Fabrizio Bert, Giuseppina Lo Moro, Francesco Calabrese, Valentino Barattero, Alberto Peano, Giacomo Scaioli, Roberta Siliquini
Assessment of Italian Population Awareness on One-Health, Zoonoses and the Mpox Vaccine: A Nationwide Cross-Sectional Study
Vaccines
antipsychotic medication increasingly prescribed patients serious mental illness patients serious mental illness often cardiovascular metabolic comorbidities antipsychotics independently increase risk cardiometabolic disease despite many patients prescribed antipsychotics discharged primary care without planned psychiatric review explore perceptions healthcare professionals managersdirectors policy regarding reasons increasing prevalence management antipsychotics primary care qualitative study using semistructured interviews 11 general practitioners gps 8 psychiatrists 11 managersdirectors policy united kingdom data analysed using thematic analysis respondents reported competency gaps impaired ability manage patients prescribed antipsychotic medications arising inadequate postgraduate training professional development gps lacked confidence manage antipsychotic medications alone psychiatrists lacked skills address cardiometabolic risks perceive role communication barriers lack integrated care records limited psychology provision lowered expectation towards patients serious mental illness professionals pressure discharge hospital resulted patients primary care becoming trapped antipsychotics inhibiting opportunities deprescribe organisational contractual barriers services exacerbate risk socioeconomic deprivation lack access nonpharmacological interventions driving overprescribing professionals voiced fears censure catastrophic event occurred stopping antipsychotic facilitators overcome barriers suggested people prescribed antipsychotics experience fragmented health system suboptimal care several interventions could taken improve care population inadequate availability nonpharmacological interventions socioeconomic factors increasing mental distress need policy change improve outcomes role professionals fear medicolegal regulatory censure inhibiting antipsychotic deprescribing new finding study