Ambulatory Care Prescriptions for the Elderly: Analyses of Frequent Attenders and Prescription Appropriateness Using National Health Insurance Research Database
Date Issued
2010
Date
2010
Author(s)
Wu, Chia-Wei
Abstract
Background:
Frequent attenders (FAs) account for a relatively large proportion of ambulatory care visits. Studies on frequent attenders and prescription appropriateness of ambulatory cares have been reported. However, studies using the Taiwanese National Health Insurance Research Database (NHIRD) on prescription appropriateness were merely focused on medications prescribed within one single visit (visit-based). Concomitant medications (patient-oriented medication check-up) from different visits, physicians, or clinics/institutions were often ignored. Furthermore, many studies found most FAs were the elderly; yet, possible association between elderly FAs and prescription appropriateness has not been investigated.
Objectives:
The study aims to use the NHIRD to characterize elderly FAs as a population, to determine the ambulatory care prescription appropriateness of the elderly by patient-oriented approach, and to analyze the association between prescription appropriateness and FAs, as well as the association between prescription appropriateness and clinical outcomes.
Methods:
Data source of people aged > = 65 years in 2002
Subjects
prescription appropriateness
frequent attender
elderly people
Taiwan
National health insurance research database
Type
thesis
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