Physician‐Reported Facilitators and Barriers for Side Effect Management of Heart Failure Medications

• DOI: 10.1161/jaha.123.033615
• Publication Date: 2024-08-09T11:32:17Z
• Authors: Sabrina Mangal; Maryam Hyder; John Mancini; Kate Zarzuela; William McDonald; Monika Safford; Mark Lachs; Parag Goyal
• Keywords: Discontinuation

Background Physician underprescribing and patient nonadherence are major barriers to the benefits of guideline‐directed medical therapy. An important contributor both is concern about medication‐related side effects. Yet, there few no data on approaches used by physicians to: (1) elicit effects, (2) attribute these effects specific medications, (3) take appropriate action. Methods Results The authors conducted semistructured interviews with identify facilitators each critical step heart failure medication management: elicitation attribution a medication, action in response attributed Interviews were transcribed coded using directed content analysis. For potential limited communication family discordance reporting key barriers, whereas guiding questions, measurement, open channels facilitators. confounding from other time for clinical encounters, nonspecific symptoms time‐limited discontinuation trials rechallenges taking action, challenges weighing risks physician fear causing harm or interfering clinicians patient‐physician results rechallenge Conclusions This study generated 3 aspects management related that should drive future work improve management.