Reduction of inappropriate prescriptions in older adults through the support of Asynchronous Geriatric Counseling Online (AGAlink): Implemented in primary care
Medication prescription is a fundamental component in the care of the elderly. Several characteristics of aging and geriatric medicine affect prescriptions for these people and make the selection of drug therapy a difficult and complex process. The objective of this study is to develop a geriatric p...
Gespeichert in:
| Veröffentlicht in: | PloS one 2021-11, Vol.16 (11), p.e0258414-e0258414 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0258414 |
|---|---|
| container_issue | 11 |
| container_start_page | e0258414 |
| container_title | PloS one |
| container_volume | 16 |
| creator | Avalos-Mejia, Annia Marisol García-Cruz, Juan Carlos Escobedo de la Peña, Jorge Garrido-Acosta, Osvaldo Juárez-Cedillo, Teresa |
| description | Medication prescription is a fundamental component in the care of the elderly. Several characteristics of aging and geriatric medicine affect prescriptions for these people and make the selection of drug therapy a difficult and complex process. The objective of this study is to develop a geriatric portal for asynchronous online counseling (AGAlink) for use by physicians specializing in family medicine to reduce medication problems among older adult patients in the first level of care.
A qualitative study was carried out in the first level of care at the Mexican Institute of Social Security (IMSS), 31 family doctors were interviewed to identify attitudes, preferences about the use of the AGAlink geriatric portal, as well as their recommendations for the implementation of this tool in their daily practice. For the analysis of the data obtained, a qualitative thematic content analysis was used.
90% of the physicians used the geriatric portal outside office hours without the need for the patient to be present. The perception of the physician towards the use of the AGAlink geriatric portal was favorable, provided relevant information and had several positive effects on the process of care for medical prescription. The barriers identified to accept the change in medication were not having the proposed therapeutic option, lack of any laboratory analysis, continuing to consider their experience for the prescription of the medication.
The AGAlink geriatric portal was a tool that was well received by physicians who expressed a positive attitude, considered an investment of a short time that allowed them to update and learn about strategies to reduce the prescription problems presented among the elderly population. However, the main barrier was the use of technology, especially in the doctors with more seniority in the service. |
| doi_str_mv | 10.1371/journal.pone.0258414 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_2598507583</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A682876737</galeid><doaj_id>oai_doaj_org_article_3d57993b8bf0475588c7cd5e4c0e3da3</doaj_id><sourcerecordid>A682876737</sourcerecordid><originalsourceid>FETCH-LOGICAL-c542t-7a310f8ee4aebaa2797c2c77b6cd387f20334bbb7092af0b22ab9571663a07ba3</originalsourceid><addsrcrecordid>eNptUl2L1DAULaK4H_oPRAO-rA8zpknbpD4Iw7COAwsLos8hH7czGdukJq2wv8a_aup0lx1Z8nDDveeec-_lZNmbHC9zyvKPBz8GJ9tl7x0sMSl5kRfPsvO8pmRREUyfP_qfZRcxHjAuKa-ql9kZLRjnhLPz7M83MKMerHfIN8g62ffB98HKAVAfIOpg-6kaUw351kBA0oztENGwD37c7VMEFMe-92GYKFbxzulUcn6MaAMTU7Aarf3oIrTW7dCtSwHQ1WqzSp-fHz6hbde30IEbwEwySb6T4Q5pGeBV9qKRbYTXc7zMfny5_r7-uri53WzXq5uFLgsyLJikOW44QCFBSUlYzTTRjKlKG8pZk25AC6UUwzWRDVaESFWXLK8qKjFTkl5m7468feujmG8bBSlrXmJWcpoQ2yPCeHkQ84zCSyv-JXzYCRkGq1sQ1JSsrqniqsEFK0vONdOmhEJjoEZOXJ9ntVF1YHRaPcj2hPS04uxe7PxvwdM8mLBEcDUTBP9rhDiIzkYNbSsdpMNPc9eY4TR2gr7_D_r0djNqJ9MC1jU-6eqJVKyqySoVo5Ps8glUegY6q5MRG5vyJw3FsUEHH2OA5mHHHIvJxvfDiMnGYrZxanv7-D4PTfe-pX8BQyvzVQ</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2598507583</pqid></control><display><type>article</type><title>Reduction of inappropriate prescriptions in older adults through the support of Asynchronous Geriatric Counseling Online (AGAlink): Implemented in primary care</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Public Library of Science (PLoS)</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Avalos-Mejia, Annia Marisol ; García-Cruz, Juan Carlos ; Escobedo de la Peña, Jorge ; Garrido-Acosta, Osvaldo ; Juárez-Cedillo, Teresa</creator><contributor>Suppiah, Vijayaprakash</contributor><creatorcontrib>Avalos-Mejia, Annia Marisol ; García-Cruz, Juan Carlos ; Escobedo de la Peña, Jorge ; Garrido-Acosta, Osvaldo ; Juárez-Cedillo, Teresa ; Suppiah, Vijayaprakash</creatorcontrib><description>Medication prescription is a fundamental component in the care of the elderly. Several characteristics of aging and geriatric medicine affect prescriptions for these people and make the selection of drug therapy a difficult and complex process. The objective of this study is to develop a geriatric portal for asynchronous online counseling (AGAlink) for use by physicians specializing in family medicine to reduce medication problems among older adult patients in the first level of care.
