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Experience of hospital-initiated medication changes in older people with multimorbidity: a multicentre mixed-methods study embedded in the OPtimising thERapy to prevent Avoidable hospital admissions in Multimorbid older people (OPERAM) trial.
Thevelin S, Pétein C, Metry B, et al. Experience of hospital-initiated medication changes in older people with multimorbidity: a multicentre mixed-methods study embedded in the OPtimising thERapy to prevent Avoidable hospital admissions in Multimorbid older people (OPERAM) trial. BMJ Qual Saf. 2022;31(12):888-898. 10.1136/bmjqs-2021-014372
Polypharmacy can place older adults at increased risk of adverse drug events. This mixed-methods study, embedded in the OPERAM trial, identified differences in perceived shared decision-making regarding medication changes between providers and older adult patients. Whereas clinicians reported high levels of shared decision-making, patients reported poor communication and paternalistic decision-making.
