Pharmacist-independent prescriber deprescribing in UK care homes: Contextual factors associated with increased activity

Mohammed Alharthi, Sion Scott* (Corresponding Author), David Phillip Alldred, Richard Holland, Carmel Hughes, Linda Birt, Jeanette Blacklock, Christine Bond, Allan Clark, David Wright

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Aims The Care Home Independent Pharmacist Prescriber Study (CHIPPS) process evaluation hypothesized that contextual factors influenced the likelihood of deprescribing by pharmacist-independent prescribers. The aim of this paper is to test this hypothesis. Methods From CHIPPS study data, medications deprescribed totalled 284 for 370 residents in UK care homes. Regression analysis was used to describe the relationship between the number of medicines stopped and contextual factors (number of residents cared for, pharmacist employment within associated medical practice, previous care home experience, hours active within trial, years? experience as a pharmacist and as a prescriber). Results Number of residents and pharmacist-independent prescriber employment within a medical practice were positive predictors of deprescribing. Conclusion Previous experiences were not related to deprescribing likelihood. Increasing the number of residents increases the opportunity for deprescribing and therefore this relationship is intuitive. The location within a medical practice is an interesting finding that requires further exploration to understand its exact nature.
Original languageEnglish
JournalBritish Journal of Clinical Pharmacology
Early online date23 Dec 2022
DOIs
Publication statusE-pub ahead of print - 23 Dec 2022

Keywords

  • deprescription
  • long-term care facilities
  • medication review
  • medicines optimization
  • nursing home
  • polypharmacy
  • residential home

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