Patient, Physician, and Health-System Factors Influencing the Quality of Antidepressant and Sedative Prescribing for Older, Community-Dwelling Adults.

Related Articles

Patient, Physician, and Health-System Factors Influencing the Quality of Antidepressant and Sedative Prescribing for Older, Community-Dwelling Adults.

Health Serv Res. 2016 Dec 26;:

Authors: Extavour RM, Perri M

Abstract
OBJECTIVE: To identify determinants of potentially inappropriate (PI) antidepressant and anxiolytic/sedative prescribing for older, community-dwelling adults.
DATA SOURCES/STUDY SETTING: Office visits from the 2010 National Ambulatory Medical Care Survey.
STUDY DESIGN: A cross-sectional study measuring associations between various patient and physician factors and prescribing of PI antidepressants, and PI sedatives among elderly, using Beers 2012/2015 criteria, a clinical decision model, and multivariate logistic regressions.
DATA COLLECTION: Visits by older adults (?65 years) involving medications were extracted to identify visits with antidepressants and sedatives.
PRINCIPAL FINDINGS: Black race, asthma, depression, osteoporosis, payment type, consultation time, and computer systems with prescribing support were associated with reduced odds of PI antidepressant prescribing among users. Income, chronic renal failure, diabetes, and obesity were associated with reduced odds of PI sedative prescribing. Female sex, white race, depression, increasing number of medications, and physician specialty were associated with increased odds of PI sedative prescribing.
CONCLUSIONS: Various patient and health-system factors influence the quality of antidepressant and sedative prescribing for older community-dwelling adults. Longer consultations and the use of computer systems with prescribing support may minimize potentially inappropriate antidepressant prescribing. As medication numbers increase, exposure to PI sedatives is more likely, requiring medication review and monitoring.

PMID: 28024315 [PubMed – as supplied by publisher]

View full post on pubmed: asthma

Dr. Robert Overholt, physician, The Allergy, Asthma and Sinus Center – Knoxville News Sentinel

Dr. Robert Overholt, physician, The Allergy, Asthma and Sinus Center
Knoxville News Sentinel
Profession: Physician, The Allergy, Asthma and Sinus Center and host, “The Dr. Bob Show”. Education and professional certifications: Medical degree, University of Tennessee Medical Center; internship, Philadelphia General Hospital; internal medicine …

View full post on asthma – Google News

Quinnipiac University physician assistant student organizing free asthma camp … – Connectcut Plus

Quinnipiac University physician assistant student organizing free asthma camp
Connectcut Plus
“The goal of the asthma camp is to give special attention to each child and focus on the positives of this chronic illness,” said Nicole Cottle of Hamden, the physician assistant student organizing the camp as part of her being named a Paul Ambrose

View full post on asthma – Google News

Quinnipiac University physician assistant student organizing free asthma camp … – Stamford Plus Magazine

Quinnipiac University physician assistant student organizing free asthma camp
Stamford Plus Magazine
“The goal of the asthma camp is to give special attention to each child and focus on the positives of this chronic illness,” said Nicole Cottle of Hamden, the physician assistant student organizing the camp as part of her being named a Paul Ambrose

and more »

View full post on asthma – Google News

AANMA Partners With Asthma Educators, Physician Assistants To Expand … – Sacramento Bee

AANMA Partners With Asthma Educators, Physician Assistants To Expand
Sacramento Bee
MCLEAN, Va., Dec. 10, 2013 — /PRNewswire-USNewswire/ — Allergy & Asthma Network Mothers of Asthmatics (AANMA), a leading patient education organization, is partnering with the Association of Asthma Educators (AAE) and the American Academy of 

and more »

View full post on asthma – Google News

AANMA Partners With Asthma Educators, Physician Assistants To Expand … – PR Newswire (press release)

AANMA Partners With Asthma Educators, Physician Assistants To Expand
PR Newswire (press release)
MCLEAN, Va., Dec. 10, 2013 /PRNewswire-USNewswire/ — Allergy & Asthma Network Mothers of Asthmatics (AANMA), a leading patient education organization, is partnering with the Association of Asthma Educators (AAE) and the American Academy of 

and more »

View full post on asthma – Google News

Plastics Chemical BPA Tied to Asthma in Inner-City Youth – Journal of the American Academy of Physician Assistants

Plastics Chemical BPA Tied to Asthma in Inner-City Youth
Journal of the American Academy of Physician Assistants
(HealthDay News) – Urinary concentrations of bisphenol A (BPA) are significantly associated with asthma in inner-city children, according to a study published in the March issue of the Journal of Allergy and Clinical Immunology. Kathleen M. Donohue, MD
BPA Levels Linked to AsthmaNatural Standard Blog (blog)

all 2 news articles »

View full post on asthma – Google News

Urban School-Based Asthma Treatment Cost-Effective – Journal of the American Academy of Physician Assistants

Urban School-Based Asthma Treatment Cost-Effective
Journal of the American Academy of Physician Assistants
(HealthDay News) – A program to administer asthma medication each day to urban children with asthma reduces symptoms and is cost-effective, according to research published online Feb. 11 in Pediatrics. Katia Noyes, PhD, MPH, from the University of

and more »

View full post on asthma – Google News