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A Study on the Perceptions of Korean Older Adult Patients and Caregivers about Polypharmacy and Deprescribing

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  • Han-Gyul Lee

    (Kyung Hee University Medical Center, Department of Cardiology and Neurology, College of Korean Medicine, Kyung Hee University, Seoul 02447, Korea)

  • Seungwon Kwon

    (Kyung Hee University Medical Center, Department of Cardiology and Neurology, College of Korean Medicine, Kyung Hee University, Seoul 02447, Korea)

  • Bo-Hyoung Jang

    (Department of Preventive Medicine, College of Korean Medicine, Kyung Hee University, Seoul 02447, Korea)

  • Jin Pyeong Jeon

    (Department of Neurosurgery, Hallym University College of Medicine, Chuncheon 24253, Korea)

  • Ye-Seul Lee

    (Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul 06110, Korea)

  • Woo-Sang Jung

    (Kyung Hee University Medical Center, Department of Cardiology and Neurology, College of Korean Medicine, Kyung Hee University, Seoul 02447, Korea)

  • Sang-Kwan Moon

    (Kyung Hee University Medical Center, Department of Cardiology and Neurology, College of Korean Medicine, Kyung Hee University, Seoul 02447, Korea)

  • Ki-Ho Cho

    (Kyung Hee University Medical Center, Department of Cardiology and Neurology, College of Korean Medicine, Kyung Hee University, Seoul 02447, Korea)

Abstract

Polypharmacy is continuously increasing among older adults. The resultant potentially inappropriate medications (PIMs) can be harmful to patient health. Deprescribing refers to stopping or reducing PIMs. In this study, the current status of polypharmacy and willingness of older adults to deprescribe were investigated among patients and caregivers who are not associated with one another. The survey used the Korean translated version of the revised Patients’ Attitude Towards Deprescribing (rPATD) Scale. Data were collected through an online survey of 500 participants (250 patients and caregivers each) in this study. The following results were found for patients and caregivers, respectively: 74.8% and 63.6% felt their number of medications was high, 64.4% and 55.6% desired to reduce their medications, 70.4% and 60.8% were concerned about medication discontinuation, 63.2% and 61.2% had a good understanding of their medications, 77.6% and 76.4% were willing to be well informed, and 79.6% and 72% wanted to reduce the number of medications if medically feasible. Patients and caregivers commonly agreed to the burden of the number of medications they were taking, and were willing to reduce the number of medications if the doctor said it was possible. Doctors should consider this information during the deprescribing process, and promote deprescription while involving patients and caregivers in the decision-making process.

Suggested Citation

  • Han-Gyul Lee & Seungwon Kwon & Bo-Hyoung Jang & Jin Pyeong Jeon & Ye-Seul Lee & Woo-Sang Jung & Sang-Kwan Moon & Ki-Ho Cho, 2022. "A Study on the Perceptions of Korean Older Adult Patients and Caregivers about Polypharmacy and Deprescribing," IJERPH, MDPI, vol. 19(18), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:18:p:11446-:d:912450
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    References listed on IDEAS

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    1. David W. Baker & Julie A. Gazmararian & Joseph Sudano & Marian Patterson, 2000. "The Association Between Age and Health Literacy Among Elderly Persons," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 55(6), pages 368-374.
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