Date of Completion

2024

Document Type

Thesis

Degree Name

Bachelor of Science in Pharmacy

Keywords

Polypharmacy, deprescribing, clinical pharmacists, perception, focus group discussion, government hospital, private hospital, CEASE framework

Abstract

Polypharmacy continues to plague people worldwide (Beezer et al., 2021; Mehta et al., 2021). There are many guidelines and processes used to reduce its consequences, one of these is the concept of deprescribing. Deprescribing is often thought of as a physician-led process, however, clinical pharmacists also play an important role in a patient’s medication review. Currently, standard procedures and references are still lacking regarding this emerging role for pharmacists. A case study on clinical pharmacists in a government and a private hospital was conducted to explore and compare their perceptions about deprescribing. It utilized an online focus group discussion held via Zoom to collate the data. The data gathered, apart from the doctors and clinical pharmacists, showed that nurses also play an important role. Key differences between the two hospitals were seen based on how the nurses and pharmacists were utilized. Furthermore, it was noted that resources were also available to both hospitals, but the government hospital uses free or public resources more often than the private hospital. From this, with the exemption of the available resources, both the private and public hospitals have similar deprescribing structures. Additionally, even if there is no standardized process, both government and private hospitals perform deprescribing processes aligned with the CEASE framework with also similarity in their perceived outcomes. Nevertheless, further studies are encouraged to thoroughly explore the nuances of the deprescribing process in the Philippines.

First Advisor

Rica Marie M. Karikitan, RPh, MS

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