Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/10461
Title: Polypharmacy management among Australian veterans: improving prescribing through the Australian Department of Veterans' Affairs' prescriber feedback programme.
Authors: Woodward, Michael M;Streeton, C L;Guttmann, A;Killer, G T;Peck, R W
Affiliation: Aged and Residential Care, Heidelberg Repatriation Hospital, Melbourne, Victoria, Australia. michael.woodward@austin.org.au
Issue Date: 13-Nov-2007
Citation: Internal Medicine Journal 2007; 38(2): 95-100
Abstract: Older patients are potentially at risk from the effects of polypharmacy (PP) and/or drug-drug interactions.To examine the effects of a targeted patient-specific prescriber feedback programme on patients prescribed more than 19 individual medications over the 3-month study period.The Commonwealth Department of Veterans' Affairs commissioned a review of Repatriation Pharmaceutical Benefit Scheme claims data to identify patients potentially at risk of drug injury through either PP (> or =20 unique medications during 3 months) or clinically significant drug interactions (DI). Dispensing information for the patient at risk, relevant clinical guidelines and a personalized covering letter were mailed to the main prescribing general practitioner of the identified veteran patient. The claims data were then re-analysed after the programme.There was a significant reduction in the mean number of unique medications prescribed over a 3-month period 1 year after the prescriber feedback (mean change = -2.22; 95% confidence interval -3.54 to -0.90; P = 0.0013) for patients identified with ongoing PP. There was also a significant reduction in the number of DI pairs (mean change = -0.73; 95% confidence interval -0.77 to -0.69; P < 0.0001) for the patients identified with an ongoing DI. The number of patients dispensed one or more DI pairs decreased from 836 to 318 after the feedback.A targeted prescriber feedback programme can influence general practitioner prescribing at an individual patient level and, therefore, contribute to the quality use of medicines.
Internal ID Number: 18005132
URI: http://ahro.austin.org.au/austinjspui/handle/1/10461
DOI: 10.1111/j.1445-5994.2007.01453.x
URL: http://www.ncbi.nlm.nih.gov/pubmed/18005132
Type: Journal Article
Subjects: Aged
Australia
Drug Prescriptions.statistics & numerical data
Drug Utilization Review
Feedback
Female
Humans
Male
Polypharmacy
Quality Assurance, Health Care
Veterans
Appears in Collections:Journal articles

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