Factors influencing deprescribing in community-dwelling patients with palliative needs in primary care: A qualitative systematic review.
Palliat MedJul 31, 2026 (epub)
Jesse F van Weelderen, Ankie C M Hazen, Alexa M M Mulder et al.
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In 30 seconds
This qualitative systematic review examined factors influencing deprescribing in community-dwelling patients with palliative needs in primary care. Analyzing 23 studies, the review identified four key themes: initial attitudes towards deprescribing, the nature of deprescribing conversations, organizational factors, and the broader context of care. The findings suggest that a multidimensional strategy can enhance deprescribing practices.
Key findings
- Four themes influencing deprescribing were identified: initial stance, deprescribing conversation, organizational factors, and context of care.
- Deprescribing conversations were characterized by individual deliberation and shared decision-making tailored to each patient.
- Organizational factors, including systematic processes and interprofessional collaboration, significantly impacted deprescribing practices.
- A multidimensional strategy is recommended to optimize deprescribing and improve quality of life.
Why it matters
Understanding the factors that influence deprescribing is crucial for improving medication management in palliative care, potentially reducing adverse health outcomes and enhancing patient quality of life.