Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/10461
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dc.contributor.authorWoodward, Michael Men
dc.contributor.authorStreeton, C Len
dc.contributor.authorGuttmann, Aen
dc.contributor.authorKiller, G Ten
dc.contributor.authorPeck, R Wen
dc.date.accessioned2015-05-15T23:54:57Z
dc.date.available2015-05-15T23:54:57Z
dc.date.issued2007-11-13en
dc.identifier.citationInternal Medicine Journal 2007; 38(2): 95-100en
dc.identifier.govdoc18005132en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/10461en
dc.description.abstractOlder 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.en
dc.language.isoenen
dc.subject.otherAgeden
dc.subject.otherAustraliaen
dc.subject.otherDrug Prescriptions.statistics & numerical dataen
dc.subject.otherDrug Utilization Reviewen
dc.subject.otherFeedbacken
dc.subject.otherFemaleen
dc.subject.otherHumansen
dc.subject.otherMaleen
dc.subject.otherPolypharmacyen
dc.subject.otherQuality Assurance, Health Careen
dc.subject.otherVeteransen
dc.titlePolypharmacy management among Australian veterans: improving prescribing through the Australian Department of Veterans' Affairs' prescriber feedback programme.en
dc.typeJournal Articleen
dc.identifier.journaltitleInternal Medicine Journalen
dc.identifier.affiliationAged and Residential Care, Heidelberg Repatriation Hospital, Melbourne, Victoria, Australiaen
dc.identifier.doi10.1111/j.1445-5994.2007.01453.xen
dc.description.pages95-100en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/18005132en
dc.type.austinJournal Articleen
local.name.researcherWoodward, Michael M
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
item.languageiso639-1en-
crisitem.author.deptAged Care-
crisitem.author.deptGeriatric Medicine-
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