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Biomedical subjects

A H Taubman

Publications and source records attributed to A H Taubman.

6 recordsLinked to original sources

Screening for peripheral arterial disease.

Peripheral arterial disease (PAD) is an age-dependent condition that limits ambulation and compromises quality of life in an estimated two million Americans. Early detection and treatment is essential for minimizing the signs and symptoms of PAD. Using a methodology developed by the National Council on the Aging, a noninvasive screening program was conducted for this disease in a population of 1,092 elderly ambulatory Rhode Island residents. Possible PAD was detected in 17.7% of the subjects, while 42% were identified as being at high risk for the disease.

Aged↗

Compliance-related problems in the ambulatory population.

When prescription drugs are taken in the correct dose and the correct manner, they have great potential for improving the quality of medical care, but inappropriate and incorrect administration of these drugs can lead to severe health problems. Risk factors for problems related to prescription drug compliance were examined in a cross-sectional retrospective study (n = 1017) of ambulatory individuals who had undergone a Brown Bag Prescription Evaluation Program consultation. A pharmacist interviewer assessed drug-related problems such as duplication of drug product, overutilization and underutilization of medication, drug interactions, and side effects. Associations between specific medication-related problems and patient characteristics (demographics, medical history, and insurance status) were studied. Factors that appear to be associated with compliance problems include a patient's level of understanding of both medication instructions and the drug therapy, length of time since last physician visit, length of time on medication, total number of medications, and number of drug allergies. The class of medication taken was also found to be a significant predictor of excess risk. The age and sex of an individual appear to have little association with the development of compliance-related problems. The study reinforces the need for frequent patient contact with a health care professional and the value of educating the patient about the medication regimen.

Ambulatory Care↗

Drug compliance--a study of patient behavior based on medical records.

Studies concerned with medication compliance after initial prescription dispensing have been frequently cited in the literature; however, little research has been done on the initial filling of the prescription order. In order to ascertain the degree of compliance at the initial filling level, a study was carried out on a population associated with a neighborhood health center. Overall, the study indicated an initial filling compliance of 94 percent, which was affected by the site of patient encounter, the chronicity of the disease, and the specificity of the medication in relationship to the disease state. It was concluded that: prescriptions for chronic medications are filled at a higher rate than those for acute illnesses; specific medication for a specific illness has a much higher compliance rate than nondisease specific medications; ease of access to a pharmacy is related to a higher compliance level; and frequent patient contact for a specific disease tends to increase compliance.

Acute Disease↗