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024 7 _ |a 10.1371/journal.pone.0202068
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037 _ _ |a DZNE-2020-06533
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Heser, Kathrin
|0 P:(DE-HGF)0
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|e Corresponding author
245 _ _ |a Perspective of elderly patients on chronic use of potentially inappropriate medication - Results of the qualitative CIM-TRIAD study.
260 _ _ |a San Francisco, California, US
|c 2018
|b PLOS
264 _ 1 |3 online
|2 Crossref
|b Public Library of Science (PLoS)
|c 2018-09-19
336 7 _ |a article
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336 7 _ |a ARTICLE
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520 _ _ |a Although 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.
536 _ _ |a 344 - Clinical and Health Care Research (POF3-344)
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536 _ _ |a 345 - Population Studies and Genetics (POF3-345)
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542 _ _ |i 2018-09-19
|2 Crossref
|u http://creativecommons.org/licenses/by/4.0/
588 _ _ |a Dataset connected to CrossRef, PubMed,
650 _ 2 |a Aged
|2 MeSH
650 _ 2 |a Aged, 80 and over
|2 MeSH
650 _ 2 |a Drug-Related Side Effects and Adverse Reactions: diagnosis
|2 MeSH
650 _ 2 |a Drug-Related Side Effects and Adverse Reactions: prevention & control
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a General Practitioners: statistics & numerical data
|2 MeSH
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Inappropriate Prescribing: statistics & numerical data
|2 MeSH
650 _ 2 |a Interviews as Topic
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Patients: statistics & numerical data
|2 MeSH
650 _ 2 |a Potentially Inappropriate Medication List: statistics & numerical data
|2 MeSH
650 _ 2 |a Qualitative Research
|2 MeSH
650 _ 2 |a Risk Assessment: methods
|2 MeSH
650 _ 2 |a Risk Assessment: statistics & numerical data
|2 MeSH
650 _ 2 |a Risk Factors
|2 MeSH
700 1 _ |a Pohontsch, Nadine Janis
|0 P:(DE-HGF)0
|b 1
700 1 _ |a Scherer, Martin
|0 P:(DE-HGF)0
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700 1 _ |a Löffler, Antje
|0 P:(DE-HGF)0
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700 1 _ |a Luck, Tobias
|0 P:(DE-HGF)0
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700 1 _ |a Riedel-Heller, Steffi G
|0 P:(DE-HGF)0
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700 1 _ |a Maier, Wolfgang
|0 P:(DE-HGF)0
|b 6
700 1 _ |a Parker, Debora
|0 P:(DE-2719)2810865
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700 1 _ |a Haenisch, Britta
|0 P:(DE-2719)2810511
|b 8
700 1 _ |a Jessen, Frank
|0 P:(DE-2719)2000032
|b 9
|e Last author
773 1 8 |a 10.1371/journal.pone.0202068
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|v 13
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773 _ _ |a 10.1371/journal.pone.0202068
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910 1 _ |a Deutsches Zentrum für Neurodegenerative Erkrankungen
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913 1 _ |a DE-HGF
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914 1 _ |y 2018
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LibraryCollectionCLSMajorCLSMinorLanguageAuthor
Marc 21