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dc.contributor.authorFellenor, John
dc.contributor.authorBritten, Nicky
dc.contributor.authorCourtenay, Molly
dc.contributor.authorPayne, Rupert A
dc.contributor.authorValderas, Jose
dc.contributor.authorDenholm, Rachel
dc.contributor.authorDuncan, Polly
dc.contributor.authorMcCahon, Deborah
dc.contributor.authorTatnell, Lynn
dc.contributor.authorFitzgerald, Richard
dc.contributor.authorWarmoth, Krystal
dc.contributor.authorGillespie, David
dc.contributor.authorTurner, Katrina
dc.contributor.authorWatson, Margaret
dc.date.accessioned2021-01-22T15:26:33Z
dc.date.available2021-01-22T15:26:33Z
dc.date.issued2021-01-13
dc.identifier.citationFellenor , J , Britten , N , Courtenay , M , Payne , R A , Valderas , J , Denholm , R , Duncan , P , McCahon , D , Tatnell , L , Fitzgerald , R , Warmoth , K , Gillespie , D , Turner , K & Watson , M 2021 , ' A multi-stakeholder approach to the co-production of the research agenda for medicines optimisation ' , BMC Health Services Research , vol. 21 , no. 1 , 64 . https://doi.org/10.1186/s12913-021-06056-5
dc.identifier.issn1472-6963
dc.identifier.otherPURE: 24427645
dc.identifier.otherPURE UUID: d1a55082-f8ea-41e4-a857-4b90e293ca3d
dc.identifier.otherPubMed: 33441135
dc.identifier.otherPubMedCentral: PMC7804576
dc.identifier.otherORCID: /0000-0003-0615-5778/work/87354136
dc.identifier.otherScopus: 85099472578
dc.identifier.urihttp://hdl.handle.net/2299/23739
dc.description© The Author(s) 2021. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence (http://creativecommons.org/licenses/by/4.0/), and indicate if changes were made.
dc.description.abstractBACKGROUND: Up 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. METHODS: A 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). RESULTS: In 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. CONCLUSIONS: A 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.en
dc.format.extent9
dc.language.isoeng
dc.relation.ispartofBMC Health Services Research
dc.rightsOpen
dc.titleA multi-stakeholder approach to the co-production of the research agenda for medicines optimisationen
dc.contributor.institutionOlder People's Health and Complex Conditions
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionSchool of Health and Social Work
dc.description.statusPeer reviewed
dc.relation.schoolSchool of Health and Social Work
dc.description.versiontypeFinal Published version
dcterms.dateAccepted2021-01-13
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1186/s12913-021-06056-5
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeOpen


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