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Healthcare utilisation and knowledge concerning prescribed drugs among older people.

Kristensson, Jimmie LU ; Modig, Sara LU ; Midlöv, Patrik LU ; Rahm Hallberg, Ingalill LU and Jakobsson, Ulf LU (2010) In European Journal of Clinical Pharmacology 66. p.1047-1054
Abstract
PURPOSE: The aim of this study was to explore healthcare consumption in relation to more versus less knowledge concerning prescribed drugs among older people with functional dependency and repeated healthcare contacts, and to explore the determinants of more versus less knowledge METHODS: The sample comprised 63 persons (mean age 82.8 years). Data concerning use and knowledge about drugs, demographics, health complaints and self-reported diseases were collected from the baseline measure in an ongoing randomised controlled trial (RCT) and merged with data from two public registers about healthcare consumption 2 years prior to baseline measurement. Data were analysed descriptively and using regression analysis. RESULTS: Fifty-two percent of... (More)
PURPOSE: The aim of this study was to explore healthcare consumption in relation to more versus less knowledge concerning prescribed drugs among older people with functional dependency and repeated healthcare contacts, and to explore the determinants of more versus less knowledge METHODS: The sample comprised 63 persons (mean age 82.8 years). Data concerning use and knowledge about drugs, demographics, health complaints and self-reported diseases were collected from the baseline measure in an ongoing randomised controlled trial (RCT) and merged with data from two public registers about healthcare consumption 2 years prior to baseline measurement. Data were analysed descriptively and using regression analysis. RESULTS: Fifty-two percent of the sample (n = 33) had less knowledge (defined as not knowing the indications for 50% or less of their prescribed drugs) and these had more acute hospitals stays (median 2 vs 0), more total hospital stays (median 2 vs 1) and more bed days in hospital (median 18 vs 3) than those with more knowledge. Bed days and visits to other outpatient staff groups were associated with less knowledge; visits to physicians were associated with more knowledge. CONCLUSIONS: The healthcare consumption pattern of those with less knowledge differed from that of those with more knowledge in terms of more acute inpatient care. The results indicate that there is a need for the health system to create mechanisms to ensure that patients do not lose their knowledge about their drugs when admitted in an acute situation; there is also an apparent need for educational intervention with patients, starting at the time of admission. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
European Journal of Clinical Pharmacology
volume
66
pages
1047 - 1054
publisher
Springer
external identifiers
  • wos:000281947300009
  • pmid:20652233
  • scopus:77957659709
ISSN
1432-1041
DOI
10.1007/s00228-010-0837-y
language
English
LU publication?
yes
id
5ef3a979-4f9b-468a-b96b-cde3b65f8df4 (old id 1644612)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20652233?dopt=Abstract
date added to LUP
2010-08-05 09:51:24
date last changed
2017-01-01 07:44:26
@article{5ef3a979-4f9b-468a-b96b-cde3b65f8df4,
  abstract     = {PURPOSE: The aim of this study was to explore healthcare consumption in relation to more versus less knowledge concerning prescribed drugs among older people with functional dependency and repeated healthcare contacts, and to explore the determinants of more versus less knowledge METHODS: The sample comprised 63 persons (mean age 82.8 years). Data concerning use and knowledge about drugs, demographics, health complaints and self-reported diseases were collected from the baseline measure in an ongoing randomised controlled trial (RCT) and merged with data from two public registers about healthcare consumption 2 years prior to baseline measurement. Data were analysed descriptively and using regression analysis. RESULTS: Fifty-two percent of the sample (n = 33) had less knowledge (defined as not knowing the indications for 50% or less of their prescribed drugs) and these had more acute hospitals stays (median 2 vs 0), more total hospital stays (median 2 vs 1) and more bed days in hospital (median 18 vs 3) than those with more knowledge. Bed days and visits to other outpatient staff groups were associated with less knowledge; visits to physicians were associated with more knowledge. CONCLUSIONS: The healthcare consumption pattern of those with less knowledge differed from that of those with more knowledge in terms of more acute inpatient care. The results indicate that there is a need for the health system to create mechanisms to ensure that patients do not lose their knowledge about their drugs when admitted in an acute situation; there is also an apparent need for educational intervention with patients, starting at the time of admission.},
  author       = {Kristensson, Jimmie and Modig, Sara and Midlöv, Patrik and Rahm Hallberg, Ingalill and Jakobsson, Ulf},
  issn         = {1432-1041},
  language     = {eng},
  pages        = {1047--1054},
  publisher    = {Springer},
  series       = {European Journal of Clinical Pharmacology},
  title        = {Healthcare utilisation and knowledge concerning prescribed drugs among older people.},
  url          = {http://dx.doi.org/10.1007/s00228-010-0837-y},
  volume       = {66},
  year         = {2010},
}