ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2019
Efficiency versus thoroughness in medication review: a qualitative interview study in UK primary care.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- Pooled it
- Potentially inappropriate prescribing (PIP) in older people and its association with socioeconomic deprivation-a systematic review and narrative synthesis.BMC geriatrics · 2024Pooled it
- Barriers and facilitators to reducing anticholinergic burden: a qualitative systematic review.International journal of clinical pharmacy · 2021Pooled it
- Patients' experiences of a patient-centred polypharmacy medication review intervention: a mixed-methods study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Trial
- Impact of structured medication reviews on prescribing in English primary care: a retrospective observational cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Observational
- Structured medication reviews: prescribing change is not the same as medicines optimisation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Exploring the implementation and integration of structured medication reviews in primary care: a qualitative evaluation using normalisation process theory.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Widespread inappropriate prescribing for older people with reduced kidney function: what are the harms and how do we tackle them? A scoping review for primary care.BMJ quality & safety · 2026Article
- How do pharmacists navigate clinical uncertainty when reviewing polypharmacy? A critical literature review.BMC primary care · 2025Review
- Interdisciplinary medication reviews of psychiatric patients - A mixed method evaluation.Exploratory research in clinical and social pharmacy · 2025Article
- Identifying Medication Review Topics to Be Documented in a Structured Form in Electronic Health Record Systems: Delphi Consensus Survey.Journal of medical Internet research · 2025Article
- Structured medication reviews for patients with polypharmacy in primary care: a cross-sectional study in North West London, UK.JRSM open · 2025Article
- Chronic Care in Primary Care: Exploring the Role and Impact of General Practice Pharmacists in Managing Long-Term Conditions in Northern Ireland.International journal of environmental research and public health · 2025Article
- Article
- Structured medication reviews for adults with multimorbidity and polypharmacy in primary care: a systematic review protocol.BMJ open · 2024Article
- 'I think we could probably do more': an interview study to explore community pharmacists' experiences and perspectives of frailty and optimising medicines use in frail older adults.Age and ageing · 2024Article
- Evaluating Provider and Pharmacy Discordance in Potential Calcium Channel Blocker-Loop Diuretic Prescribing Cascade.Drugs & aging · 2024Article
- Structured medication reviews in Parkinson's disease: pharmacists' views, experiences and needs - a qualitative study.Therapeutic advances in drug safety · 2024Article
- Article
- Factors affecting clinical pharmacist decision-making when reviewing and prescribing z-drugs in primary care: a qualitative interview study.International journal of clinical pharmacy · 2023Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedication reviews may improve the safety of prescribing and the National Institute for Health and Care Excellence (NICE) highlights the importance of involving patients in this process.
aimTo explore GP and pharmacist perspectives on how medication reviews were conducted in general practice in the UK. DESIGN AND
settingAnalysis of semi-structured interviews with GPs and pharmacists working in the South West of England, Northern England, and Scotland, sampled for heterogeneity. Interviews took place between January and October 2017.
methodInterviews focused on experience of medication review. Data saturation was achieved when no new insights arose from later interviews. Interviews were analysed thematically.
resultsIn total, 13 GPs and 10 pharmacists were interviewed. GPs and pharmacists perceived medication review as an opportunity to improve prescribing safety. Although interviewees thought patients should be involved in decisions about their medicines, high workload pressures meant that most medication reviews were conducted with limited or no patient input. For some GPs, a medication review was done
conclusionPractices tended to prioritise being efficient (getting the work done) rather than being thorough (doing it well), so that most medication reviews were carried out with little or no patient involvement, and medicines were rarely stopped or reduced. Time and resource constraints are an important barrier to implementing NICE guidance.
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