MediQuit - an electronic deprescribing tool: a pilot study in German primary care; GPs' and patients' perspectives.
BMC Prim Care
; 23(1): 252, 2022 09 26.
Article
in En
| MEDLINE
| ID: mdl-36162994
ABSTRACT
BACKGROUND:
General practitioners (GPs) are the central coordinators for patients with multimorbidity and polypharmacy in most health care systems. They are entrusted with the challenging task of deprescribing when inappropriate polypharmacy is present. MediQuit (MQu) is a newly developed electronic tool that guides through a deprescribing consultation. It facilitates the identification of a medicine to be discontinued (stage 1), a shared decision-making process weighing the pros and cons (stage 2), and equips patients with take-home instructions on how to discontinue the drug and monitor its impact (stage 3). We here aim to evaluate utility and acceptance of MQu from GPs' and patients' perspectives.METHODS:
Uncontrolled feasibility study, in which 16 GPs from two regions in Germany were invited to use MQu in consultations with their multimorbid patients. We collected quantitative data on demography, utility and acceptance of MQu and performed descriptive statistical analyses.RESULTS:
Ten GPs performed 41 consultations using MQu. Identification (step 1) and implementation elements (Step 3) were perceived most helpful by GPs. Whereas, shared-decision making elements (step 2) revealed room for improvement. Patients appreciated the use of MQu. They were broadly satisfied with the deprescribing consultation (85%) and with their decision made regarding their medication (90%).CONCLUSIONS:
Implementation of MQu in general practice generally seems possible. Patients welcome consultations targeting medication optimization. GPs were satisfied with the support of MQu and likewise gave important hints for future development.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
General Practitioners
/
Deprescriptions
Type of study:
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
BMC Prim Care
Year:
2022
Document type:
Article
Affiliation country:
Germany