Evidence map›Paper›PMID 35975325›Full record

ArticleAnales del sistema sanitario de Navarra2022

Identifying barriers and enablers for benzodiazepine (de)prescription: a qualitative study with patients and healthcare professionals.

A Marquina-Márquez, A Olry-de-Labry-Lima, C Bermúdez-Tamayo, I Ferrer López, J Marcos-Marcos

Abstract read
In one paragraph

Article in Anales del sistema sanitario de Navarra, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
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  10. [Health-System Pharmacy services for outpatients are evolving].Anales del sistema sanitario de Navarra · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

A Marquina-MárquezDepartment of Sociology and Social Work. University of Valladolid. Valladolid. Spain. . alfonso.marquina@uva.es.
A Olry-de-Labry-LimaEscuela Andaluza de Salud Pública. Granada. España.. antonio.olrylabry.easp@juntadeandalucia.es.
C Bermúdez-TamayoEscuela Andaluza de Salud Pública. clara.bermudez.easp@juntadeandalucia.es.
I Ferrer LópezDistrito Atención Primaria Sevilla, Junta de Andalucía. ingrid.ferrer.sspa@juntadeandalucia.es.
J Marcos-MarcosDepartment of Health Psychology. University of Alicante. Spain.. jorge.marcosmarcos@ua.es.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere has been a steadily growing trend in prescribing benzodiazepines over last decade. Spain is one of the countries where this class of drugs is most extensively prescribed by primary healthcare physicians. The aim of this study is to identify factors that might be acting as barriers and enablers for benzodiazepine (de)prescription from patient and professional perspectives.

methodsQualitative study through semi-structured interviews with medical practitioners (n=17) and patients (n=27), and a nominal group with medical practitioners (n=19). Interviews were audio-recorded, transcribed and analyzed using thematic analysis.

resultsThe analysis revealed key themes and was organized around barriers and enablers connected to three interrelated dimen-sions: the social and community context of prescription; the structure, organization and/or management of the health system, and the doctor-patient relationship. The excessive workload of professionals was widely cited as influencing over-prescription. (De)prescription of benzodiazepine was facilitated by encouraging the social prescription of health assets or developing strategies to therapeutic alliance processes and better doctor-patient communication.

conclusionOur findings suggest that there is a role for the salutogenic approach and the health asset model in the development of a more person-centred clinical care. This study considers the importance of encouraging the use of non-pharmacological methods and techniques in the health system and promoting the creation of multidisciplinary teams, therapeutic alliance processes and better doctor-patient communication by giving professionals training in psychosocial skills.

Indexed as

Attitude of Health PersonnelBenzodiazepinesHumansPhysician-Patient RelationsPrescriptionsQualitative ResearchBenzodiazepines

Identifiers

PMID35975325
PMCPMC10130797

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.