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dc.contributor.authorReeve, Jen
dc.contributor.authorBritten, Nen
dc.contributor.authorByng, Ren
dc.contributor.authorFleming, Jen
dc.contributor.authorHeaton, Jen
dc.contributor.authorKrska, Jen
dc.date.accessioned2018-03-06T13:58:53Z
dc.date.available2018-03-06T13:58:53Z
dc.date.issued2018-01-15en
dc.identifier.urihttp://hdl.handle.net/10026.1/10986
dc.description.abstract

BACKGROUND: Many people now take multiple medications on a long-term basis to manage health conditions. Optimising the benefit of such polypharmacy requires tailoring of medicines use to the needs and circumstances of individuals. However, professionals report barriers to achieving this in practice. In this study, we examined health professionals' perceptions of enablers and barriers to delivering individually tailored prescribing. METHODS: Normalisation Process Theory (NPT) informed an on-line survey of health professionals' views of enablers and barriers to implementation of Individually Tailored Prescribing (ITP) of medicines. Links to the survey were sent out through known professional networks using a convenience/snowball sampling approach. Survey questions sought to identify perceptions of supports/barriers for ITP within the four domains of work described by NPT: sense making, engagement, action and monitoring. Analysis followed the framework approach developed in our previous work. RESULTS: Four hundred and nineteen responses were included in the final analysis (67.3% female, 32.7% male; 52.7% nurse prescribers, 19.8% pharmacists and 21.8% GPs). Almost half (44.9%) were experienced practitioners (16+ years in practice); around one third reported already routinely offering ITP to their patients. GPs were the group least likely to recognise this as consistent usual practice. Findings revealed general support for the principles of ITP but significant variation and inconsistency in understanding and implementation in practice. Our findings reveal four key implications for practice: the need to raise understanding of ITP as a legitimate part of professional practice; to prioritise the work of ITP within the range of individual professional activity; to improve the consistency of training and support for interpretive practice; and to review the impact of formal and informal monitoring processes on practice. CONCLUSION: The findings will inform the ongoing development of our new complex intervention (PRIME Prescribing) to support the individual tailoring of medicines needed to address problematic polypharmacy.

en
dc.format.extent17 - ?en
dc.languageengen
dc.language.isoengen
dc.subjectIndividually tailored careen
dc.subjectMedicines optimisationen
dc.subjectPolypharmacyen
dc.subjectAttitude of Health Personnelen
dc.subjectCross-Sectional Studiesen
dc.subjectDrug Prescriptionsen
dc.subjectFemaleen
dc.subjectGeneral Practitionersen
dc.subjectHealth Personnelen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectNursesen
dc.subjectPharmacistsen
dc.subjectPolypharmacyen
dc.subjectPrecision Medicineen
dc.subjectSurveys and Questionnairesen
dc.subjectUnited Kingdomen
dc.titleIdentifying enablers and barriers to individually tailored prescribing: a survey of healthcare professionals in the UK.en
dc.typeJournal Article
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/29334913en
plymouth.issue1en
plymouth.volume19en
plymouth.publication-statusPublished onlineen
plymouth.journalBMC Fam Practen
dc.identifier.doi10.1186/s12875-017-0705-2en
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/00 Groups by role
plymouth.organisational-group/Plymouth/00 Groups by role/Academics
plymouth.organisational-group/Plymouth/Faculty of Medicine and Dentistry
plymouth.organisational-group/Plymouth/Faculty of Medicine and Dentistry/Centre for Clinical Trials & Health Research
plymouth.organisational-group/Plymouth/Faculty of Medicine and Dentistry/Centre for Clinical Trials & Health Research/RC reporting group CTPS
plymouth.organisational-group/Plymouth/Faculty of Medicine and Dentistry/Collaboration for the Advancement of Medical Education Research Assessment
plymouth.organisational-group/Plymouth/Faculty of Medicine and Dentistry/PenCLAHRC
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CCT&PS
dc.publisher.placeEnglanden
dcterms.dateAccepted2017-12-26en
dc.identifier.eissn1471-2296en
dc.rights.embargoperiodNot knownen
rioxxterms.versionofrecord10.1186/s12875-017-0705-2en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2018-01-15en
rioxxterms.typeJournal Article/Reviewen


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