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  • Deprescribing practice in a resource-limited setting: Healthcare providers' insights

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    Erku496406-Published.pdf (146.6Kb)
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    Accepted Manuscript (AM)
    Author(s)
    Tegegn, Henok Getachew
    Gebresillassie, Begashaw Melaku
    Erku, Daniel Asfaw
    Elias, Asrat
    Yabeyu, Abdella Birhan
    Ayele, Asnakew Achaw
    Griffith University Author(s)
    Erku, Daniel
    Year published
    2021
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    Abstract
    Aims: Inappropriate polypharmacy poses risks of adverse drug events, high healthcare costs and mortality. Deprescribing could minimise inappropriate polypharmacy and the consequences thereof. The aim of this study was to evaluate healthcare providers’ (HCPs’) attitudes toward and experiences with deprescribing practice in Ethiopia. Methods: We conducted an institution-based cross-sectional survey among HCPs at the University of Gondar Comprehensive Specialized Hospital, Ethiopia. We used a validated questionnaire developed by Linsky et al. The tool included questions that explore medication characteristics, current patient ...
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    Aims: Inappropriate polypharmacy poses risks of adverse drug events, high healthcare costs and mortality. Deprescribing could minimise inappropriate polypharmacy and the consequences thereof. The aim of this study was to evaluate healthcare providers’ (HCPs’) attitudes toward and experiences with deprescribing practice in Ethiopia. Methods: We conducted an institution-based cross-sectional survey among HCPs at the University of Gondar Comprehensive Specialized Hospital, Ethiopia. We used a validated questionnaire developed by Linsky et al. The tool included questions that explore medication characteristics, current patient clinical factors, predictions of future health states, patients’ resources to manage their own health and education and experience. One-way ANOVA was used to test the association between sociodemographic variables and their perception of deprescribing decisions. Results: Of 85 HCPs approached, about 82 HCPs completed the survey, giving a response rate of 96.5%. Most of the participants (n = 73, 89%) have scored less than 1.5 points showing they are reluctant to proactively deprescribe. Physicians seem to be affected by the significant physical health conditions (mean = 1.68) and clinical endpoint like blood pressure (mean = 1.5) to make deprescribing decisions. According to the post hoc analysis of one-way ANOVA, clinical pharmacists seemed to have a better attitude toward deprescribing decisions compared with physicians (P =.025). Conclusion: HCPs’ decision to discontinue a medication could be multifactorial. Physicians could be influenced by physical health condition and clinical endpoints for deprescribing decision. Future studies should emphasise on barriers and facilitators to deprescribing practice specific to the context in Ethiopia.
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    Journal Title
    International Journal of Clinical Practice
    DOI
    https://doi.org/10.1111/ijcp.14356
    Copyright Statement
    © 2021 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Deprescribing practice in a resource-limited setting: Healthcare providers' insights, International Journal of Clinical Practice, 2021, which has been published in final form at https://doi.org/10.1111/ijcp.14356. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
    Note
    This publication has been entered in Griffith Research Online as an advanced online version.
    Subject
    Clinical sciences
    Health services and systems
    Public health
    Psychology
    Science & Technology
    Life Sciences & Biomedicine
    Medicine, General & Internal
    Pharmacology & Pharmacy
    General & Internal Medicine
    Publication URI
    http://hdl.handle.net/10072/404896
    Collection
    • Journal articles

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