Evidence map›Paper›PMID 39291053›Full record

ArticleJournal of pharmaceutical policy and practice2024

Factors influencing healthcare providers' behaviours in deprescribing: a cross-sectional study.

Chee Tao Chang, Huan-Keat Chan, Ewilly Jie Ying Liew, Muhammad Radzi Abu Hassan, Jason Choong Yin Lee, Wee Kooi Cheah, Xin Jie Lim, Philip Rajan, Siew Li Teoh, Shaun Wen Huey Lee

Abstract read
In one paragraph

Article in Journal of pharmaceutical policy and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

10 authors.

Chee Tao ChangSchool of Pharmacy, Monash University Malaysia, Bandar Sunway, Malaysia.ORCID https://orcid.org/0000-0002-9263-446X
Huan-Keat ChanClinical Research Centre Hospital Sultanah Bahiyah, Institute for Clinical Research, National Institute of Health, Ministry of Health Malaysia, Alor Setar, Malaysia.ORCID https://orcid.org/0000-0001-6710-7257
Ewilly Jie Ying LiewSchool of Business, Monash University Malaysia, Bandar Sunway, Malaysia.ORCID https://orcid.org/0000-0002-6338-1686
Muhammad Radzi Abu HassanClinical Research Centre Hospital Sultanah Bahiyah, Institute for Clinical Research, National Institute of Health, Ministry of Health Malaysia, Alor Setar, Malaysia.ORCID https://orcid.org/0000-0002-7971-1643
Jason Choong Yin LeePerak Pharmaceutical Services Division, Ministry of Health Malaysia, Tanjung Rambutan, Malaysia.ORCID https://orcid.org/0000-0002-7557-6413
Wee Kooi CheahClinical Research Centre Hospital Taiping, Institute for Clinical Research, National Institute of Health, Ministry of Health Malaysia, Taiping, Malaysia.
Xin Jie LimClinical Research Centre Hospital Raja Permaisuri Bainun, Institute for Clinical Research, National Institute of Health, Ministry of Health Malaysia, Ipoh, Malaysia.ORCID https://orcid.org/0000-0003-0676-2113
Philip RajanClinical Research Centre Hospital Raja Permaisuri Bainun, Institute for Clinical Research, National Institute of Health, Ministry of Health Malaysia, Ipoh, Malaysia.ORCID https://orcid.org/0000-0002-5407-2427
Siew Li TeohSchool of Pharmacy, Monash University Malaysia, Bandar Sunway, Malaysia.ORCID https://orcid.org/0000-0003-4163-7895
Shaun Wen Huey LeeSchool of Pharmacy, Monash University Malaysia, Bandar Sunway, Malaysia.ORCID https://orcid.org/0000-0001-7361-6576

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Deprescribing serves as a pivotal measure to mitigate the drug-related problem due to polypharmacy. This study aimed to map the factors influencing healthcare providers' deprescribing decision using the Behaviour Change Wheel framework and develop an innovative conceptual model to support deprescribing practice. Methods: A cross-sectional online survey targeting doctors and pharmacists was conducted to assess the influence of various factors on healthcare providers' comfort in recommending deprescribing. The conceptual model was formulated, based on the existing deprescribing framework and the Behaviour Change Wheel. The model's robustness was scrutinised through Partial Least Squares Structural Equation Modeling (PLS-SEM), and model-fitting indices were employed to obtain the best-fit model. Results: A total of 736 responses were analysed with the final best-fit model consisting of 24 items in 5 constructs ( Conclusion: The deprescribing behaviours of healthcare professionals are influenced by an intricate interplay of patient, prescriber, and system factors. Enhancing deprescribing practices necessitates a comprehensive strategy that encompasses providers and patients' education, the development of structured deprescribing guidelines, the implementation of deprescribing support tools, and the enhancement of communication between healthcare providers.

Indexed as

geriatric conditionshealthcare policyMedication discontinuationpatient safetypolypharmacy

Identifiers

PMID39291053
PMCPMC11407382

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.