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000140211 0247_ $$2doi$$a10.1371/journal.pone.0202068
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000140211 037__ $$aDZNE-2020-06533
000140211 041__ $$aEnglish
000140211 082__ $$a610
000140211 1001_ $$0P:(DE-HGF)0$$aHeser, Kathrin$$b0$$eCorresponding author
000140211 245__ $$aPerspective of elderly patients on chronic use of potentially inappropriate medication - Results of the qualitative CIM-TRIAD study.
000140211 260__ $$aSan Francisco, California, US$$bPLOS$$c2018
000140211 264_1 $$2Crossref$$3online$$bPublic Library of Science (PLoS)$$c2018-09-19
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000140211 520__ $$aAlthough potentially inappropriate medication (PIM) is associated with risk of harm due to adverse effects, it is frequently prescribed for elderly patients. The aim of this qualitative multi-center study was to gain insight into contextual factors that might lead to chronic PIM use. We conducted semi-structured interviews with elderly patients with or without chronic PIM use (patient interviews: n = 52). Patients were between 86 and 96 years old. The participants were recruited from the AgeCoDe study. Interviews were audiotaped and transcribed verbatim. The transcripts of the interviews were analysed using qualitative content analysis. Deductive and inductive categories were determined. We found contextual factors related to the patient and related to patient-general practitioner (GP) communication that might lead to chronic PIM use (i.e., positive features of PIM, maintaining characteristics of medication intake, barriers to deprescribe PIM, external actors supporting PIM intake, system-related factors). Besides certain health-related behaviours (e.g., own obligation to report to GP) and medication-related attitudes and knowledge (e.g., awareness of side effects and interaction of medicines), patient-GP-interactions that were characterised by mutual agreements on drugs (e.g., concerning dosage or discontinuation of a drug) might be advantageous to reduce the probability of chronic PIM use. The results might assist in the development of guidelines and educational programs aiming to reduce PIM use in the elderly.
000140211 536__ $$0G:(DE-HGF)POF3-344$$a344 - Clinical and Health Care Research (POF3-344)$$cPOF3-344$$fPOF III$$x0
000140211 536__ $$0G:(DE-HGF)POF3-345$$a345 - Population Studies and Genetics (POF3-345)$$cPOF3-345$$fPOF III$$x1
000140211 542__ $$2Crossref$$i2018-09-19$$uhttp://creativecommons.org/licenses/by/4.0/
000140211 588__ $$aDataset connected to CrossRef, PubMed,
000140211 650_2 $$2MeSH$$aAged
000140211 650_2 $$2MeSH$$aAged, 80 and over
000140211 650_2 $$2MeSH$$aDrug-Related Side Effects and Adverse Reactions: diagnosis
000140211 650_2 $$2MeSH$$aDrug-Related Side Effects and Adverse Reactions: prevention & control
000140211 650_2 $$2MeSH$$aFemale
000140211 650_2 $$2MeSH$$aGeneral Practitioners: statistics & numerical data
000140211 650_2 $$2MeSH$$aHumans
000140211 650_2 $$2MeSH$$aInappropriate Prescribing: statistics & numerical data
000140211 650_2 $$2MeSH$$aInterviews as Topic
000140211 650_2 $$2MeSH$$aMale
000140211 650_2 $$2MeSH$$aPatients: statistics & numerical data
000140211 650_2 $$2MeSH$$aPotentially Inappropriate Medication List: statistics & numerical data
000140211 650_2 $$2MeSH$$aQualitative Research
000140211 650_2 $$2MeSH$$aRisk Assessment: methods
000140211 650_2 $$2MeSH$$aRisk Assessment: statistics & numerical data
000140211 650_2 $$2MeSH$$aRisk Factors
000140211 7001_ $$0P:(DE-HGF)0$$aPohontsch, Nadine Janis$$b1
000140211 7001_ $$0P:(DE-HGF)0$$aScherer, Martin$$b2
000140211 7001_ $$0P:(DE-HGF)0$$aLöffler, Antje$$b3
000140211 7001_ $$0P:(DE-HGF)0$$aLuck, Tobias$$b4
000140211 7001_ $$0P:(DE-HGF)0$$aRiedel-Heller, Steffi G$$b5
000140211 7001_ $$0P:(DE-HGF)0$$aMaier, Wolfgang$$b6
000140211 7001_ $$0P:(DE-2719)2810865$$aParker, Debora$$b7
000140211 7001_ $$0P:(DE-2719)2810511$$aHaenisch, Britta$$b8
000140211 7001_ $$0P:(DE-2719)2000032$$aJessen, Frank$$b9$$eLast author
000140211 77318 $$2Crossref$$3journal-article$$a10.1371/journal.pone.0202068$$b : Public Library of Science (PLoS), 2018-09-19$$n9$$pe0202068$$tPLOS ONE$$v13$$x1932-6203$$y2018
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000140211 8564_ $$uhttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0202068
000140211 8567_ $$2Pubmed Central$$uhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145513
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