Parker Magin1, Susan Goode1, Dimity Pond1. 1. Discipline of General Practice, University of Newcastle, Newcastle, New South Wales, Australia.
Abstract
AIM: To explore the prescribing, and the rationale for this prescribing, of potentially inappropriate medications (PIMs) in older persons by Australian general practitioners (GPs). METHODS: This was a qualitative study employing semistructured interviews and thematic analysis. GPs who had patients taking at least one PIM were invited to participate. PIMs were defined by the Beers criteria. RESULTS: Twenty-two GPs from four regions in three Australian states participated. While none were aware of the Beers criteria, participant GPs displayed good knowledge of the potential adverse effects of these medications. They were comfortable with the continued prescription of the medications. This was based on often quite complex harm-benefit considerations of the biopsychosocial contexts of individual patients. CONCLUSIONS: The concept of 'appropriate' versus 'inappropriate' medications implicit in classification systems such as the Beers criteria is at odds with complex considerations informing decision-making prescribing PIMs in older persons.
AIM: To explore the prescribing, and the rationale for this prescribing, of potentially inappropriate medications (PIMs) in older persons by Australian general practitioners (GPs). METHODS: This was a qualitative study employing semistructured interviews and thematic analysis. GPs who had patients taking at least one PIM were invited to participate. PIMs were defined by the Beers criteria. RESULTS: Twenty-two GPs from four regions in three Australian states participated. While none were aware of the Beers criteria, participant GPs displayed good knowledge of the potential adverse effects of these medications. They were comfortable with the continued prescription of the medications. This was based on often quite complex harm-benefit considerations of the biopsychosocial contexts of individual patients. CONCLUSIONS: The concept of 'appropriate' versus 'inappropriate' medications implicit in classification systems such as the Beers criteria is at odds with complex considerations informing decision-making prescribing PIMs in older persons.
Authors: Ana Luiza Pereira Moreira Mori; Renata Cunha Carvalho; Patricia Melo Aguiar; Maria Goretti Farias de Lima; Magali da Silva Pacheco Nobre Rossi; José Fernando Salvador Carrillo; Egídio Lima Dórea; Sílvia Storpirtis Journal: Int J Clin Pharm Date: 2017-02-10
Authors: Elizabeth M Goldberg; Sarah J Marks; Linda J Resnik; Sokunvichet Long; Hannah Mellott; Roland C Merchant Journal: Ann Emerg Med Date: 2020-08-25 Impact factor: 5.721
Authors: Michael A Steinman; Judith L Beizer; Catherine E DuBeau; Rosemary D Laird; Nancy E Lundebjerg; Paul Mulhausen Journal: J Am Geriatr Soc Date: 2015-10-08 Impact factor: 5.562
Authors: Nikola Raguz Lucic; Jelena Jakab; Martina Smolic; Ana-Maria Milas; Tea Omanovic Kolaric; Vjera Nincevic; Kristina Bojanic; Kristina Kralik; Maja Miskulin; George Y Wu; Robert Smolic Journal: J Clin Med Date: 2018-08-22 Impact factor: 4.241