Alharthi, M, Scott, S, Alldred, DP orcid.org/0000-0002-2525-4854 et al. (7 more authors) (2023) Pharmacist Independent Prescriber (PIP) deprescribing in UK care homes: Contextual factors associated with increased activity. British Journal of Clinical Pharmacology, 89 (4). pp. 1509-1513. ISSN 0306-5251
Abstract
Aims
The Care Home Independent Pharmacist Prescriber Study (CHIPPS) process evaluation hypothesized that contextual factors influenced the likelihood of deprescribing by pharmacist-independent prescribers. The aim of this paper is to test this hypothesis.
Methods
From CHIPPS study data, medications deprescribed totalled 284 for 370 residents in UK care homes. Regression analysis was used to describe the relationship between the number of medicines stopped and contextual factors (number of residents cared for, pharmacist employment within associated medical practice, previous care home experience, hours active within trial, years’ experience as a pharmacist and as a prescriber).
Results
Number of residents and pharmacist-independent prescriber employment within a medical practice were positive predictors of deprescribing.
Conclusion
Previous experiences were not related to deprescribing likelihood. Increasing the number of residents increases the opportunity for deprescribing and therefore this relationship is intuitive. The location within a medical practice is an interesting finding that requires further exploration to understand its exact nature.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2022 The Authors. British Journal of Clinical Pharmacology published by John Wiley & Sons Ltd on behalf of British Pharmacological Society. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
Keywords: | deprescription; long-term care facilities; medication review; medicines optimization; nursing home; polypharmacy; residential home |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Pharmacy (Leeds) |
Funding Information: | Funder Grant number NIHR National Inst Health Research R109149 |
Depositing User: | Symplectic Publications |
Date Deposited: | 13 Jan 2023 14:38 |
Last Modified: | 27 Jun 2023 10:00 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/bcp.15643 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:194677 |
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