(Press-News.org) Researchers from the Netherlands conducted an observational study to determine the association between personal continuity and potentially inappropriate prescriptions (PIPs) by family physicians in older patients. PIPs can be categorized as potentially inappropriate medications (PIMs) and potential prescribing omissions (PPOs). The study utilized anonymized routine care data from 269,478 patients, receiving care in 48 Dutch family practices, from 2013 to 2018. They included all patients 65 and older with five or more contacts with their practice in six years, giving them a sample of 25,854 individuals. Personal continuity was measured using three established indices: Usual Provider Continuity (UPC); the Bice-Boxerman Continuity of Care Index (BBI); and the Herfindahl Index (HI). The prevalence of PIPs were determined using screening tools. To assess the association, they conducted analyses with and without adjustment for number of chronic conditions, age and sex.
Higher scores in BBI, HI and UPC were associated with a significant reduction in potentially inappropriate prescriptions. Within the UPC, BBI and HI measures, the mean personal continuity was 0.70 (0.19), 0.55 (0.24) and 0.59 (0.22), respectively. Among more than 25,000 patients the researchers examined, 72.2% and 74.3% had one or more potentially inappropriate medications (PIMs) or PPOs, respectively; and 30.9% and 34.2% had three or more PIMs or PPOs, respectively. The authors conclude that higher personal continuity is associated with more appropriate prescribing and argue that increasing personal continuity may improve quality of prescriptions and reduce harmful consequences.
What We Know: Prescription management is an important aspect of primary care for older patients as inappropriate prescribing can result in avoidable adverse events such as hospitalizations, falls and acute kidney injury.
What This Study Adds: Researchers found a significant association between increased rates of primary care continuity, as measured by three indices, and a decrease in potentially inappropriate prescriptions (PIPs) among primary care patients. For potentially inappropriate medications (PIMs), this effect was only observed in the patient group with five to 18 chronic conditions compared to the groups with fewer chronic conditions.
Personal Continuity and Appropriate Prescribing in Primary Care
Otto R. Maarsingh, MD, PhD, et al
Amsterdam UMC location Vrije Universiteit Amsterdam, Department of General Practice, and Amsterdam Public Health Research Institute,
Vrije Universiteit, Amsterdam, The Netherlands.
Permanent link
END
Greater primary care continuity among older people is associated with fewer inappropriate prescriptions and prescribing omissions
Personal continuity and appropriate prescribing in primary care
2023-07-25
ELSE PRESS RELEASES FROM THIS DATE:
Primary care clinics that improved patient access, identified at-risk patients and expanded services experienced reductions in acute hospitalizations
2023-07-25
Researchers from Mathematica studied high-performing Comprehensive Primary Care Plus (CPC+) sites to identify key strategies that contributed to significant reductions in acute hospitalization rates. Researchers identified CPC+ practice sites with the highest likelihood of achieving substantial reductions in Medicare acute hospitalization rates between 2016 and 2018, and referred to them as "Acute Hospitalization Rate (AHR) high-performers." Afterwards, they conducted telephone interviews and within- and cross-case comparative analyses of 14 of these primary care practice sites, ...
Primary care doctors face barriers in treating alcoholism
2023-07-25
Researchers explored how primary care physicians who have some familiarity with medications for alcohol use disorder (MAUD) make prescribing decisions and identify reasons for the underuse of MAUD in primary care. They interviewed 19 primary care physicians who had recently prescribed MAUD to patients in an outpatient setting. These physicians were selected from a large online database of medical professionals. Participating physicians reported several challenges in prescribing MAUD: (1) they had somewhat negative personal beliefs about the effectiveness of medications and the likelihood of patient ...
Family medicine physicians receive lowest HPV vaccine cost reimbursements compared to pediatricians, internal medicine doctors, nurse practitioners and other specialists
2023-07-25
Human papillomavirus (HPV) vaccination coverage has improved in the United States, but privately insured adolescents have lower initiation and completion rates compared to those under public insurance programs. One of the contributing factors to this disparity is the higher cost of the HPV vaccine compared to other routinely recommended adolescent vaccines. While private payers typically reimburse the cost of the HPV vaccine at or above the CDC list price (i.e., $210.99 in 2017-2018), it remains below ...
SwRI’s Wyrick named GSA Fellow
2023-07-25
SAN ANTONIO — July 25, 2023 —The Geological Society of America (GSA) has elected Southwest Research Institute’s Dr. Danielle Wyrick as a Fellow, recognizing her exemplary scientific achievements, support of young geoscientists and excellent service to GSA. She has played a significant role in GSA’s Planetary Geology Division leadership and committees.
“During my tenure on the board of GSA’s Planetary Geology Division, we adopted the motto ‘when one planet just isn’t enough,’ ...
Physics informed supervised learning framework could make computational imaging faster
2023-07-25
BOSTON - Computational imaging techniques are growing more popular, but the large number of measurements they require often lead to slow speeds or damage to biological samples. A newly developed physics-informed variational autoencoder (P-VAE) framework could help speed up computational imaging by using supervised learning to jointly reconstruct many light sources, each with sparse measurements.
Vidya Ganapati, Assistant Professor of Engineering, Swarthmore College, will present this research at the Optica Imaging Congress. The hybrid meeting will take place 14 – 17 August 2023 in ...
