Next Article in Journal / Special Issue
Improving Pharmacists’ Targeting of Patients for Medication Review and Deprescription
Previous Article in Journal / Special Issue
Benzodiazepines Withdrawal: Initial Outcomes and Long-Term Impact on Falls in a French Nursing Home
Article Menu
Issue 2 (June) cover image

Export Article

Open AccessBrief Report
Pharmacy 2018, 6(2), 31; https://doi.org/10.3390/pharmacy6020031

Does a Consumer-Targeted Deprescribing Intervention Compromise Patient-Healthcare Provider Trust?

1
Faculté de Pharmacie, Université de Montréal, Montreal, QC H3T 1J4, Canada
2
Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, Montréal, QC H3W 1W5, Canada
Presentation of Research Findings: Colloque annuel du Réseau québécois de recherche sur les médicaments 2017, Québec, Canada.
Presentation of Research Findings: Colloque annuel du Réseau québécois de recherche sur les médicaments 2017, Québec, Canada.
*
Author to whom correspondence should be addressed.
Received: 22 March 2018 / Revised: 13 April 2018 / Accepted: 14 April 2018 / Published: 16 April 2018
(This article belongs to the Special Issue Deprescribing)
Full-Text   |   PDF [774 KB, uploaded 3 May 2018]   |  

Abstract

One in four community-dwelling older adults is prescribed an inappropriate medication. Educational interventions aimed at patients to reduce inappropriate medications may cause patients to question their prescriber’s judgment. The objective of this study was to determine whether a patient-focused deprescribing intervention compromised trust between older adults and their healthcare providers. An educational brochure was distributed to community-dwelling older adults by community pharmacists in order to trigger deprescribing conversations. At baseline and 6-months post-intervention, participants completed the Primary Care Assessment Survey, which measures patient trust in doctors and pharmacists. Changes in trust were ascertained post-intervention. Proportions with 95% confidence intervals (CI), and logistic regression were used to determine a shift in trust and associated predictors. 352 participants responded to the questionnaire at both time points. The majority of participants had no change or gained trust in their doctors for items related to the choice of medical care (78.5%, 95% CI = 74.2–82.8), communication transparency (75.4%, 95% CI = 70.7–79.8), and overall trust (81.9%, 95% CI = 77.9–86.0). Similar results were obtained for participants’ perceptions of their pharmacists, with trust remaining intact for items related to the choice of medical care (79.4%, 95% CI = 75.3–83.9), transparency in communicating (82.0%, 95% CI = 78.0–86.1), and overall trust (81.6%, 95% CI = 77.5–85.7). Neither age, sex nor the medication class targeted for deprescribing was associated with a loss of trust. Overall, the results indicate that patient-focused deprescribing interventions do not shift patients’ trust in their healthcare providers in a negative direction. View Full-Text
Keywords: deprescribing; trust; Doctor-Patient Relations; potentially inappropriate medications; aged; aged 80 and over deprescribing; trust; Doctor-Patient Relations; potentially inappropriate medications; aged; aged 80 and over
Figures

Figure 1a

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Zhang, Y.Z.; Turner, J.P.; Martin, P.; Tannenbaum, C. Does a Consumer-Targeted Deprescribing Intervention Compromise Patient-Healthcare Provider Trust? Pharmacy 2018, 6, 31.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Pharmacy EISSN 2226-4787 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top