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Generalist solutions to overprescribing : a joint challenge for clinical and academic primary care
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Reeve, Joanne L. and Bancroft, Rebecca (2014) Generalist solutions to overprescribing : a joint challenge for clinical and academic primary care. Primary Health Care Research & Development, Volume 15 (Number 1). pp. 72-79. doi:10.1017/S1463423612000576
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Official URL: http://dx.doi.org/10.1017/S1463423612000576
Abstract
Polypharmacy is a phenomenon of modern health care that can offer benefits in terms of patient outcomes. Known risks associated with so-called inappropriate polypharmacy can be reduced through good medicine management and appropriate use of clinical guidelines. However, we now see a growing literature highlighting additional risks to individual well-being and social functioning not recognised within these existing frameworks – the burden of polypharmacy and a problem of overprescribing. We need a new approach to defining and understanding inappropriate polypharmacy from a person-centred perspective. This paper discusses practice-based work exploring the impact of introducing generalist needs assessment for elderly patients with multiple chronic morbidities. The work suggests that generalist care offers something ‘different’ to current chronic disease management models, but highlights the need for formal evaluation to determine whether it is ‘better’. We call for new collaborative research between clinical and academic partners to address the question as to whether generalist care offers solutions to the problems of the burden of polypharmacy.
| Item Type: | Journal Article | ||||||||||
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| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Medicine > Warwick Medical School |
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| Journal or Publication Title: | Primary Health Care Research & Development | ||||||||||
| Publisher: | Cambridge University Press | ||||||||||
| ISSN: | 1463-4236 | ||||||||||
| Official Date: | January 2014 | ||||||||||
| Dates: |
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| Volume: | Volume 15 | ||||||||||
| Number: | Number 1 | ||||||||||
| Page Range: | pp. 72-79 | ||||||||||
| DOI: | 10.1017/S1463423612000576 | ||||||||||
| Status: | Peer Reviewed | ||||||||||
| Publication Status: | Published | ||||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||||
| Adapted As: |
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