Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Inappropriate medication prescribing for the elderly by office-based physicians

R R Aparasu1, S E Fliginger

  • 1College of Pharmacy, South Dakota State University, Brookings 57007 USA. aparasur@mg.sdstate.edu

The Annals of Pharmacotherapy
|July 1, 1997
PubMed
Summary

In 1992, millions of older adults received inappropriate medications from office-based physicians, highlighting significant care quality concerns. Collaborative efforts between physicians and pharmacists are crucial for improving geriatric patient care.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Autonomous ambulatory care by nurse practitioners and physician assistants in office-based settings.

Journal of allied health·2001
Same author

Utilization of ambulatory care services caused by adverse effects of medications in the United States.

Managed care interface·2000
Same author

Prescribing potentially inappropriate psychotropic medications to the ambulatory elderly.

Archives of internal medicine·2000
Same author

Inappropriate prescribing for the elderly: beers criteria-based review.

The Annals of pharmacotherapy·2000
Same author

Visits to office-based physicians in the United States for medication-related morbidity.

Journal of the American Pharmaceutical Association (Washington, D.C. : 1996)·1999
Same author

Inappropriate prescribing for elderly outpatients.

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists·1999

Area of Science:

  • Geriatric Medicine
  • Pharmacology
  • Public Health

Background:

  • The elderly population is vulnerable to adverse drug events due to physiological changes.
  • Inappropriate medication prescribing in older adults is a persistent issue in healthcare.
  • Assessing the prevalence of such prescriptions is vital for quality improvement initiatives.

Purpose of the Study:

  • To determine the frequency of inappropriate medications prescribed to patients aged 65 and older by office-based physicians.
  • To identify specific medications commonly and rarely prescribed inappropriately to the elderly.

Main Methods:

  • Utilized data from the National Ambulatory Medical Care Survey (NAMCS) in 1992, a nationwide cross-sectional survey.
  • Analyzed office visits by patients 65 years or older, focusing on prescriptions of 20 medications deemed inappropriate for the elderly.

Related Experiment Videos

  • Employed criteria established by a panel of geriatric medicine and pharmacology experts.

    • Main Results:

    • An estimated 8.47 million office visits by the elderly in 1992 involved at least one of the 20 inappropriate medications.
    • Approximately 7.58% of elderly patients receiving prescriptions were prescribed at least one inappropriate medication.
    • Propoxyphene, amitriptyline, dipyridamole, diazepam, and chlorpropamide were the most frequently prescribed inappropriate drugs.

    Conclusions:

    • The high prevalence of inappropriate medication prescribing for older adults in ambulatory settings is a significant concern for care quality.
    • Improving the care of elderly patients necessitates enhanced collaboration between physicians and pharmacists.
    • Targeted interventions and education are needed to reduce the prescribing of harmful medications to seniors.