ArticleJournal of general and family medicine2026
Association Between Trust in Healthcare Providers and Readiness to Deprescribe in Older Adults: A Cross-Sectional Comparative Study in the United States and Japan.
Article in Journal of general and family medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
6 authors.
Funding
Abstract
Background: Understanding how patient trust in healthcare providers is related to readiness to deprescribe is essential for optimizing deprescribing. This study examined this association among older adults with polypharmacy in the U.S. and Japan. Methods: We conducted cross-sectional surveys involving Japanese older adults receiving care from a community hospital and primary care clinic (Kawasaki City, Results: Greater trust in providers was associated with lower readiness to deprescribe across both samples, with no significant interaction by location. A higher number of medications was associated with greater readiness. Although U.S. participants had higher readiness (16.7 vs. 15.4, Conclusions: Greater trust in healthcare providers was consistently associated with lower readiness to deprescribe across both samples. Although U.S. older adults demonstrated greater readiness to deprescribe compared to Japanese counterparts, the association between trust and motivation was similar across settings. This finding suggests that how trust functions in patient-provider relationships may be important for designing shared decision-making interventions for deprescribing.
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