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“Poor compliance and polypharmacy- A perpetuated vicious cycle”.
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Polypharmacy
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Perception
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Socioeconomic factors
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Familial context
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Economic factors
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Knowledge
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Literacy
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Identification of medicines
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Duration of treatment
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Compliance
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Adverse effects
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Priority
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Patients beliefs
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Deprescribing
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Difficulties
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Patients-HPs communication
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Lack of communication
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Influencers
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TV supplements
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Neighbours medication
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Herbal products
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Interactions
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Medicines managing
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Handling
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Generic medicines
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Organization of healthcare system
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Medication management directives
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Healthcare directives
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Prescribing guidelines
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Patients empowerment
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Clinical appointments
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Clinical appointments
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Lack of time
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Interaction and communication between Health professionals
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External responsibility
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General practitioner’s -Community pharmacists
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Trust/mistrust
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General practitioner’s -Specialist physicians
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lack of time to communicate
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General practitioner’s -Specialist physicians
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Lack of communication
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General practitioner’s -Community pharmacists
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General practitioner’s -Specialist physicians
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Multiple prescribers
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Strategies to prevent inappropriate polypharmacy
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Prescribing
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managing
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Generic medicines
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Promotion of compliance
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Empowerment of patients
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Support teams
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