A study found that patient-directed educational brochures can increase the likelihood of deprescribing discussions and shared decision-making between patients and their primary care providers. However, the approach was less effective for Black patients, individuals with lower education levels, and those who didn't engage with the brochures.
Patient-directed educational brochures show promise in increasing the likelihood of deprescribing discussions and promoting shared decision-making; however, this approach is less effective in Black patients, individuals with lower levels of education, and those who do not read the brochures.Deprescribing, the intentional discontinuation or dose reduction of medications for which risks outweigh benefits, can reduce potentially inappropriate medication use and associated harms.
They selected 3206 patients from three Veterans Affairs facilities who had appointments scheduled with their primary care providers and divided them into the following cohorts: Those taking proton-pump inhibitors , those taking gabapentin , and those taking diabetes medications and having a risk for hypoglycemia .
Non-Hispanic Black patients showed a lower likelihood of having deprescribing discussions with their primary care providers than White patients , and higher vs lower levels of education were associated with an increased likelihood of having deprescribing discussions.
DEPRESCRIBING PATIENT ENGAGEMENT EDUCATIONAL BROCHURES SHARED DECISION-MAKING HEALTH EQUITY
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