ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2016
Medication management strategy for older people with polypharmacy in general practice: a qualitative study on prescribing behaviour in primary care.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Understanding GPs' clinical reasoning processes involved in managing patients suffering from multimorbidity: A systematic review of qualitative and quantitative research.International journal of clinical practice · 2021Pooled it
- General practitioner strategies for managing patients with multimorbidity: a systematic review and thematic synthesis of qualitative research.BMC family practice · 2020Pooled it
- Pharmacist-led deprescribing of cardiovascular and diabetes medication within a clinical medication review: the LeMON study (Less Medicines in Older Patients in the Netherlands), a cluster randomized controlled trial.International journal of clinical pharmacy · 2025Trial
- Trial
- From sensitization to adoption? A qualitative study of the implementation of a digitally supported intervention for clinical decision making in polypharmacy.Implementation science : IS · 2020Trial
- Geriatric assessment-driven polypharmacy discussions between oncologists, older patients, and their caregivers.Journal of geriatric oncology · 2018Trial
- General practitioners' and nurses' views on medication reviews and potentially inappropriate medicines in elderly patients - a qualitative study of reports by educating pharmacists.Scandinavian journal of primary health care · 2018Trial
- Evaluation of a Pharmacist-Led Intervention Focused on the Deprescribing of Cardiovascular and Antidiabetic Medication in Older Patients With Polypharmacy: Patients' and Pharmacists' Experiences.Basic & clinical pharmacology & toxicology · 2026Article
- Long-term beta blocker prescribing after myocardial infarction in European primary care (PRACTITIONER).BMC primary care · 2026Article
- Unwarranted variation in potentially inappropriate medication in general practice: a Danish nationwide register-based cohort study.BMJ open · 2026Article
- Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review.BMJ open · 2024Article
- Decreasing polypharmacy in older adults with cancer: A pilot cluster-randomized trial protocol.Journal of geriatric oncology · 2024Article
- Enhancing medication management of older adults in Qatar: healthcare professionals' perspectives on challenges, barriers and enabling solutions.Therapeutic advances in drug safety · 2024Article
- Experience of living with multimorbidity and health workers perspectives on the organization of health services for people living with multiple chronic conditions in Bahir Dar, northwest Ethiopia: a qualitative study.BMC health services research · 2023Article
- Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis.Health technology assessment (Winchester, England) · 2022Review
- Management of drug-disease interactions: a best practice from the Netherlands.International journal of clinical pharmacy · 2021Article
- Multimorbidity and clinical reasoning through the eyes of GPs: a qualitative study.Family medicine and community health · 2021Article
- Barriers to appropriate prescribing in older adults with multimorbidity: A modified Delphi study.Aging medicine (Milton (N.S.W)) · 2021Article
- A mixed methods study on medicines information needs and challenges in New Zealand general practice.BMC family practice · 2021Article
- Polypharmacy Management in the Older Adults: A Scoping Review of Available Interventions.Frontiers in pharmacology · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFor older patients with polypharmacy, medication management is a process of careful deliberation that needs periodic adjustment based on treatment effects and changing conditions. Because of the heterogeneity of the patient group, and limited applicability of current guidelines, it is difficult for GPs to build up a routine.
aimTo gain insight into GPs' medication management strategies for patients with polypharmacy, and to explore the GPs' perspectives and needs on decision-making support to facilitate this medication management. DESIGN AND
settingTwo focus group meetings with Dutch GPs, discussing four clinical vignettes of patients with multimorbidity and polypharmacy.
methodQuestions about medication management of the vignettes were answered individually; the strategy chosen in each case was discussed in plenary. Analysis followed a Framework approach.
resultsIn total, 12 GPs described a similar strategy regarding the patients' medication management: defining treatment goals; determining primary goals; and adjusting medications based on the treatment effect, GPs' and patients' preferences, and patient characteristics. There was variation in the execution of this strategy between the GPs. The GPs would like to discuss their choices with other professionals and they valued structured medication reviews with the patient, as well as quick and practical support tools that work on demand.
conclusionTo facilitate decision making, a more extensive and structured collaboration between healthcare professionals is desired, as well as support to execute structured medication reviews with eligible patients, and some on-demand tools for individual consultations.
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Registered trials
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