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. Author manuscript; available in PMC: 2020 May 27.
Published in final edited form as: J Am Geriatr Soc. 2020 Feb 17;68(4):746–753. doi: 10.1111/jgs.16370

Table 4.

Clinical Scenarios: Focus Group Prompt and Supplementary Quotes

Clinical scenario Patient quote Caregiver quote
Scenario 1: Testosterone prescribed for fatigue “The medication might increase his chances of a heart attack. I think that’s [the] more important question than the $200 I think.” “I’d rather have him be tired than chance having another heart attack.”
Scenario 2: Switching from pravastatin to atorvastatin “I would recommend to her to go ahead and try it … For ten dollars, try it for six months [and] see what she thinks.” “It’s not that huge of a difference between those two drugs to make it worth paying more for something, especially if you are already on something and it’s working.”
Scenario 3: Clopidogrel no longer covered by insurance “You could not just quit your med because of that.” “Why would an insurance company be doing the work of a doctor?”
Scenario 4: Switching from omeprazole to H2 blocker “The new medication does not have the side effects that the doctor’s worried about.” “If there was something else I could take and it did not have those risks associated with it, then that’s fine. And then she would have to take the new medicine twice a day, takin[g] away the inconvenience of just once-a-day Prilosec … but unless there was something better, I would not have asked her to stop.”