An Ecological Approach to Reducing Potentially Inappropriate Medication Use: Canadian Deprescribing Network

Cara Tannenbaum, Barbara Farrell, James Shaw, Steve Morgan, Johanna Trimble, Janet Currie, Justin Turner, Paula Rochon, James Silvius

Research output: Contribution to journalArticleResearchpeer-review

22 Citations (Scopus)

Abstract

Polypharmacy is growing in Canada, along with adverse drug events and drug-related costs. Part of the solution may be deprescribing, the planned and supervised process of dose reduction or stopping of medications that may be causing harm or are no longer providing benefit. Deprescribing can be a complex process, involving the intersection of patients, health care providers, and organizational and policy factors serving as enablers or barriers. This article describes the justification, theoretical foundation, and process for developing a Canadian Deprescribing Network (CaDeN), a network of individuals, organizations, and decision-makers committed to promoting the appropriate use of medications and non-pharmacological approaches to care, especially among older people in Canada. CaDeN will deploy multiple levels of action across multiple stakeholder groups simultaneously in an ecological approach to health system change. CaDeN proposes a unique model that might be applied both in national settings and for different transformational challenges in health care.

Original languageEnglish
Pages (from-to)97-107
Number of pages11
JournalCanadian Journal on Aging/La Revue canadienne du vieillissment/Canadian Public Policy/Analyse de Politiques
Volume36
Issue number1
DOIs
Publication statusPublished - 1 Mar 2017
Externally publishedYes

Keywords

  • Aging
  • deprescribing
  • health policy
  • inappropriate medications
  • patient engagement

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