A multi-stakeholder approach to the co-production of the research agenda for medicines optimisation View Full Text


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Article Info

DATE

2021-01-13

AUTHORS

John Fellenor, Nicky Britten, Molly Courtenay, Rupert A. Payne, Jose Valderas, Rachel Denholm, Polly Duncan, Deborah McCahon, Lynn Tatnell, Richard Fitzgerald, Krystal Warmoth, David Gillespie, Katrina Turner, Margaret Watson

ABSTRACT

BackgroundUp to 50% of medicines are not used as intended, resulting in poor health and economic outcomes. Medicines optimisation is ‘a person-centred approach to safe and effective medicines use, to ensure people obtain the best possible outcomes from their medicines’. The purpose of this exercise was to co-produce a prioritised research agenda for medicines optimisation using a multi-stakeholder (patient, researcher, public and health professionals) approach.MethodsA three-stage, multiple method process was used including: generation of preliminary research questions (Stage 1) using a modified Nominal Group Technique; electronic consultation and ranking with a wider multi-stakeholder group (Stage 2); a face-to-face, one-day consensus meeting involving representatives from all stakeholder groups (Stage 3).ResultsIn total, 92 research questions were identified during Stages 1 and 2 and ranked in order of priority during stage 3. Questions were categorised into four areas: ‘Patient Concerns’ [e.g. is there a shared decision (with patients) about using each medicine?], ‘Polypharmacy’ [e.g. how to design health services to cope with the challenge of multiple medicines use?], ‘Non-Medical Prescribing’ [e.g. how can the contribution of non-medical prescribers be optimised in primary care?], and ‘Deprescribing’ [e.g. what support is needed by prescribers to deprescribe?]. A significant number of the 92 questions were generated by Patient and Public Involvement representatives, which demonstrates the importance of including this stakeholder group when identifying research priorities.ConclusionsA wide range of research questions was generated reflecting concerns which affect patients, practitioners, the health service, as well the ethical and philosophical aspects of the prescribing and deprescribing of medicines. These questions should be used to set future research agendas and funding commissions. More... »

PAGES

64

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12913-021-06056-5

DOI

http://dx.doi.org/10.1186/s12913-021-06056-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1134546870

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/33441135


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71 preliminary research questions
72 prescribing
73 prioritised research agenda
74 priority
75 process
76 public involvement representatives
77 purpose
78 questions
79 range
80 representatives
81 research agenda
82 research priorities
83 research questions
84 services
85 significant number
86 stage 1
87 stage 3
88 stakeholder groups
89 technique
90 three-stage
91 total
92 wide range
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