From: Why do family doctors prescribe potentially inappropriate medication to elderly patients?
FPs’ arguments pro PRISCUS | FPs’ arguments contra PRISCUS |
---|---|
•Includes no-go-medication you have to remember every time | Not practicable in FPs’ daily practice since |
•Good for orientation | •does often not fit individual patients’ needs |
•Possible argument if FP wants to refuse a medication | •within its complex context of multimorbidity |
•does not recommend practicable and pharmacologically based alternatives | |
•does not fit experience-based practice | |
•does not fit patient demands for a certain PIM based on individual positive experiences | |
•limited time in consultations a) to check additional recommendation lists and b) to convince patients for new medication | |
•chronological age does not match biological age: lot of patients > 65 years have a younger biological age | |
•mistrust in PRISCUS based on missing evidence for medication of multimorbid elderly patients |