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Table 3 Summary of what participants want in a prescribing and communication tool

From: The views of New Zealand general practitioners and patients on a proposed risk assessment and communication tool: a qualitative study using Normalisation Process Theory

Doctors and patients want
• A trustworthy, endorsed tool
• A user-friendly tool that is intuitive
• The capacity to use on different platforms (mobile, desktop)
Doctors want
• A tool embedded within the patient management system
• A tool that is fast
• The capacity to turn on/turn off/ignore tool or parts of the tool
• A simplified interactions checker (so prescriber doesn’t need to check each medication individually)
• A tool targeted to reduce polypharmacy
• Age and renal function integrated into any calculations
• Children’s weight integrated into prescribing calculations (and printed on label)
• Pregnancy or pregnancy risk factored into recommendations
• Ethnicity (and earlier onset of disease) factored into risk weightings
• A simple risk severity grading system (e.g. traffic light system)
• Other risk assessment tools integrated within the one tool (e.g. CHA2DS2-VASc)
• Patient access to empower shared decision-making
• Streamlined monitoring for medications
• An audit function to the tool
• Alerts which are highly clinically relevant
• Alternative medication suggestions (e.g. current first line agents based on updated prescribing or antimicrobial guidelines)
Patients want
• Access to the tool independent of their doctor
• A tool that is culturally sensitive (and perhaps the potential to change language)
• Something that is free to use and will help them understand their medications
• “Just right” amount of information: not too much nor too little
• Risk information presented simply (e.g. traffic light system)