A qualitative study was carried out in the first level of care at the Mexican Institute of Social Security (IMSS), 31 family doctors were interviewed to identify attitudes, preferences about the use of the AGAlink geriatric portal, as well as their recommendations for the implementation of this tool in their daily practice. For the analysis of the data obtained, a qualitative thematic content analysis was used.
90% of the physicians used the geriatric portal outside office hours without the need for the patient to be present. The perception of the physician towards the use of the AGAlink geriatric portal was favorable, provided relevant information and had several positive effects on the process of care for medical prescription. The barriers identified to accept the change in medication were not having the proposed therapeutic option, lack of any laboratory analysis, continuing to consider their experience for the prescription of the medication.
The AGAlink geriatric portal was a tool that was well received by physicians who expressed a positive attitude, considered an investment of a short time that allowed them to update and learn about strategies to reduce the prescription problems presented among the elderly population. However, the main barrier was the use of technology, especially in the doctors with more seniority in the service.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0258414</identifier><identifier>PMID: 34788287</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Aged ; Aged patients ; Aging ; Attitudes ; Chemotherapy ; Clinical medicine ; Computer and Information Sciences ; Content analysis ; Counseling ; Drug therapy ; Drugs ; Female ; Geriatrics ; Health aspects ; Health care ; Health Planning Guidelines ; Hospitals ; Humans ; Inappropriate Prescribing ; Internet ; Interviews ; Male ; Medical personnel ; Medicine ; Medicine and Health Sciences ; Older people ; Patients ; People and Places ; Physicians ; Prescribing ; Prescription drugs ; Primary care ; Primary Health Care ; Qualitative analysis ; Qualitative research ; Social security ; Surveys and Questionnaires</subject><ispartof>PloS one, 2021-11, Vol.16 (11), p.e0258414-e0258414</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Avalos-Mejia et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Avalos-Mejia et al 2021 Avalos-Mejia et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c542t-7a310f8ee4aebaa2797c2c77b6cd387f20334bbb7092af0b22ab9571663a07ba3</cites><orcidid>0000-0002-9442-3471</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8598027/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8598027/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2095,2914,23846,27903,27904,53769,53771,79346,79347</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34788287$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Suppiah, Vijayaprakash</contributor><creatorcontrib>Avalos-Mejia, Annia Marisol</creatorcontrib><creatorcontrib>García-Cruz, Juan Carlos</creatorcontrib><creatorcontrib>Escobedo de la Peña, Jorge</creatorcontrib><creatorcontrib>Garrido-Acosta, Osvaldo</creatorcontrib><creatorcontrib>Juárez-Cedillo, Teresa</creatorcontrib><title>Reduction of inappropriate prescriptions in older adults through the support of Asynchronous Geriatric Counseling Online (AGAlink): Implemented in primary care</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Medication prescription is a fundamental component in the care of the elderly. Several characteristics of aging and geriatric medicine affect prescriptions for these people and make the selection of drug therapy a difficult and complex process. The objective of this study is to develop a geriatric portal for asynchronous online counseling (AGAlink) for use by physicians specializing in family medicine to reduce medication problems among older adult patients in the first level of care.
A qualitative study was carried out in the first level of care at the Mexican Institute of Social Security (IMSS), 31 family doctors were interviewed to identify attitudes, preferences about the use of the AGAlink geriatric portal, as well as their recommendations for the implementation of this tool in their daily practice. For the analysis of the data obtained, a qualitative thematic content analysis was used.
