Table 7.
Responses to the open-ended question about factors that might influence deprescription
| Categories | Examples | GP, n (%) | |
|---|---|---|---|
| Conscience |
• “Making life easier for the patient who has less medication to take” • “Sensitivity of the impact of each drug on quality of life” |
2 (1.45) | |
| Inertia |
Attitudes and Beliefs |
• “Adverse effects” • “Benefit-risk of the drug” • “Medication intolerance” • “Psychological effect of deprescription on the patient” • “Pharmacodynamics and pharmacokinetics” • “Fears and beliefs of the physician; defensive medicine” |
17 (12.32) |
| Behaviour |
• “Who prescribed it (GFM versus hospital)” • “Withdrawing medication prescribed by other doctors a long time ago (especially privately)” |
2 (1.45) | |
| Self-efficacy |
Information/ Influence |
• “Non-medical advertising about the medication” • “Association of the drug with the physician who prescribed it, who was very good” • “Lack of communication between specialties” • Non-existence of guidelines • “Opinion of other physicians who follow the patient” |
8 (5.8) |
|
Capabilities/ Knowledge |
• “Physician’s prior knowledge” • “Prior experience with deprescription” • “Unawareness” • “Professional training” |
11 (7.97) | |
| Feasibility | Regulation | • “Factors related to clinical governance and safety culture” | 1 (0.72) |
| Health culture | 0 | ||
| Medical Culture | 0 | ||
| Clinical practice | 0 | ||
|
Resources (psychosocial support) |
• “Family/social support • “Existence of alternatives” • “Feedback from pharmacies” • “Other priority actions” • “Consultation time” |
20 (14.49) | |
|
Patient (will, preference, etc.) |
• “The patient’s adhesion” • The patient’s willingness • Acceptance of the patient/relatives • “Background, degree of dependence, frailty” • Patient’s beliefs • Literacy • Economic aspects” |
73 (52.9) | |
| Non codable |
• “Difficulty in effectively controlling complaints” • “Control test results; controlled diet” • “Changes in habits of the user that no longer justify taking the medication” • “Anxiety disorders/psychiatric illness in general” |
4 (2.9) | |
| Total | 138 | ||