| Pharmacologically inappropriate prescriptions for elderly patients in general practice: How common? Baseline data from The Prescription Peer Academic Detailing (Rx-PAD) study. | |
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MedLine Citation:
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PMID: 18570005 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess Norwegian general practitioners' (GPs') level of potentially harmful drug prescribing for elderly patients. DESIGN: Prescription data for 12 months were retrospectively retrieved from the Norwegian Prescription Database (NorPD). Data were assessed in relation to 13 prescription quality indicators. SETTING: General practice. SUBJECTS: A total of 454 GPs attending continuous medical education (CME) groups in Southern Norway, 85,836 patients >or=70 years who received any prescription from the GPs during the study period. MAIN OUTCOME MEASURES: Number of prescriptions assessed in relation to pharmacological inappropriateness based on a list of 13 explicit prescription quality indicators. RESULTS: Some 18.4% of the patients (66% females with mean age 79.8 years, 34% males with mean age 78.7 years) received one or more inappropriate prescriptions from their GP. An NSAID in a potentially harmful combination with another drug (7%) and a long-acting benzodiazepine (4.6%) were the most frequent inappropriate prescriptions made. Doctor characteristics associated with more inappropriate prescribing practice were old age and working single-handed with many elderly patients. CONCLUSION: The study reveals areas where GPs' prescribing practice for elderly patients can be improved and which can be targeted in educational interventions. |
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Authors:
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Mette Brekke; Sture Rognstad; Jørund Straand; Kari Furu; Svein Gjelstad; Trine Bjørner; Ingvild Dalen |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Scandinavian journal of primary health care Volume: 26 ISSN: 1502-7724 ISO Abbreviation: Scand J Prim Health Care Publication Date: 2008 |
Date Detail:
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Created Date: 2008-06-23 Completed Date: 2008-06-25 Revised Date: 2013-03-21 |
Medline Journal Info:
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Nlm Unique ID: 8510679 Medline TA: Scand J Prim Health Care Country: Norway |
Other Details:
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Languages: eng Pagination: 80-5 Citation Subset: IM |
Affiliation:
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Section for General Practice, Department of General Practice and Community Health, University of Oslo, Norway. mette.brekke@medisin.uio.no |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Drug Interactions Drug Prescriptions* / standards Drug Utilization Review* / standards Education, Medical, Continuing Family Practice* / education, standards Female Humans Male Medication Errors / prevention & control Middle Aged Norway Physician's Practice Patterns* / standards Polypharmacy Program Evaluation / methods, standards Quality Indicators, Health Care Retrospective Studies Safety |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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