105PHYSICIANS’ ATTITUDES TOWARDS DEPRESCRIBING
Pourquoi ce travail est dans la base
Une base qui oublie comment elle a trouvé un travail ne peut pas être vérifiée. Voici les voies qui ont admis celui-ci.
Notice bibliographique
Résumé
Introduction: Deprescribing has been proposed to address the growing problem of polypharmacy. A local study involving patients attending public primary healthcare clinics in Singapore showed that majority of the patients were keen to have medications deprescribed if deemed appropriate by their prescriber. A survey of Vancouver physicians however showed that while most doctors were keen to deprescribe medications, prescription by another healthcare specialist was a barrier towards deprescribing. While this study was conducted overseas, there is paucity of literature available on the attitudes of doctors towards deprescribing in the local context. Hence this study aimed to elucidate physicians’ attitudes towards deprescribing. Methods: The study was conducted in Tan Tock Seng Hospital (TTSH) from October 2017 to March 2018. Physicians in the department of Geriatric Medicine (GRM) and Internal Medicine (IM) were recruited. A self-developed questionnaire was used for the study, which was developed after reviewing the literature on prescribers’ attitudes towards deprescribing. Survey questions were grouped into four themes: attitudes towards deprescribing, ability and skills to deprescribe, environment or work culture-related barriers, and patient-related barriers towards deprescribing. Results: A total of 80 physicians completed the questionnaire (38 from the department of GRM and 42 from IM). Most (98%) felt that deprescribing is beneficial for their patients, and 86% reported being motivated to deprescribe. Physicians reported being most comfortable deprescribing statins, and least comfortable deprescribing antiplatelets or anticoagulants. Physicians generally felt that there is a lack of guidelines or training to assist them in deprescribing (58%), which corresponded to the finding that provision of training or guidelines would help physicians deprescribe confidently (70% and 83% respectively). The most commonly cited work culture barrier was the hesitancy to stop medications prescribed by other healthcare professionals (84%). Difficulty and time required to explain to patients or their caregivers the rationale of deprescribing was the most common patient-related barrier (36%). Conclusion: ur study has shown that physicians are willing to deprescribe medications for their patients. Efforts can be done in raising awareness on the availability of deprescribing guidelines, as well as potential collaboration with physicians to adapt these guidelines to the local context.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle