Bibliographic record
Abstract
Older adult (or caregiver) resistance/refusal is often cited by prescribers as a barrier to deprescribing. Shared decision making is advocated not only because it is ethically appropriate, but also because it can prevent waste of resources and improve health outcomes. This session will present a portfolio of research into how older adults and caregivers feel about deprescribing and discuss strategies on how this knowledge can be translated into practice. Research conducted using the Patients’ Attitudes Towards Deprescribing (PATD) questionnaire in hospitals, aged care facilities and the community in Australia, Canada and Italy found that between 80 and 90% of older adults and caregivers of older adults are willing to have a medication deprescribed if their doctor said it was possible. Qualitative and quantitative studies have found common barriers and facilitators to deprescribing including patient belief in the appropriateness of the medication, the burden of medication taking and fear/concerns surrounding withdrawal.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.039 | 0.062 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.005 | 0.012 |
| Scholarly communication | 0.007 | 0.006 |
| Open science | 0.002 | 0.012 |
| Research integrity | 0.003 | 0.006 |
| Insufficient payload (model declined to judge) | 0.006 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".