The landscape of deprescribing has been rapidly evolving and expanding globally with the formation of regional and national deprescribing networks. The work of these networks is primarily focused on older adults and high-risk medications. The purpose of the current qualitative study is to describe successes and challenges of deprescribing from thought-leaders across the world. Fourteen key informant interviews were conducted from various disciplines, levels of experiences, and regions around the globe. From the interviews, six major themes across two domains were identified: (a) network structure, (b) public perception, (c) policy implications, (d) implementation, (e) challenges, and (f) recommendations. These domains, themes, and insight provided by deprescribing leaders contribute to the advancement of deprescribing networks as global efforts continue to focus on optimizing medication management. Collaboration among interprofessional team members will be critical to the expansion as well as sustainability of this important work.
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Harvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USAHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Naslund, John A.
Kalha, Jasmine
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Indian Law Soc, Ctr Mental Hlth Law & Policy, Pune, Maharashtra, IndiaHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Kalha, Jasmine
Restivo, Juliana L.
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Harvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USAHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Restivo, Juliana L.
Amarreh, Ishmael
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NIMH, NIH, Bethesda, MD 20892 USAHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Amarreh, Ishmael
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Callands, Tamora
Chen, Hongtu
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Brigham & Womens Hosp, Dept Psychiat, 75 Francis St, Boston, MA 02115 USAHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Chen, Hongtu
Gomez-Restrepo, Carlos
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Pontificia Univ Javeriana, Fac Med, Dept Clin Epidemiol, Bogota, Colombia
Pontificia Univ Javeriana, Dept Psychiat & Mental Hlth, Bogota, ColombiaHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Gomez-Restrepo, Carlos
Hamoda, Hesham M.
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Boston Childrens Hosp, Dept Psychiat & Behav Sci, Boston, MA USA
Harvard Med Sch, Boston, MA 02115 USAHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Hamoda, Hesham M.
Kapoor, Arjun
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Indian Law Soc, Ctr Mental Hlth Law & Policy, Pune, Maharashtra, IndiaHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Kapoor, Arjun
Levkoff, Sue
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Univ South Carolina, Coll Social Work, Columbia, SC 29208 USAHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Levkoff, Sue
Masiye, Jones
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Minist Hlth, Lilongwe, MalawiHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Masiye, Jones
Oquendo, Maria A.
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机构:
Univ Penn, Perelman Sch Med, Dept Psychiat, Philadelphia, PA 19104 USAHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Oquendo, Maria A.
Patel, Vikram
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Harvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Harvard TH Chan Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA USAHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Patel, Vikram
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Petersen, Inge
Bahar, Ozge Sensoy
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Washington Univ, Brown Sch, St Louis, MO 63110 USAHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Bahar, Ozge Sensoy
Shields-Zeeman, Laura
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Netherlands Inst Mental Hlth & Addict, Trimbos Inst, Utrecht, NetherlandsHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Shields-Zeeman, Laura
Ssewamala, Fred M.
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Washington Univ, Brown Sch, St Louis, MO 63110 USAHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Ssewamala, Fred M.
Tugnawat, Deepak
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Sangath, Bhopal, IndiaHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Tugnawat, Deepak
Miguel Uribe-Restrepo, Jose
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Pontificia Univ Javeriana, Dept Psychiat & Mental Hlth, Bogota, ColombiaHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Miguel Uribe-Restrepo, Jose
Vijayakumar, Lakshmi
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Voluntary Hlth Serv, Chennai, Tamil Nadu, IndiaHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Vijayakumar, Lakshmi
Wagenaar, Bradley H.
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Univ Washington, Dept Global Hlth, Seattle, WA 98195 USAHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Wagenaar, Bradley H.
Wainberg, Milton L.
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Columbia Univ, New York State Psychiat Inst, Dept Psychiat, New York, NY USAHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Wainberg, Milton L.
Wissow, Larry
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机构:
Univ Washington, Sch Med, Div Child & Adolescent Psychiat, Seattle, WA USA
Seattle Childrens Hosp, Dept Psychiat & Behav Med, Seattle, WA USAHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Wissow, Larry
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Wurie, Haja Ramatulai
Zimba, Chifundo
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Univ North Carolina Project Malawi, Lilongwe, MalawiHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
Zimba, Chifundo
Pathare, Soumitra
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Indian Law Soc, Ctr Mental Hlth Law & Policy, Pune, Maharashtra, IndiaHarvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 USA
机构:
Ctr Publ Hlth Innovat CI Int, Littleton, CO 80120 USA
Univ Colorado, Colorado Sch Publ Hlth, Anschutz Med Ctr, Aurora, CO 80045 USACtr Publ Hlth Innovat CI Int, Littleton, CO 80120 USA
Sontag, Marci K.
Miller, Joshua, I
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Ctr Publ Hlth Innovat CI Int, Littleton, CO 80120 USACtr Publ Hlth Innovat CI Int, Littleton, CO 80120 USA
Miller, Joshua, I
McKasson, Sarah
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Ctr Publ Hlth Innovat CI Int, Littleton, CO 80120 USACtr Publ Hlth Innovat CI Int, Littleton, CO 80120 USA
McKasson, Sarah
Gaviglio, Amy
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Connet Consulting, Minneapolis, MN 55417 USACtr Publ Hlth Innovat CI Int, Littleton, CO 80120 USA
Gaviglio, Amy
Martiniano, Stacey L.
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机构:
Childrens Hosp Colorado, Aurora, CO 80045 USA
Univ Colorado, Dept Pediat, Sch Med, Aurora, CO 80045 USACtr Publ Hlth Innovat CI Int, Littleton, CO 80120 USA
Martiniano, Stacey L.
West, Rhonda
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Ctr Publ Hlth Innovat CI Int, Littleton, CO 80120 USACtr Publ Hlth Innovat CI Int, Littleton, CO 80120 USA
West, Rhonda
Vazquez, Marisol
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机构:
Ann & Robert H Lurie Childrens Hosp, Chicago, IL 60611 USA
Northwestern Univ, Dept Pediat, Div Pulm & Sleep Med, Feinberg Sch Med, Chicago, IL 60611 USACtr Publ Hlth Innovat CI Int, Littleton, CO 80120 USA
Vazquez, Marisol
Ren, Clement L.
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机构:
Childrens Hosp Philadelphia, Philadelphia, PA 19104 USA
Univ Penn, Div Pulm & Sleep Med, Perelman Sch Med, Philadelphia, PA 19104 USACtr Publ Hlth Innovat CI Int, Littleton, CO 80120 USA
Ren, Clement L.
Farrell, Philip M.
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机构:
Univ Wisconsin, Dept Pediat, Sch Med & Publ Hlth, Madison, WI 53705 USA
Univ Wisconsin, Dept Populat Hlth Sci, Sch Med & Publ Hlth, Madison, WI 53705 USACtr Publ Hlth Innovat CI Int, Littleton, CO 80120 USA
Farrell, Philip M.
McColley, Susanna A.
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机构:
Ann & Robert H Lurie Childrens Hosp, Chicago, IL 60611 USA
Northwestern Univ, Dept Pediat, Div Pulm & Sleep Med, Feinberg Sch Med, Chicago, IL 60611 USACtr Publ Hlth Innovat CI Int, Littleton, CO 80120 USA
McColley, Susanna A.
Kellar-Guenther, Yvonne
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机构:
Ctr Publ Hlth Innovat CI Int, Littleton, CO 80120 USA
Univ Colorado, Colorado Sch Publ Hlth, Anschutz Med Ctr, Aurora, CO 80045 USACtr Publ Hlth Innovat CI Int, Littleton, CO 80120 USA