Scott Devin, Hall Amy, Barenie Rachel, Walker Crystal, Khan Muneeza, Koltnow Paul, Callahan William R, Cernasev Alina
Department of Interprofessional Education, College of Graduate Health Sciences, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Teaching and Learning Center, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Pharmacy (Basel). 2025 May 29;13(3):77. doi: 10.3390/pharmacy13030077.
As the US population ages, the number of prescriptions managed by patients and healthcare teams is increasing. Thus, discontinuing or reducing medications that are considered to pose more risks than benefits can be achieved through deprescribing. Despite increasing calls for a stronger focus on deprescribing in healthcare education, current discussions highlight the lack of training on this topic within healthcare curricula. This is a significant barrier to effectively implementing the deprescribing process. This study aimed to characterize healthcare professional students (HPSs)'s perspectives on deprescribing within an interprofessional healthcare team, particularly regarding the motivations and roles of these future practitioners.
Focus groups were conducted with HPSs at the University of Tennessee Health Science Center. The data collection, guided by a conceptual model, took place over three months in 2022. Data analysis was performed using thematic analysis, during which themes were identified through inductive coding.
Participants ( = 36) represented various faculties, including medicine, pharmacy, health professions, nursing, and dentistry. Two themes emerged: (1) Healthcare Team Members' Roles and Responsibilities (2) "": Patient Safety Motivates Deprescribing.
Data from HPSs highlighted the importance of an interprofessional healthcare team approach to deprescribing. Based on these insights, educators and practitioners should focus on establishing strong interprofessional healthcare teams that privilege open communication. Teams should consider deprescribing as a patient safety concern, as this may galvanize the team and provide additional motivation for performing the necessary work of deprescribing.
随着美国人口老龄化,患者和医疗团队管理的处方数量不断增加。因此,通过减药可以停用或减少那些被认为风险大于益处的药物。尽管越来越多的人呼吁在医学教育中更加重视减药,但目前的讨论凸显了医学课程中缺乏关于这一主题的培训。这是有效实施减药过程的一个重大障碍。本研究旨在描述医疗专业学生(HPSs)在跨专业医疗团队中对减药的看法,特别是关于这些未来从业者的动机和角色。
在田纳西大学健康科学中心对医疗专业学生进行了焦点小组访谈。数据收集以一个概念模型为指导,于2022年进行了三个月。数据分析采用主题分析法,通过归纳编码确定主题。
参与者(n = 36)代表了各个学院,包括医学、药学、健康职业、护理和牙科。出现了两个主题:(1)医疗团队成员的角色和责任(2)“患者安全推动减药”。
医疗专业学生的数据突出了跨专业医疗团队减药方法的重要性。基于这些见解,教育工作者和从业者应专注于建立强大的跨专业医疗团队,重视开放沟通。团队应将减药视为患者安全问题,因为这可能激励团队,并为开展减药所需工作提供额外动力。