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Objective <p>To assess the Attitudes of Healthcare Professionals Towards Deprescribing in older adults with Limited Life Expectancy.</p> Design <p>An institution-based, cross-sectional, and quantitative survey was conducted.</p> Setting <p>Mainly the Oncology ward of the University of Gondar Medical Center in Ethiopia.</p> Participants <p>Healthcare professionals (HCPs) who worked in the oncology ward and had more than 1 year of experience at the University of Gondar Medical Center.</p> Main outcome measures <p>Healthcare professionals’ attitudes toward deprescribing in older adults with limited life expectancy were assessed using the standardized Healthcare Professionals Attitude Towards Deprescribing (HATD) tool. Data were collected using self-administered questionnaires with physicians, nurses, and pharmacists possessing at least one year of professional experience. A convenience sampling technique was employed, and all participants were briefed on the study’s objectives prior to recruitment. Statistical analysis was performed using SPSS version 26. Descriptive statistics summarized the data, while bivariate (chi-square) analyses were conducted to identify significant associations. The significance of these associations was declared at a 95% confidence interval, <i>p</i> &lt; 0.05.</p> Results <p>Of the 140 HCPs approached, all 140 HCPs (100% response rate) had a mean age of 30.95 ± 3.57 years, with a range of 15 years, and were included in the final analysis. From a total of 140 participants, 86 (61.42%) were males, and 54 (38.58%) were females. From the concern factor domain, 90.70% of the participants believed that stopping medicines would lead to deterioration of the health conditions of their patients. In comparison, 71.52% of the participants felt that patients taking large numbers of medications can benefit from medication deprescribing. Sex and work experience were found to have statistically significant associations with the HCPs’ attitudes towards favorable and unfavorable deprescribing practices. A total of 86 physicians were included in the final analysis; of these, 44 (51.20%) exhibited favorable attitudes toward deprescribing. Similarly,19 out of 36 pharmacists (52.80%) and 10 out of 18 nurses (55.60%) demonstrated favorable attitudes (X<sup>2</sup> = 0.12, <i>P</i> = 0.94).</p> Conclusion <p>This study revealed that a slight majority of participants held favorable attitudes toward deprescribing, highlighting its potential benefits for older adults with limited life expectancy. Furthermore, work experience and sex were associated with attitude classification in this single-center study.</p>

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Healthcare professionals’ attitudes toward deprescribing in older adults with limited life expectancy in an Ethiopian teaching hospital: a cross-sectional study

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  • 发表日期：

    2026年7月4日

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  • Tesfaye Yimer Tadesse,
  • Mihiret Kokeb,
  • Henok Wubetu,
  • Gebremariam Genet,
  • Meaza Adugna,
  • Addisu Assfaw Ayen,
  • Zemene Demelash Kifle

摘要

Objective

To assess the Attitudes of Healthcare Professionals Towards Deprescribing in older adults with Limited Life Expectancy.

Design

An institution-based, cross-sectional, and quantitative survey was conducted.

Setting

Mainly the Oncology ward of the University of Gondar Medical Center in Ethiopia.

Participants

Healthcare professionals (HCPs) who worked in the oncology ward and had more than 1 year of experience at the University of Gondar Medical Center.

Main outcome measures

Healthcare professionals’ attitudes toward deprescribing in older adults with limited life expectancy were assessed using the standardized Healthcare Professionals Attitude Towards Deprescribing (HATD) tool. Data were collected using self-administered questionnaires with physicians, nurses, and pharmacists possessing at least one year of professional experience. A convenience sampling technique was employed, and all participants were briefed on the study’s objectives prior to recruitment. Statistical analysis was performed using SPSS version 26. Descriptive statistics summarized the data, while bivariate (chi-square) analyses were conducted to identify significant associations. The significance of these associations was declared at a 95% confidence interval, p < 0.05.

Results

Of the 140 HCPs approached, all 140 HCPs (100% response rate) had a mean age of 30.95 ± 3.57 years, with a range of 15 years, and were included in the final analysis. From a total of 140 participants, 86 (61.42%) were males, and 54 (38.58%) were females. From the concern factor domain, 90.70% of the participants believed that stopping medicines would lead to deterioration of the health conditions of their patients. In comparison, 71.52% of the participants felt that patients taking large numbers of medications can benefit from medication deprescribing. Sex and work experience were found to have statistically significant associations with the HCPs’ attitudes towards favorable and unfavorable deprescribing practices. A total of 86 physicians were included in the final analysis; of these, 44 (51.20%) exhibited favorable attitudes toward deprescribing. Similarly,19 out of 36 pharmacists (52.80%) and 10 out of 18 nurses (55.60%) demonstrated favorable attitudes (X2 = 0.12, P = 0.94).

Conclusion

This study revealed that a slight majority of participants held favorable attitudes toward deprescribing, highlighting its potential benefits for older adults with limited life expectancy. Furthermore, work experience and sex were associated with attitude classification in this single-center study.