Applying Shared Decision Making to the Process of Medication Deprescribing in Schizophrenia

被引：0

作者：

Kistler, Elizabeth A. ^{[1
,2
,4
]}

Clinebell, Kimberly ^{[1
,2
]}

Gannon, Jessica M. ^{[1
,2
]}

Nathaniel, Vernon I. ^{[1
,2
]}

Lupu, Ana M. ^{[2
,3
]}

Chengappa, K. N. Roy ^{[1
,2
]}

机构：

[1] Univ Pittsburgh, Sch Med, Dept Psychiat, Pittsburgh, PA USA

[2] Univ Pittsburgh, Med Ctr, Western Psychiat Hosp, Pittsburgh, PA USA

[3] Univ Pittsburgh, Sch Med, Dept Pharm & Therapeut, Pittsburgh, PA USA

[4] Univ Pittsburgh, Dept Psychiat, Comprehens Recovery Serv Clin, 3501 Forbes Ave, Pittsburgh, PA 15213 USA

来源：

CLINICAL THERAPEUTICS | 2023年 / 45卷 / 10期

关键词：

Deprescribing; Medication optimization; Schizophrenia; Serious mental illness; Shared decision making; PRIMARY-CARE; POLYPHARMACY;

D O I：

10.1016/j.clinthera.2023.07.016

中图分类号：

R9 [药学];

学科分类号：

1007 ;

摘要：

Deprescribing , the identification and discontinuation of medications that are no longer indicated or that cause adverse effects that outweigh clinical benefit, relies on the integration of clinical expertise and patient values using shared decision making (SDM). This case series describes the application of SDM to the process of deprescribing in patients with serious mental illness, illustrating the ways in which SDM builds a therapeutic alliance between patient, psychiatrist, family members, and other health care professionals to collaboratively develop treatment plans.

引用

页码：1008 / 1011

页数：4

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