Association between recorded medication reviews in primary care and adequate drug treatment management – a cross-sectional study.
To investigate the association between a recorded procedure code for a medication review and adequate drug treatment management, and to explore factors associated with this code. Cross-sectional study; two primary health care centres, in Region Västra Götaland, Sweden. A total of 302 consecutive pat...
| Publicado en: | Scandinavian Journal of Primary Health Care Vol. 39; no. 4; pp. 419 - 429 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Dec 2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=154318853&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 154318853 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02813432 BDB jtl: Scandinavian Journal of Primary Health Care issn: 02813432 maglogo: Y pubinfo: dt: Dec 2021 vid: 39 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 154318853 152578135 154318853 154318853 10.1080/02813432.2021.1973239 154318853 ppf: 419 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Association between recorded medication reviews in primary care and adequate drug treatment management – a cross-sectional study. aug: au: Parodi López, Naldy Svensson, Staffan A. Wallerstedt, Susanna M. affil: Department of Pharmacology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden sug: subj: Drug Utilization Evaluation Medication Management Medication Reconciliation Inappropriate Prescribing Prevention and Control Primary Health Care Human Sweden Female Male Aged Aged, 80 and Over Cross Sectional Studies Age Factors Descriptive Statistics Odds Ratio Consensus Diabetes Mellitus, Type 2 Hypertension Depression Aged: 65+ years Aged, 80 & over Female Male ab: To investigate the association between a recorded procedure code for a medication review and adequate drug treatment management, and to explore factors associated with this code. Cross-sectional study; two primary health care centres, in Region Västra Götaland, Sweden. A total of 302 consecutive patients (≥65 years old, 59% female; median number of drugs: six) requiring a non-urgent consultation with a physician in October–November 2017. Adequate drug treatment management (treatment that did not require any further action), determined in consensus by two specialists in family medicine blinded to the medication review code. Adequate drug treatment management was, overall, less common in those with a recorded medication review over the last year: 63% versus 73% (p = 0.047). This negative association was evident among patients aged 65–74 years: 49% versus 74% (p = 0.003), but absent in those ≥75 years old: 67% versus 70% (p = 0.77). Recommendations from consensus included the search for additional information to be able to make a decision regarding initiation or withdrawal of a drug (n = 53), withdrawal of a drug (n = 41), or ordering a laboratory test (n = 25). Factors associated with a recorded procedure code included age above the remuneration limit of 75 years (odds ratio: 9.8; 95% confidence interval 5.0–19), type 2 diabetes (3.0 (1.5–6.2)), hypertension (2.4 (1.2–4.8)), and depression (2.5 (1.02–6.0)). The presence of a recorded medication review was not positively associated with adequate drug treatment management but was associated with the age limit for remuneration, and some chronic diseases. To improve drug treatment in older people in primary care, a remuneration system linked to recorded medication reviews has been introduced. In this study, fewer patients with than without a recorded medication review (63% versus 73%) had adequate drug treatment management. A recorded medication review was ten times more common in those ≥75 years, that is, the age limit for remuneration. Recorded codes for medication reviews were also common in those with type 2 diabetes, hypertension, and depression. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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