Challenges and barriers to physician decision-making for prescribing and deprescribing among patients with multimorbidity in eastern China’s primary care settings: a qualitative study

The complexity of prescribing and deprescribing decisions faced by PCPs in treating patients with multimorbidity in China is influenced by interconnected factors related to physicians, patients, technology and working environment. Future research could develop and evaluate implementation strategies to address specific challenges and barriers to allow PCPs to make effective medication decisions for patients with multimorbidity.

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Publication Details

Journal
BMJ Open
Published
2025-02-01
DOI
https://doi.org/10.1136/bmjopen-2024-095063
Citations
10
Primary Topic
Chronic Disease Management Strategies
Type
article
Field-Weighted Citation Impact
13.54

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article

Challenges and barriers to physician decision-making for prescribing and deprescribing among patients with multimorbidity in eastern China’s primary care settings: a qualitative study

Liyan Han, Zhijie Xu, Andrew A. Farmer, Xinmei Zhou et al.
10 citations
BMJ Open
Chronic Disease Management Strategies
13.54
article

Challenges and barriers to physician decision-making for prescribing and deprescribing among patients with multimorbidity in eastern China’s primary care settings: a qualitative study

Liyan Han, Zhijie Xu, Andrew A. Farmer, Xinmei Zhou, Xia Yu, Ming Yan, Mi Yao, Lingyan Wu
article en
10 citations

Abstract

The complexity of prescribing and deprescribing decisions faced by PCPs in treating patients with multimorbidity in China is influenced by interconnected factors related to physicians, patients, technology and working environment. Future research could develop and evaluate implementation strategies to address specific challenges and barriers to allow PCPs to make effective medication decisions for patients with multimorbidity.

BMJ OpenVol. 15(2)
Peking University (CN), Sir Run Run Shaw Hospital (CN), University of Oxford (GB), Peking University Shenzhen Hospital (CN), Peking University First Hospital (CN), Second Affiliated Hospital of Zhejiang University (CN), Ningbo First Hospital (CN), Zhejiang University (CN)
Medical Science and Technology Project of Zhejiang Province, Science and Technology Program of Zhejiang Province
Peace, Justice and strong institutions
Openalex Percentile: Top 1%
Chronic Disease Management Strategies
13.54
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Challenges and barriers to physician decision-making for prescribing and deprescribing among patients with multimorbidity in eastern China’s primary care settings: a qualitative study — Liyan Han, Zhijie Xu, et al. · BMJ Open (2025) | TGRS Research Map | TGRS