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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)