A multi-stakeholder approach to the co-production of the research agenda for medicines optimisation

Felloner, John, Britten, Nicky, Courtenay, Molly ORCID: https://orcid.org/0000-0002-8639-5917, Payne, Rupert, Valderas, Jose, Denholm, Rachel, Duncan, Polly, McCahon, Deborah, Tatnell, Lynn, Fitzgerald, Richard, Warmoth, Krystal, Gillespie, David ORCID: https://orcid.org/0000-0002-6934-2928, Turner, Katrina and Watson, Margaret 2021. A multi-stakeholder approach to the co-production of the research agenda for medicines optimisation. BMC Health Services Research 21 , 64. 10.1186/s12913-021-06056-5

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Abstract

Background 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.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences Centre for Trials Research (CNTRR)
Publisher:	BioMed Central
ISSN:	1472-6963
Funders:	GW4
Date of First Compliant Deposit:	17 January 2021
Date of Acceptance:	2 January 2021
Last Modified:	06 May 2023 03:52
URI:	https://orca.cardiff.ac.uk/id/eprint/137751

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