Bacterial testing in kids with sinusitis could slash antibiotic use
2023-07-25
In children with suspected sinusitis, a nasal swab to test for three types of bacteria can tell whether antibiotics are likely to be effective or not, according to a new JAMA study by researchers at the University of Pittsburgh and UPMC.
“Five million kids in the U.S. get prescribed antibiotics for sinusitis each year,” said lead author Nader Shaikh, M.D., pediatrician at UPMC Children’s Hospital of Pittsburgh and professor of pediatrics and clinical and translational science at Pitt. “Our study suggests that only half of these kids see an improvement in symptoms with antibiotic use, so ...
Improving recyclable waste classification with laser-induced breakdown spectroscopy
2023-07-25
WASHINGTON, July 25, 2023 – Managing and classifying waste accurately for reuse is a growing challenge in environmental protection. Addressing this issue, researchers at Hefei University of Technology in China have embarked on a quest to innovate in the realm of waste management, seeking effective methods that can simplify and improve the identification and classification of recyclable waste.
Delving into the intricacies of waste management, the researchers explored the application of laser-induced breakdown spectroscopy technology for the identification ...
State restrictions and geographic access to gender-affirming care for transgender youth
2023-07-25
About The Study: State restrictions were associated with significantly increased estimated drive times for youths seeking gender-affirming care. With more than 1 in 4 gender clinics located in states with restrictions, it is unknown whether existing clinics may have capacity to meet the increased need of out-of-state patients.
Authors: Kevin C. Chung, M.D., M.S., of the University of Michigan Medical School in Ann Arbor, is the corresponding author.
To access the embargoed study: Visit our For The Media website at this link https://media.jamanetwork.com/
(doi:10.1001/jama.2023.11299)
Editor’s Note: Please see the article for additional ...
New robot boosts solar energy research
2023-07-25
Researchers have created a robot capable of conducting experiments more efficiently and sustainably to develop a range of new semiconductor materials with desirable attributes. The researchers have already demonstrated that the new technology, called RoboMapper, can rapidly identify new perovskite materials with improved stability and solar cell efficiency.
“RoboMapper allows us to conduct materials testing more quickly, while also reducing both cost and energy overhead – making the entire process more sustainable,” ...
Only 60% of at-risk women report getting counseled on heart health at their postpartum visit
2023-07-25
Heart disease risk factors (being overweight, having diabetes or high blood pressure) increased among birthing adults between 2016 and 2020
Postpartum visits are crucial for checking mom’s heart health after delivery
Each year, 90% of women in the U.S. attend at least one postpartum visit
‘We must take advantage of this prime opportunity when we have a captive audience’
CHICAGO --- Despite having risk factors for heart disease, only 60% of women reported receiving counseling on optimizing their heart health, which includes healthy eating, exercise and losing weight gained during pregnancy at their six-week ...
LAST 30 PRESS RELEASES:
Milky Way-like galaxy M83 consumes high-speed clouds
Study: What we learned from record-breaking 2021 heat wave and what we can expect in the future
Transforming treatment outcomes for people with OCD
Damage from smoke and respiratory viruses mitigated in mice via a common signaling pathway
New software tool could help better understand childhood cancer
Healthy lifestyle linked to lower diverticulitis risk, irrespective of genetic susceptibility
Women 65+ still at heightened risk of cervical cancer caused by HPV
‘Inflammatory’ diet during pregnancy may raise child’s diabetes type 1 risk
Effective therapies needed to halt rise in eco-anxiety, says psychology professor
Nature-friendly farming boosts biodiversity and yields but may require new subsidies
Against the odds: Endometriosis linked to four times higher pregnancy rates than other causes of infertility, new study reveals
Microplastics discovered in human reproductive fluids, new study reveals
Family ties and firm performance: How cousin marriage traditions shape informal businesses in Africa
Novel flu vaccine adjuvant improves protection against influenza viruses, study finds
Manipulation of light at the nanoscale helps advance biosensing
New mechanism discovered in ovarian cancer peritoneal metastasis: YWHAB restriction drives stemness and chemoresistance
New study links blood metabolites and immune cells to increased risk of urolithiasis
Pyruvate identified as a promising therapeutic agent for ulcerative colitis by targeting cytosolic phospholipase A2
New insights into the clinical impact of IKBKG mutations: Understanding the mechanisms behind rare immunodeficiency syndromes
Displays, imaging and sensing: New blue fluorophore breaks efficiency records in both solids and solutions
Sugar, the hidden thermostat in plants
Personality can explain why some CEOs earn higher salaries
This puzzle game shows kids how they’re smarter than AI
Study suggests remembrances of dead played role in rise of architecture in Andean region
Brain stimulation can boost math learning in people with weaker neural connections
Inhibiting enzyme could halt cell death in Parkinson’s disease, study finds
Neurotechnology reverses biological disadvantage in maths learning
UNDER EMBARGO: Neurotechnology reverses biological disadvantage in maths learning
Scientists target ‘molecular machine’ in the war against antimicrobial resistance
Extending classical CNOP method for deep-learning atmospheric and oceanic forecasting
[Press-News.org] Greater primary care continuity among older people is associated with fewer inappropriate prescriptions and prescribing omissionsPersonal continuity and appropriate prescribing in primary care