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Exploring the Determinants of Polypharmacy Prescribing and Dispensing Behaviors in Primary Care for the Elderly—Qualitative Study

Author

Listed:
  • Najwa Taghy

    (Laboratory “Health, Systemic, Process” (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, 69008 Lyon, France)

  • Viviane Ramel

    (U1219 Inserm Center, Bordeaux Population Health, University of Bordeaux, 33000 Bordeaux, France)

  • Ana Rivadeneyra

    (U1219 Inserm Center, Bordeaux Population Health, University of Bordeaux, 33000 Bordeaux, France
    ISPED, Bordeaux Population Health, University of Bordeaux, 33000 Bordeaux, France)

  • Florence Carrouel

    (Laboratory “Health, Systemic, Process” (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, 69008 Lyon, France)

  • Linda Cambon

    (U1219 Inserm Center, Bordeaux Population Health, University of Bordeaux, 33000 Bordeaux, France
    ISPED, Bordeaux Population Health, University of Bordeaux, 33000 Bordeaux, France
    CHU Bordeaux, 33000 Bordeaux, France)

  • Claude Dussart

    (Laboratory “Health, Systemic, Process” (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, 69008 Lyon, France
    Central Pharmacy, Hospices Civiles de Lyon, 69002 Lyon, France)

Abstract

Polypharmacy is particularly prevalent in the elderly. The interest in this issue is growing, and many interventions exist to improve the appropriate use of polypharmacy for older people. However, evidence of their effectiveness is still limited. Thus, the aim of this study, based on a qualitative approach, was to identify the key elements perceived to influence the prescribing and dispensing of appropriate polypharmacy to older people in primary care. Semistructured interviews were conducted with general practitioners and community pharmacists practicing in the region of Nouvelle-Aquitaine (France). Pre-existing topic guides based on the 12 TDF domains have been adapted and used. Data were analyzed using the framework method and content analysis. A focus group of healthcare professionals was conducted, and behavior change techniques (BCTs) were used to select the intervention components. Seventeen interviews were convened. A wide range of determinants were identified as barriers and/or facilitators. Nine domains were selected as key domains to target for intervention. Five intervention components (behavior change techniques—BCTs) to include in an intervention were finally selected. The results of this study will serve as a starting point for the design of a theory-based intervention targeting healthcare professionals to improve appropriate prescribing and dispensing of polypharmacy for older people in primary care.

Suggested Citation

  • Najwa Taghy & Viviane Ramel & Ana Rivadeneyra & Florence Carrouel & Linda Cambon & Claude Dussart, 2023. "Exploring the Determinants of Polypharmacy Prescribing and Dispensing Behaviors in Primary Care for the Elderly—Qualitative Study," IJERPH, MDPI, vol. 20(2), pages 1-17, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1389-:d:1033351
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    References listed on IDEAS

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    1. Dumontet, Magali & Buchmueller, Thomas & Dourgnon, Paul & Jusot, Florence & Wittwer, Jérôme, 2017. "Gatekeeping and the utilization of physician services in France: Evidence on the Médecin traitant reform," Health Policy, Elsevier, vol. 121(6), pages 675-682.
    2. Najwa Taghy & Linda Cambon & Caroline Boulliat & Olivier Aromatario & Claude Dussart, 2021. "Exploring the Determinants of Polypharmacy Prescribing and Dispensing Behaviours in Primary Care for the Elderly—Protocol for a Qualitative Study," IJERPH, MDPI, vol. 18(14), pages 1-10, July.
    3. Thomas Barnay & Hartmann Laurence & Ulmann Philippe, 2007. "Réforme du « médecin traitant » et nouveaux enjeux de la médecine de ville en France," Post-Print halshs-01298642, HAL.
    4. Benjamin Saunders & Julius Sim & Tom Kingstone & Shula Baker & Jackie Waterfield & Bernadette Bartlam & Heather Burroughs & Clare Jinks, 2018. "Saturation in qualitative research: exploring its conceptualization and operationalization," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(4), pages 1893-1907, July.
    5. Carole Bonnet & Emmanuelle Cambois & Roméo Fontaine, 2021. "Dynamiques, enjeux démographiques et socioéconomiques du vieillissement dans les pays à longévité élevée," Population (french edition), Institut National d'Études Démographiques (INED), vol. 76(2), pages 225-325.
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