90% of the physicians used the geriatric portal outside office hours without the need for the patient to be present. The perception of the physician towards the use of the AGAlink geriatric portal was favorable, provided relevant information and had several positive effects on the process of care for medical prescription. The barriers identified to accept the change in medication were not having the proposed therapeutic option, lack of any laboratory analysis, continuing to consider their experience for the prescription of the medication.
The AGAlink geriatric portal was a tool that was well received by physicians who expressed a positive attitude, considered an investment of a short time that allowed them to update and learn about strategies to reduce the prescription problems presented among the elderly population. However, the main barrier was the use of technology, especially in the doctors with more seniority in the service.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged patients</subject><subject>Aging</subject><subject>Attitudes</subject><subject>Chemotherapy</subject><subject>Clinical medicine</subject><subject>Computer and Information Sciences</subject><subject>Content analysis</subject><subject>Counseling</subject><subject>Drug therapy</subject><subject>Drugs</subject><subject>Female</subject><subject>Geriatrics</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health Planning Guidelines</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Inappropriate Prescribing</subject><subject>Internet</subject><subject>Interviews</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Older people</subject><subject>Patients</subject><subject>People and Places</subject><subject>Physicians</subject><subject>Prescribing</subject><subject>Prescription drugs</subject><subject>Primary care</subject><subject>Primary Health Care</subject><subject>Qualitative analysis</subject><subject>Qualitative research</subject><subject>Social security</subject><subject>Surveys and Questionnaires</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNptUl2L1DAULaK4H_oPRAO-rA8zpknbpD4Iw7COAwsLos8hH7czGdukJq2wv8a_aup0lx1Z8nDDveeec-_lZNmbHC9zyvKPBz8GJ9tl7x0sMSl5kRfPsvO8pmRREUyfP_qfZRcxHjAuKa-ql9kZLRjnhLPz7M83MKMerHfIN8g62ffB98HKAVAfIOpg-6kaUw351kBA0oztENGwD37c7VMEFMe-92GYKFbxzulUcn6MaAMTU7Aarf3oIrTW7dCtSwHQ1WqzSp-fHz6hbde30IEbwEwySb6T4Q5pGeBV9qKRbYTXc7zMfny5_r7-uri53WzXq5uFLgsyLJikOW44QCFBSUlYzTTRjKlKG8pZk25AC6UUwzWRDVaESFWXLK8qKjFTkl5m7468feujmG8bBSlrXmJWcpoQ2yPCeHkQ84zCSyv-JXzYCRkGq1sQ1JSsrqniqsEFK0vONdOmhEJjoEZOXJ9ntVF1YHRaPcj2hPS04uxe7PxvwdM8mLBEcDUTBP9rhDiIzkYNbSsdpMNPc9eY4TR2gr7_D_r0djNqJ9MC1jU-6eqJVKyqySoVo5Ps8glUegY6q5MRG5vyJw3FsUEHH2OA5mHHHIvJxvfDiMnGYrZxanv7-D4PTfe-pX8BQyvzVQ</recordid><startdate>20211117</startdate><enddate>20211117</enddate><creator>Avalos-Mejia, Annia Marisol</creator><creator>García-Cruz, Juan Carlos</creator><creator>Escobedo de la Peña, Jorge</creator><creator>Garrido-Acosta, Osvaldo</creator><creator>Juárez-Cedillo, Teresa</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-9442-3471</orcidid></search><sort><creationdate>20211117</creationdate><title>Reduction of inappropriate prescriptions in older adults through the support of Asynchronous Geriatric Counseling Online (AGAlink): Implemented in primary care</title><author>Avalos-Mejia, Annia Marisol ; García-Cruz, Juan Carlos ; Escobedo de la Peña, Jorge ; Garrido-Acosta, Osvaldo ; Juárez-Cedillo, Teresa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c542t-7a310f8ee4aebaa2797c2c77b6cd387f20334bbb7092af0b22ab9571663a07ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged patients</topic><topic>Aging</topic><topic>Attitudes</topic><topic>Chemotherapy</topic><topic>Clinical medicine</topic><topic>Computer and Information Sciences</topic><topic>Content analysis</topic><topic>Counseling</topic><topic>Drug therapy</topic><topic>Drugs</topic><topic>Female</topic><topic>Geriatrics</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Health Planning Guidelines</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Inappropriate Prescribing</topic><topic>Internet</topic><topic>Interviews</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Older people</topic><topic>Patients</topic><topic>People and Places</topic><topic>Physicians</topic><topic>Prescribing</topic><topic>Prescription drugs</topic><topic>Primary care</topic><topic>Primary Health Care</topic><topic>Qualitative analysis</topic><topic>Qualitative research</topic><topic>Social security</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Avalos-Mejia, Annia Marisol</creatorcontrib><creatorcontrib>García-Cruz, Juan