FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4386994196> ?p ?o ?g. }

• W4386994196 abstract "A third of older people take five or more regular medications (polypharmacy). Conducting medication reviews in primary care is key to identify and reduce/ stop inappropriate medications (deprescribing). Recent recommendations for effective deprescribing include shared-decision making and a multidisciplinary approach. Our aim was to understand when, why, and how interventions for medication review and deprescribing in primary care involving multidisciplinary teams (MDTs) work (or do not work) for older people.A realist synthesis following the Realist And Meta-narrative Evidence Syntheses: Evolving Standards guidelines was completed. A scoping literature review informed the generation of an initial programme theory. Systematic searches of different databases were conducted, and documents screened for eligibility, with data extracted based on a Context, Mechanisms, Outcome (CMO) configuration to develop further our programme theory. Documents were appraised based on assessments of relevance and rigour. A Stakeholder consultation with 26 primary care health care professionals (HCPs), 10 patients and three informal carers was conducted to test and refine the programme theory. Data synthesis was underpinned by Normalisation Process Theory to identify key mechanisms to enhance the implementation of MDT medication review and deprescribing in primary care.A total of 2821 abstracts and 175 full-text documents were assessed for eligibility, with 28 included. Analysis of documents alongside stakeholder consultation outlined 33 CMO configurations categorised under four themes: 1) HCPs roles, responsibilities and relationships; 2) HCPs training and education; 3) the format and process of the medication review 4) involvement and education of patients and informal carers. A number of key mechanisms were identified including clearly defined roles and good communication between MDT members, integration of pharmacists in the team, simulation-based training or team building training, targeting high-risk patients, using deprescribing tools and drawing on expertise of other HCPs (e.g., nurses and frailty practitioners), involving patents and carers in the process, starting with 'quick wins', offering deprescribing as 'drug holidays', and ensuring appropriate and tailored follow-up plans that allow continuity of care and management.We identified key mechanisms that could inform the design of future interventions and services that successfully embed deprescribing in primary care." @default.
• W4386994196 created "2023-09-25" @default.
• W4386994196 creator A5003534338 @default.
• W4386994196 creator A5009655769 @default.
• W4386994196 creator A5011866921 @default.
• W4386994196 creator A5017228662 @default.
• W4386994196 creator A5018395711 @default.
• W4386994196 creator A5024585019 @default.
• W4386994196 creator A5026610181 @default.
• W4386994196 creator A5028102110 @default.
• W4386994196 creator A5044276903 @default.
• W4386994196 creator A5045996960 @default.
• W4386994196 creator A5053606371 @default.
• W4386994196 creator A5062426206 @default.
• W4386994196 creator A5083035607 @default.
• W4386994196 creator A5085967254 @default.
• W4386994196 creator A5091132477 @default.
• W4386994196 creator A5092930111 @default.
• W4386994196 date "2023-09-25" @default.
• W4386994196 modified "2023-09-29" @default.
• W4386994196 title "What makes a multidisciplinary medication review and deprescribing intervention for older people work well in primary care? A realist review and synthesis" @default.
• W4386994196 cites W1492930497 @default.
• W4386994196 cites W1554742340 @default.
• W4386994196 cites W1751564450 @default.
• W4386994196 cites W1814898000 @default.
• W4386994196 cites W1920692730 @default.
• W4386994196 cites W1967833059 @default.
• W4386994196 cites W1980168003 @default.
• W4386994196 cites W1994839895 @default.
• W4386994196 cites W2035057107 @default.
• W4386994196 cites W2059911445 @default.
• W4386994196 cites W2063114877 @default.
• W4386994196 cites W2065132667 @default.
• W4386994196 cites W2071530563 @default.
• W4386994196 cites W2085714623 @default.
• W4386994196 cites W2089831158 @default.
• W4386994196 cites W2097206036 @default.
• W4386994196 cites W2120732572 @default.
• W4386994196 cites W2124698838 @default.
• W4386994196 cites W2142901177 @default.
• W4386994196 cites W2145452196 @default.
• W4386994196 cites W2147463647 @default.
• W4386994196 cites W2149122145 @default.
• W4386994196 cites W2159739809 @default.
• W4386994196 cites W2164297140 @default.
• W4386994196 cites W2167100077 @default.
• W4386994196 cites W2340507627 @default.
• W4386994196 cites W2398483005 @default.
• W4386994196 cites W2413220774 @default.
• W4386994196 cites W2465454303 @default.
• W4386994196 cites W2508271679 @default.
• W4386994196 cites W2563345482 @default.
• W4386994196 cites W2566064318 @default.
• W4386994196 cites W2763920048 @default.
• W4386994196 cites W2774354746 @default.
• W4386994196 cites W2784332569 @default.
• W4386994196 cites W2883664593 @default.
• W4386994196 cites W2884077652 @default.
• W4386994196 cites W2893018148 @default.
• W4386994196 cites W2896742755 @default.
• W4386994196 cites W2899046963 @default.
• W4386994196 cites W2900280138 @default.
• W4386994196 cites W2909221634 @default.
• W4386994196 cites W2910035698 @default.
• W4386994196 cites W2912455057 @default.
• W4386994196 cites W2921963606 @default.
• W4386994196 cites W2922215010 @default.
• W4386994196 cites W2927140225 @default.
• W4386994196 cites W2936123748 @default.
• W4386994196 cites W2958481062 @default.
• W4386994196 cites W2962993738 @default.
• W4386994196 cites W2965410614 @default.
• W4386994196 cites W2980983140 @default.
• W4386994196 cites W2981151994 @default.
• W4386994196 cites W2994525509 @default.
• W4386994196 cites W3008704036 @default.
• W4386994196 cites W3011544505 @default.
• W4386994196 cites W3014154968 @default.
• W4386994196 cites W3028786765 @default.
• W4386994196 cites W3037865631 @default.
• W4386994196 cites W3107594151 @default.
• W4386994196 cites W3118615836 @default.
• W4386994196 cites W3119106375 @default.
• W4386994196 cites W3131459546 @default.
• W4386994196 cites W3144134235 @default.
• W4386994196 cites W3159371056 @default.
• W4386994196 cites W3185949287 @default.
• W4386994196 cites W3198256286 @default.
• W4386994196 cites W3200059773 @default.
• W4386994196 cites W3207361266 @default.
• W4386994196 cites W4220815995 @default.
• W4386994196 cites W4220947542 @default.
• W4386994196 cites W4226352442 @default.
• W4386994196 cites W4282939979 @default.
• W4386994196 cites W4283796715 @default.
• W4386994196 cites W4284686015 @default.
• W4386994196 cites W4285500472 @default.
• W4386994196 cites W4288070015 @default.
• W4386994196 cites W4293695099 @default.
• W4386994196 cites W4294295795 @default.

• next