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Deprescribing is the process of tapering or stopping medications aiming at improving patient outcomes and optimising current therapy.Some studies have tried to identify which patients will have inappropriatemedication deprescribed, but none have found any association with sociodemographic and clinical characteristics, number of prescribed medicationsor duration of medication. Our aim was to determine Portuguese elderly patients’ attitudes and beliefs regarding medication use and their willingnessto have regular medications deprescribed.    Material and methods  We conducted a  cross-sectional study in triangulation in primary care centres from mainland Portugal and its autonomousregions. We used a  random sample of 386 polymedicated older adult patients who answered the questionnaire between October 2018 and February2019. For the quantitative analysis, we used sociodemographic characteristics, clinical profile and medication. For the qualitative analysis, we studiedan included open question by coding participants’ answers; common codeswere grouped together. A convergent mixed methods design was used.    Results  74.0% expressed the belief that medicines were generally beneficial. 19.9% reported a strong belief that medicines were harmful and 33.4%that they were overused. 61.8% were against the idea of deprescribing and24.6% were in favour of deprescription. Those against the idea had a lowereducation level (p = 0.006) and a higher number of self-perceived morbidities (p = 0.001) than those not against it.    Conclusions  Medication benefits were accepted by the majority of patientswho also were against the idea of deprescribing. It is important that doctorsare aware of this reality, namely in the primary care setting, addressing thepatients’ fears and beliefs and making the deprescribing process possible.

Elderly patients and the idea of having medication deprescribed: a mixed method study in Portuguese primary health care