Pression de prescription : étude pilote en médecine générale

Delga, Catherine; Megnin, Yves; Oustric, Stéphane; Laurent, Christian; Pauly, Laurent; Vergez, Jean-Pierre; Charlet, Jean-Paul; Montastruc, Jean‐Louis; Arlet, P.

doi:10.2515/therapie:2003083

Cited by 11 publications

(2 citation statements)

References 6 publications

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“…Our study demonstrated that media, websites and even patients' peers frequently gave patients "a false awareness of knowledge about medicines and because of that, patients tend to pressure HPs to obtain the products that they wish, and not what they need (18,19). Both HPs and patients (unpublished data) perceived that: (i) the in uence of friends and television advertisements potentiate the consumption of supplements and other products, such as herbal products, which might prone them to quit their prescription medicines, (ii) the lack of knowledge of older patients and the absence of caregivers to help with the management of medicines improve both medication errors and poor compliance with consequently poor health outcomes; (iii) Because older patients recognize their medicines by colour and shape, the lack of standardization of dosage forms, colour and packaging, the change of trade mark drugs by generic drugs or changes of generic drugs holders, is enough for older adults to commit treatment duplication errors when they handle generic medicines.…”

Section: Discussionmentioning

confidence: 85%

Health Professionals Perception And Beliefs About Drug- Related Problems on Polymedicated Older Adults- A Focus Group Study

Plácido

Herdeiro

Simões

et al. 2020

Preprint

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Background: Polymedicated older patients are at greater risk of suffering adverse events. For this reason, the detection of both inappropriate polypharmacy and polypharmacy-associated drug-related problems (DRPs) are essential to improve the health and wellbeing of older adults and to reduce healthcare costs. This work aims to explore health professionals’ perceptions and opinions about polypharmacy and the handling of medicines by polymedicated older adults.Methods: Thirteen focus groups with 94 health professionals (20 community pharmacists, 40 general practitioners and 34 nurses) were conducted in primary healthcare centers of the region center of Portugal. Participants were asked to discuss their perceptions and beliefs in relation to DRPs in polymedicated older adults. The sessions were audiotaped. After the transcription and coding of focus group sessions, a thematic analysis was done.Results: The following four main themes emerged from the 13 focus group sessions: poor compliance and polypharmacy- a vicious cycle perpetuated by the behaviour of older adults, organization of the healthcare system, communication among health professionals, and strategies to prevent inappropriate polypharmacy.Conclusion: The lack of both an efficient network of information and communication among health professionals makes the detection and/ or prevention of polypharmacy in older adults difficult. The implementation of new models to manage and/or prevent polypharmacy based on health professional perception and beliefs is essential to prevent DRPs and improve compliance among older adults.

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Section: Discussionmentioning

confidence: 85%

Health Professionals Perception And Beliefs About Drug- Related Problems on Polymedicated Older Adults- A Focus Group Study

Plácido

Herdeiro

Simões

et al. 2020

Preprint

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“…There are a number of other clinician-related factors that determine how quickly the doctor reaches out for their prescribing pad. Prescribing under pressure is an important topic in social pharmacology (Delga 2003). In a primary care study on benzodiazepine prescribing, high prescribers of benzodiazepines believed that a prescription saved consultation time (Cormack 1992).…”

Section: Relational Prescribing – Theorymentioning

confidence: 99%

Will this tablet make me happy again? The contribution of relational prescribing in providing a pragmatic and psychodynamic framework for prescribers

et al. 2022

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SUMMARY We describe the importance of relational factors in prescribing practices and discuss how they may influence treatment outcomes. Although relational factors play a part in every clinician–patient interaction, they are particularly relevant when managing patients with complex emotional needs. We discuss how relational prescribing can add value when incorporated into standard practice. We introduce psychodynamic theory principles, and we suggest a framework to facilitate reflection and support decision-making when clinicians are faced with complex prescribing decisions.

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“Medicamentation” of society, non-diseases and non-medications: a point of view from social pharmacology

Mbongue

Sommet

Pathak

et al. 2005

Eur J Clin Pharmacol

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This review presents the definition and goals of "social pharmacology", a new branch of clinical pharmacology, investigating relationships between drugs and society through the example of "medicamentation", defined as the use of drugs for social problems previously not requiring drug utilisation (ageing, smoking cessation, vigilance troubles, sleep synchronisation, loss of libido, etc.). The involvement of the different "actors" from our society (patients, physicians, pharmaceutical industries, clinical pharmacologists, regulatory agencies, etc.) in this phenomenon is also discussed.

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Pression de prescription : étude pilote en médecine générale

Cited by 11 publications

References 6 publications

Health Professionals Perception And Beliefs About Drug- Related Problems on Polymedicated Older Adults- A Focus Group Study

Health Professionals Perception And Beliefs About Drug- Related Problems on Polymedicated Older Adults- A Focus Group Study

Will this tablet make me happy again? The contribution of relational prescribing in providing a pragmatic and psychodynamic framework for prescribers

“Medicamentation” of society, non-diseases and non-medications: a point of view from social pharmacology

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