Document Detail

Pharmacologically inappropriate prescriptions for elderly patients in general practice: How common? Baseline data from The Prescription Peer Academic Detailing (Rx-PAD) study.
MedLine Citation:
PMID:  18570005     Owner:  NLM     Status:  MEDLINE    
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.
Mette Brekke; Sture Rognstad; Jørund Straand; Kari Furu; Svein Gjelstad; Trine Bjørner; Ingvild Dalen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Scandinavian journal of primary health care     Volume:  26     ISSN:  1502-7724     ISO Abbreviation:  Scand J Prim Health Care     Publication Date:  2008  
Date Detail:
Created Date:  2008-06-23     Completed Date:  2008-06-25     Revised Date:  2013-06-05    
Medline Journal Info:
Nlm Unique ID:  8510679     Medline TA:  Scand J Prim Health Care     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  80-5     Citation Subset:  IM    
Section for General Practice, Department of General Practice and Community Health, University of Oslo, Norway.
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MeSH Terms
Drug Interactions
Drug Prescriptions* / standards
Drug Utilization Review* / standards
Education, Medical, Continuing
Family Practice* / education,  standards
Medication Errors / prevention & control
Middle Aged
Physician's Practice Patterns* / standards
Program Evaluation / methods,  standards
Quality Indicators, Health Care
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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