{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T09:23:24Z","timestamp":1787822604748,"version":"build-2784847793"},"reference-count":41,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["1K76AG083276\u201001A1"],"award-info":[{"award-number":["1K76AG083276\u201001A1"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Multimorbidity affects most older adults in home health care (HHC), leading to inappropriate polypharmacy and increased risks for adverse outcomes. While deprescribing can mitigate these risks, fragmented communication during hospital\u2010to\u2010home transitions remains a major barrier. This study explored stakeholder perspectives on using telehealth to facilitate deprescribing for older adults with multimorbidity while receiving post\u2010acute HHC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted semi\u2010structured interviews with 44 stakeholders across 12\u2009U.S. states, including 14 HHC patients and 30 clinicians (physicians, nurse practitioners, pharmacists, and HHC nurses). Guided by the socioecological model of deprescribing, interviews explored factors across individual, interpersonal, organizational, and societal levels associated with telehealth use in deprescribing. Analysis followed a phased, iterative approach with independent double\u2010coding and interprofessional team consensus to ensure credibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Findings categorized telehealth as a promising tool to align medications with the \u201c4Ms\u201d (Medications, Mentation, Mobility, and What Matters) through goal\u2010concordant deprescribing. At the individual level, stakeholders noted that telehealth readiness depended on patient cognition and digital literacy. At the interpersonal level, telehealth facilitated real\u2010time multidisciplinary \u201cvirtual huddles\u201d that reduced communication delays but could occasionally overwhelm patients and may be logistically challenging to schedule. Organizational barriers included reimbursement constraints and complex synchronous scheduling. Societal factors include equitable access for rural or low\u2010income populations, populations who may benefit the most from telehealth\u2010enabled deprescribing due to challenges in accessing care. Stakeholders emphasized a hybrid approach which pairs virtual prescriber consultation with in\u2010home support of a clinician to provide context and assist with implementation for patient\u2010centered deprescribing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Telehealth can support goal\u2010concordant deprescribing during post\u2010acute care transitions in HHC. A hybrid model, one that combines remote prescriber consultations with in\u2010home clinician support, is the preferred approach to bridge coordination gaps. To maximize impact, future efforts are needed to improve reimbursement, infrastructure, and scheduling to integrate telehealth into routine deprescribing workflows.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70548","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T22:17:08Z","timestamp":1782857828000},"page":"2265-2276","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Stakeholder Perspectives on the Use of Telehealth to Support Deprescribing for Older Patients Transitioning From the Hospital to Home Health Care"],"prefix":"10.1111","volume":"74","author":[{"given":"Jinjiao","family":"Wang","sequence":"first","affiliation":[{"name":"School of Nursing University of Texas at San Antonio Health Science Center  San Antonio Texas USA"},{"name":"San Antonio Geriatric Research, Education, and Clinical Center (GRECC), South Texas Veterans Healthcare System  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny Y.","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Rochester Medical Center  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang","family":"Yu","sequence":"additional","affiliation":[{"name":"Edson College of Nursing and Health Innovation Arizona State University  Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra F.","family":"Simmons","sequence":"additional","affiliation":[{"name":"Center for Quality Aging, Department of Medicine Vanderbilt University Medical Center  Nashville Tennessee USA"},{"name":"Geriatric Research, Education and Clinical Center (GRECC), VA Tennessee Valley Healthcare System  Nashville Tennessee USA"},{"name":"Division of Geriatrics, Department of Medicine Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda S.","family":"Mixon","sequence":"additional","affiliation":[{"name":"Center for Quality Aging, Department of Medicine Vanderbilt University Medical Center  Nashville Tennessee USA"},{"name":"Geriatric Research, Education and Clinical Center (GRECC), VA Tennessee Valley Healthcare System  Nashville Tennessee USA"},{"name":"Division of General Internal Medicine, Department of Medicine Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kobi","family":"Nathan","sequence":"additional","affiliation":[{"name":"Wegmans School of Pharmacy St. John Fisher College  Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marian S.","family":"Moskow","sequence":"additional","affiliation":[{"name":"Harriet Kitzman Center for Research Support University of Rochester School of Nursing  Rochester New York 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