A survey on what pharmacists and physicians caring for nursing home residents expect of user-friendly lists of potentially inappropriate prescribing (PIP lists)

Potentially inappropriate prescribing (PIP, including potentially inappropriate medication, PIM) is frequent. In research and practice, the use of PIP lists could optimize a patient's medication. However, they are barely used, possibly because of their limited user-friendliness. This study aimed at evaluating the opinions of pharmacists and physicians caring for nursing home residents on user-friendliness as well as knowledge and current use of PIP lists. Semi-structured telephone interviews and paper-based surveys were conducted with physicians and pharmacists who care for nursing home residents. Descriptive analysis and Fisher's exact test were performed. A total of 30 practitioners participated in the survey, eight of whom were interviewed by phone. 43 % (13/30) of the participants had already heard of PIP lists, and 46 % (6/13) of them made use of a PIP list. Less experienced professionals had more often heard of PIP lists than more experienced ones. The most important aspects of user-friendliness were: time required to use the list, electronic availability, clear structure and provision of reasons why a medication is potentially inappropriate. Physicians preferred a PIP list adapted to the Swiss drug market more often than pharmacists. Knowledge and current use of PIP lists are limited, which is partially consistent with the results of other studies. Participants with less professional experience have heard of PIP lists more frequently, opinions on user-friendliness differ between professions, and preferences seem to be, overall, highly individual. In order for PIP lists to be used more frequently, the aspects of user-friendliness should be taken into account. Personalizable PIP lists could be an interesting development. Potenziell inadäquate Verschreibungen („potentially inappropriate prescribing“, PIP, inklusive potenziell inadäquate Medikation, PIM) sind verbreitet. In Praxis und Forschung können PIP-Listen verwendet werden, um die Medikation eines Patienten zu optimieren. Trotzdem werden diese selten verwendet, vermutlich aufgrund ihrer begrenzten Benutzerfreundlichkeit. Ziel dieser Studie war die Evaluation der Meinungen der Apotheker- und Ärzteschaft, die Pflegeheimbewohnende betreut, zur Benutzerfreundlichkeit, zum Kenntnisstand und zur Verwendung von PIP-Listen. Die Ärzte- und Apothekerschaft, die Personen in Pflegeheimen betreut, wurde in semistrukturierten Telefoninterviews und schriftlichen Befragungen interviewt. Die Auswertung war deskrip