Carlos</creatorcontrib><creatorcontrib>Escobedo de la Peña, Jorge</creatorcontrib><creatorcontrib>Garrido-Acosta, Osvaldo</creatorcontrib><creatorcontrib>Juárez-Cedillo, Teresa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Avalos-Mejia, Annia Marisol</au><au>García-Cruz, Juan Carlos</au><au>Escobedo de la Peña, Jorge</au><au>Garrido-Acosta, Osvaldo</au><au>Juárez-Cedillo, Teresa</au><au>Suppiah, Vijayaprakash</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reduction of inappropriate prescriptions in older adults through the support of Asynchronous Geriatric Counseling Online (AGAlink): Implemented in primary care</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-11-17</date><risdate>2021</risdate><volume>16</volume><issue>11</issue><spage>e0258414</spage><epage>e0258414</epage><pages>e0258414-e0258414</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Medication prescription is a fundamental component in the care of the elderly. Several characteristics of aging and geriatric medicine affect prescriptions for these people and make the selection of drug therapy a difficult and complex process. The objective of this study is to develop a geriatric portal for asynchronous online counseling (AGAlink) for use by physicians specializing in family medicine to reduce medication problems among older adult patients in the first level of care.
A qualitative study was carried out in the first level of care at the Mexican Institute of Social Security (IMSS), 31 family doctors were interviewed to identify attitudes, preferences about the use of the AGAlink geriatric portal, as well as their recommendations for the implementation of this tool in their daily practice. For the analysis of the data obtained, a qualitative thematic content analysis was used.
90% of the physicians used the geriatric portal outside office hours without the need for the patient to be present. The perception of the physician towards the use of the AGAlink geriatric portal was favorable, provided relevant information and had several positive effects on the process of care for medical prescription. The barriers identified to accept the change in medication were not having the proposed therapeutic option, lack of any laboratory analysis, continuing to consider their experience for the prescription of the medication.
The AGAlink geriatric portal was a tool that was well received by physicians who expressed a positive attitude, considered an investment of a short time that allowed them to update and learn about strategies to reduce the prescription problems presented among the elderly population. However, the main barrier was the use of technology, especially in the doctors with more seniority in the service.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34788287</pmid><doi>10.1371/journal.pone.0258414</doi><orcidid>https://orcid.org/0000-0002-9442-3471</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2021-11, Vol.16 (11), p.e0258414-e0258414 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2598507583 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Aged Aged patients Aging Attitudes Chemotherapy Clinical medicine Computer and Information Sciences Content analysis Counseling Drug therapy Drugs Female Geriatrics Health aspects Health care Health Planning Guidelines Hospitals Humans Inappropriate Prescribing Internet Interviews Male Medical personnel Medicine Medicine and Health Sciences Older people Patients People and Places Physicians Prescribing Prescription drugs Primary care Primary Health Care Qualitative analysis Qualitative research Social security Surveys and Questionnaires |
| title | Reduction of inappropriate prescriptions in older adults through the support of Asynchronous Geriatric Counseling Online (AGAlink): Implemented in primary care |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-25T21%3A00%3A16IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Reduction%20of%20inappropriate%20prescriptions%20in%20older%20adults%20through%20the%20support%20of%20Asynchronous%20Geriatric%20Counseling%20Online%20(AGAlink):%20Implemented%20in%20primary%20care&rft.jtitle=PloS%20one&rft.au=Avalos-Mejia,%20Annia%20Marisol&rft.date=2021-11-17&rft.volume=16&rft.issue=11&rft.spage=e0258414&rft.epage=e0258414&rft.pages=e0258414-e0258414&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0258414&rft_dat=%3Cgale_plos_%3EA682876737%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2598507583&rft_id=info:pmid/34788287&rft_galeid=A682876737&rft_doaj_id=oai_doaj_org_article_3d57993b8bf0475588c7cd5e4c0e3da3&rfr_iscdi=true |