Analysis of medication use patterns:apparent overuse of antibiotics and underuse of prescription drugs for asthma, depression, and CHF.

@article{Gilberg2003AnalysisOM,
  title={Analysis of medication use patterns:apparent overuse of antibiotics and underuse of prescription drugs for asthma, depression, and CHF.},
  author={Karen Gilberg and Marianne Laouri and Sally W. Wade and Sharon Isonaka},
  journal={Journal of managed care pharmacy : JMCP},
  year={2003},
  volume={9 3},
  pages={
          232-7
        }
}
OBJECTIVE To assess the appropriateness of prescription medication use based upon widely accepted treatment guidelines. METHODS We analyzed administrative claims for the period October 1, 1998, through September 20, 1999, supplied by 3 California health plans to determine medication use patterns for outpatient prescriptions. We compared these patterns to those expected in the presence of adherence to treatment guidelines. RESULTS During the study period, only 27.5% of antidepressant users… 
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Antibiotic use in children who have asthma: results of retrospective database analysis.
TLDR
It was demonstrated that pediatric asthmatic patients received significantly more antibiotic prescriptions than nonasthmatics for conditions caused by bacteria as well as for conditions more likely to be viral in origin.
Impact of prior authorization for asthma medications on the use of emergency health services: a retrospective cohort study among newly diagnosed patients with asthma.
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The prior authorization process introduced to limit the nonoptimal use of combination products (formoterol/budesonide and salmeterol/fluticasone) had no apparent impact on first asthma-related hospitalization or ED visit in these patients newly diagnosed with asthma who were covered by Québec's public prescription drug insurance plan.
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It is hypothesized that DM improves adherence to prescriptions more than the rate with which prescriptions are being filled, and more complex MPR- and LOG-based measures could be more appropriate for DM evaluation.
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TLDR
A targeted educational program for physician-prescribers conducted by a clinical pharmacist working for a primary care medical group can reduce the expenditures for outpatient drug therapy by lowering the average cost per pharmacy claim.
A retrospective cohort study of correlates of response to pharmacologic therapy for hyperlipidemia in members of a managed care organization.
TLDR
Improvement is needed in hyperlipidemia management, especially in identification and use of lipid-lowering therapy in individuals at high risk for CHD, the present study suggests.
Overuse of Antidepressant Drugs for the Treatment of Depression
TLDR
Unless prescribing patterns change, any benefits from increasing access to antidepressants for those with severe depression will be accompanied by significant harms due to inappropriate prescribing in conditions, such as mild depression, where antidepressants are not indicated.
Improving antimicrobial use: longitudinal assessment of an antimicrobial team including a clinical pharmacist.
TLDR
It is demonstrated that despite the long-term presence of an AMT, the proportion of antimicrobial episodes requiring intervention and the percentage of accepted recommendations remained constant over a 3-year period.
Effect of Feedback Letters to Physicians and Pharmacists on the Appropriate Use of Medication in the Treatment of Asthma
TLDR
Feedback provided to physicians did not improve the appropriate use of asthma medication, however, feedback to pharmacists is promising, especially when including patients' names so that pharmacists can intervene more specifically.
Utilization of, and adherence to, drug therapy among medicaid beneficiaries with congestive heart failure.
TLDR
State Medicaid agencies and Medicare prescription drug plans should consider designing targeted interventions that encourage better adherence among Medicaid beneficiaries with CHF, particularly men, those aged <65 years, ethnic minorities, and patients with poor overall health status.
Multiple drug intolerance syndrome: prevalence, clinical characteristics, and management.
  • E. Macy, N. Ho
  • Medicine
    Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
  • 2012
BACKGROUND Population-based data on the demographics and clinical characteristics of patients with multiple unrelated drug class intolerances noted in their medical records are lacking. OBJECTIVES…
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