TY - JOUR
T1 - An Ecological Approach to Reducing Potentially Inappropriate Medication Use
T2 - Canadian Deprescribing Network
AU - Tannenbaum, Cara
AU - Farrell, Barbara
AU - Shaw, James
AU - Morgan, Steve
AU - Trimble, Johanna
AU - Currie, Janet
AU - Turner, Justin
AU - Rochon, Paula
AU - Silvius, James
PY - 2017/3/1
Y1 - 2017/3/1
N2 - 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.
AB - 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.
KW - Aging
KW - deprescribing
KW - health policy
KW - inappropriate medications
KW - patient engagement
UR - http://www.scopus.com/inward/record.url?scp=85009770763&partnerID=8YFLogxK
U2 - 10.1017/S0714980816000702
DO - 10.1017/S0714980816000702
M3 - Article
AN - SCOPUS:85009770763
VL - 36
SP - 97
EP - 107
JO - Canadian Journal on Aging/La Revue canadienne du vieillissment/Canadian Public Policy/Analyse de Politiques
JF - Canadian Journal on Aging/La Revue canadienne du vieillissment/Canadian Public Policy/Analyse de Politiques
SN - 0714-9808
IS - 1
ER -