barriers and enablers of healthcare professionals undertaking the activities that require direct partnership with the patient and/or caregiver.
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
