{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:20:58Z","timestamp":1785435658897,"version":"3.56.0"},"reference-count":37,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"unspecified","delay-in-days":125,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1463423626101200_as1\">\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To explore behavioural determinants influencing General Practitioner (GP)-led medication reconciliation (MedRec) and inform the development of a theory-informed implementation strategy tailored to the primary care context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101200_as2\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite national and international recommendations endorsing MedRec to reduce medication errors, its consistent implementation in primary care remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101200_as3\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a qualitative study involving GPs working in the largest Health Region in Portugal, building on findings from preceding quantitative studies. Data were analysed using a Theoretical Domains Framework (TDF)-informed approach. Key determinants were mapped to intervention functions using the Behaviour Change Wheel (BCW), and candidate behavioural change techniques (BCTs) were subsequently proposed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101200_as4\">\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>A total of 22 GPs participated in three focus group discussions. The \u2018Environmental context and resources\u2019 domain gathered the most coded segments, related to patients, other health professionals, electronic health records, and time constraints, mainly reflecting perceived barriers. \u2018Knowledge\u2019 and \u2018Skills\u2019 emerged as key domains, with ambiguity in the MedRec definition undermining its explicit recognition and influencing other domains. Facilitators included GPs\u2019 commitment to patient safety aligned with GPs\u2019 professional role. The interplay between barriers and facilitators suggested a cascading effect across domains. Candidate BCTs proposed to address these determinants included feedback on behaviour\/outcomes, self-monitoring, prompts\/cues, restructuring and adding objects to the environment. This study provides a theory-informed foundation for designing tailored implementation strategies to support MedRec practices in Portuguese primary care. Future work should focus on assessing the appropriateness, feasibility and acceptability of the proposed BCTs within the constraints of real-world primary care settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1463423626101200","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T08:08:44Z","timestamp":1778054924000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Supporting medication reconciliation in primary care: a theory-informed qualitative study in Portugal"],"prefix":"10.1017","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9086-0973","authenticated-orcid":false,"given":"Raquel","family":"Ascen\u00e7\u00e3o","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01c27hj86","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade de Lisboa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5831-4921","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Costa","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01c27hj86","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade de Lisboa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5013-6171","authenticated-orcid":false,"given":"Paula","family":"Broeiro-Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Universidade Nova de Lisboa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,5,6]]},"reference":[{"key":"S1463423626101200_ref22","doi-asserted-by":"publisher","DOI":"10.1370\/afm.3029"},{"key":"S1463423626101200_ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-022-02030-2"},{"key":"S1463423626101200_ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-015-0349-3"},{"key":"S1463423626101200_ref17","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"},{"key":"S1463423626101200_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2024.104705"},{"key":"S1463423626101200_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2018.06.018"},{"key":"S1463423626101200_ref36","doi-asserted-by":"publisher","DOI":"10.1097\/JMQ.0000000000000054"},{"key":"S1463423626101200_ref26","article-title":"Barriers and facilitators of communication in the medication reconciliation process during hospital discharge: Primary healthcare professionals perspectives","volume":"11","author":"Rojas-Oca\u00f1a","year":"2023","journal-title":"Healthcare (Switzerland)"},{"key":"S1463423626101200_ref15","volume-title":"The Behaviour Change Wheel Book - A Guide To Designing Interventions","author":"Michie","year":"2014"},{"key":"S1463423626101200_ref31","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"S1463423626101200_ref14","doi-asserted-by":"publisher","DOI":"10.1186\/s40545-018-0129-y"},{"key":"S1463423626101200_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2003.10.001"},{"key":"S1463423626101200_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-0597.2008.00341.x"},{"key":"S1463423626101200_ref37","doi-asserted-by":"publisher","DOI":"10.20344\/amp.21629"},{"key":"S1463423626101200_ref3","doi-asserted-by":"publisher","DOI":"10.1177\/0018720819837037"},{"key":"S1463423626101200_ref19","unstructured":"Minist\u00e9rio da Sa\u00fade (2025) Utentes inscritos em cuidados de sa\u00fade prim\u00e1rios - Transpar\u00eancia - SNS. 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Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e54"}}