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Factors influencing deprescribing for residents in Advanced Care Facilities: insights from General Practitioners in Australia and Sweden

Overview of attention for article published in BMC Family Practice, November 2016
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About this Attention Score

  • Above-average Attention Score compared to outputs of the same age (53rd percentile)

Mentioned by

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2 tweeters

Citations

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14 Dimensions

Readers on

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86 Mendeley
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Title
Factors influencing deprescribing for residents in Advanced Care Facilities: insights from General Practitioners in Australia and Sweden
Published in
BMC Family Practice, November 2016
DOI 10.1186/s12875-016-0551-7
Pubmed ID
Authors

Beata Borgström Bolmsjö, Anna Palagyi, Lisa Keay, Jan Potter, Richard I. Lindley

Abstract

General Practitioners (GPs) are responsible for primary prescribing decisions in most settings. Elderly patients living in Advanced Care Facilities (ACFs) often have significant co-morbidities to consider when selecting an appropriate drug therapy. Careful assessment is required when considering appropriate medication use in frail older patients as they have multiple diseases and thus multiple medication. Many physicians seem reluctant to discontinue other physicians' prescriptions, resulting in further polypharmacy. Therefore it is relevant to ascertain and synthesise the GP views from multiple settings to understand the processes that might promote appropriate deprescribing medications in the elderly. The aims of this study were to 1) compare and contrast behavioural factors influencing the deprescribing practices of GPs providing care for ACF residents in two separate countries, 2) review health policy and ACF systems in each setting for their potential impact on the prescribing of medications for an older person in residential care of the elderly, and 3) based on these findings, provide recommendations for future ACF deprescribing initiatives. A review and critical synthesis of qualitative data from two interview studies of knowledge, attitudes, and behavioural practices held by GPs towards medication management and deprescribing for residents of ACFs in Australia and Sweden was conducted. A review of policies and health care infrastructure was also carried out to describe the system of residential aged care in the both countries. Our study has identified that deprescribing by GPs in ACFs is a complex process and that there are numerous barriers to medication reduction for aged care residents in both countries, both with similarities and differences. The factors affecting deprescribing behaviour were identified and divided into: intentions, skills and abilities and environmental factors. In this study we show that the GPs' behaviour of deprescribing in two different countries is much dependent on the larger health care system. There is a need for more education to both GPs and ACF staff as well as better cooperation between the different health care systems and appropriate monetary incentives for elderly care to achieve better conditions for deprescribing practice.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 86 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 1%
Unknown 85 99%

Demographic breakdown

Readers by professional status Count As %
Researcher 14 16%
Student > Master 12 14%
Student > Ph. D. Student 11 13%
Student > Bachelor 9 10%
Other 8 9%
Other 17 20%
Unknown 15 17%
Readers by discipline Count As %
Medicine and Dentistry 28 33%
Nursing and Health Professions 16 19%
Pharmacology, Toxicology and Pharmaceutical Science 14 16%
Social Sciences 3 3%
Psychology 2 2%
Other 6 7%
Unknown 17 20%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 July 2017.
All research outputs
#7,222,772
of 13,027,664 outputs
Outputs from BMC Family Practice
#751
of 1,295 outputs
Outputs of similar age
#119,022
of 263,037 outputs
Outputs of similar age from BMC Family Practice
#1
of 1 outputs
Altmetric has tracked 13,027,664 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,295 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.3. This one is in the 40th percentile – i.e., 40% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 263,037 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 53% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them