GPs' perspectives on prescribing for older people in primary care: a qualitative study

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dc.contributor.authorO'Riordan, David
dc.contributor.authorByrne, Stephen
dc.contributor.authorFleming, Aoife
dc.contributor.authorKearney, Patricia M.
dc.contributor.authorGalvin, Rose
dc.contributor.authorSinnott, Carol
dc.contributor.funderHealth Research Boarden
dc.date.accessioned2017-11-13T14:46:14Z
dc.date.available2017-11-13T14:46:14Z
dc.date.issued2017-02-08
dc.date.updated2017-11-13T14:35:50Z
dc.description.abstractAims: The aim of this study was firstly to reveal the determinants of GP prescribing behaviour for older adults in primary care and secondly to elicit GPs' views on the potential role for broad intervention strategies involving pharmacists and/or information technology systems in general practice. Methods: Semi-structured qualitative interviews were carried out with a purposive sample of GPs. Three multidisciplinary researchers independently coded the interview data using a framework approach. Emerging themes were mapped to the Theoretical Domains Framework (TDF), a tool used to apply behaviour change theories. Results: Sixteen GPs participated in the study. The following domains in the TDF were identified as being important determinants of GP prescribing behaviour: ‘Knowledge’, ‘Skills’, ‘Reinforcement’, ‘Memory Attention and Decision Process’, ‘Environmental Context and Resources’, ‘Social Influences’, ‘Social/Professional Role and Identity’. Participants reported that the challenges associated with prescribing for an increasingly older population will require them to become more knowledgeable in pharmacology and drug interactions and they called for extra training in these topics. GPs viewed strategies such as academic detailing sessions delivered by pharmacists or information technology systems as having a positive role to play in optimizing prescribing. Conclusion: This study highlights the complexities of behavioural determinants of prescribing for older people in primary care and the need for additional supports to optimize prescribing for this growing cohort of patients. Interventions that incorporate, but are not limited to interprofessional collaboration with pharmacists and information technology systems, were identified by GPs as being potentially useful for improving prescribing behaviour, and therefore require further exploration.en
dc.description.sponsorshipHealth Research Board (SPHeRE/2013/1)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationO'Riordan, D., Byrne, S., Fleming, A., Kearney, P. M., Galvin, R. and Sinnott, C. (2017) 'GPs' perspectives on prescribing for older people in primary care: a qualitative study', British Journal of Clinical Pharmacology, 83(7), pp. 1521-1531. doi: 10.1111/bcp.13233en
dc.identifier.doi10.1111/bcp.13233
dc.identifier.endpage1531en
dc.identifier.issn1365-2125
dc.identifier.issued7en
dc.identifier.journaltitleBritish Journal of Clinical Pharmacologyen
dc.identifier.startpage1521en
dc.identifier.urihttps://hdl.handle.net/10468/5012
dc.identifier.volume83en
dc.language.isoenen
dc.publisherWileyen
dc.relation.urihttp://onlinelibrary.wiley.com/wol1/doi/10.1111/bcp.13233/full
dc.rights© 2017. The Authors. British Journal of Clinical Pharmacology published by John Wiley & Sons Ltd on behalf of British Pharmacological Society. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.en
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectGP prescribingen
dc.subjectOlder peopleen
dc.subjectPrimary careen
dc.subjectSemi-structured interviewsen
dc.subjectTheoretical Domains Frameworken
dc.titleGPs' perspectives on prescribing for older people in primary care: a qualitative studyen
dc.typeArticle (peer-reviewed)en
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