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[Long-term evaluation of the relation of demographic and health indicators to drug utilization].

Indicators of demographic and medical statistics display different relationships at the level of drug consumption and from these relationships different potential influences may be derived. The relationship is expressed exactly and because it develops with time its developmental trends are analyzed on a nation-wide scale in the course of 17 years. The period of analysis permits to formulate some conclusions on the stability of this relationship with regard to individual essential factors.

Adolescent↗

[PHOLY: A pilot study of drug utilization in civil hospices in Lyon - methodology and difficulties].

PHOLY is a study of drug Prescription in Hospices civils of LYon by a transverse and descriptive survey. It aims at studying the methodology of such an investigation in a large university medical centre, elaborating a methodology for continuous assessment of prescribing, comparing prescriptions with scientific knowledge and identifying specific therapies. We collected 1525 questionnaires from 4333 hospitalized patients in 11 hospitals (prescriptions and indications). The main difficulties we encountered concerned communications (4 letters), fewer questionnaires collected than expected (1525/3018), many missing data, and the lack of a specific budget, thus allowing only partial data exploitation and control. This study revealed many problems such as relevant information for physicians, training and management of investigators, control, data capture and analysis. However, a prescription study may be possible with limited means.

Drug Utilization Review↗

[A comparative study on drug utilization in primary care depending on the professionals and family consumers].

Information on pharmaceutical assistance in health care can be obtained from different sources: pharmacies, medical records, market studies, and family interviews. These allow to evaluate whether the consumed drugs were prescribed or directly purchased, if they are stored at home, and the relation between these facts and the familial characteristics. In the present study we have carried out a comparative analysis of data related to the use of drugs in the Salamanca Province depending of their source: the doctors or the families themselves. We distributed by post a questionnaire to the primary care physicians. We also interviewed a representative sample of the families of the Salamanca Province. We found that those drugs most commonly prescribed by doctors were also the most commonly reported as used by the families: drugs for cardiovascular disease, anti-inflammatory-antirheumatic drugs, and analgesics.

Drug Prescriptions↗

[High utilization of health insurance services by the elderly--analysis of hospital and drug utilization data].

The present contribution discusses the utilization of the healthcare system by elderly patients in Germany. First, the paper focuses on the detailed characterization of a group of people aged 60 years or more (N = 73,454). Second, the objective is to analyze the data for high utilization of healthcare services by older men and women. The analysis is based on data regularly recorded by a German health insurance agency for the year 2000. High utilization is operationalized by a 10% cutoff for users with the highest number of treatments, highest costs and/or other criteria depending on the respective health service sector. The insured group investigated received approximately 1.4 million prescriptions, producing costs of 42 million E. High utilizers account for 32% of all prescriptions and 44% of the costs, respectively. At the same time, the age groups with the highest prescription rates do not cause the highest costs: So the relationship between age and prescription drug expenses as well as between age and prescription rates does not display an arithmetically increasing pattern. Within the timeframe investigated 26,000 hospital treatments were accounted for by 21.75% of the elderly under research. In total, they caused expenses of 88 million E. High utilization in the hospital sector was operationalized by four criteria. Sex- and age-specific analysis of high utilization of hospital treatment revealed that the four different criteria apply to different insured groups. In summary, the high utilization of healthcare services appears to be a multidimensional phenomenon.

Aged↗

Patterns of drug utilization in a neonatal intensive care unit.

The objective of this study was to determine drug use in newborns at an inborn tertiary care neonatal intensive care unit, serving a predominantly African American population, to identify educational/research priorities in neonatal drug therapy. Data on demographics and exposure rates to all drugs from 6839 neonates born between January 1997 and June 2004 were analyzed. Number of drugs used was correlated with race, gender, gestational age, birthweight, and survival status. The contribution of these factors to mean drug use was predicted by multivariate regression analysis. In this population of 80% African Americans, mean drug use was 3.6/infant, with the highest use in the 24- to 27-week gestational age group (11.7/infant). Ampicillin and cefotaxime had the highest exposure rates. Premature infants had high use of surfactant, pressor agents, and diuretics. Caucasians, males, gestational age<28 weeks, and birthweight<1000 g were the risk factors for higher drug exposure. Future research/education must emphasize these therapeutic areas with priority assigned to low-birthweight infants.

Black or African American↗

[Trends in drug utilization in elderly persons].

The aim of the work was to test the hypothesis that drug consumption, consistent with greater demands on therapeutic and preventive care, increases more in older people, as compared with the average population. The authors investigated drug consumption in old people during five-year periods with two-year intervals (1982, 1984, 1986). It was found that during these periods expenditure on drugs increased by 80.1%, although this population group increased only by 15.1%. For comparison the increase of drug consumption expressed in expenditure in the younger population (0-59 years) was 38.1%.

Aged↗