The Drug Burden Index and Level of Frailty as Determinants of Healthcare Costs in a Cohort of Older Frail Adults in New Zealand
Value in Health Regional Issues,
Journal Year:
2024,
Volume and Issue:
41, P. 72 - 79
Published: Jan. 20, 2024
Frailty
is
common
in
older
people
and
associated
with
increased
use
of
healthcare
services
ongoing
multiple
medications.
This
study
provides
insights
into
the
cost
structure
a
frail
group
adults
Aotearoa,
New
Zealand.
Furthermore,
we
investigated
relationship
between
participants'
anticholinergic
sedative
medication
burden
their
total
costs
to
explore
viability
deprescribing
interventions
within
this
cohort.
Healthcare
analysis
was
conducted
using
data
collected
during
randomized
controlled
trial
frail,
The
information
included
participant
demographics,
medications
used,
frailty,
service
aged
residential
care
outpatient
hospital
services,
admissions,
dispensed
Data
from
338
participants
recruited
25
September
2018
30
October
2020
mean
age
80
years
were
analyzed.
per
ranged
Zealand
$15
(US
dollar
$10)
$270
681
$175
943)
over
6
months
postrecruitment
study.
Four
individuals
accounted
for
26%
cohort's
cost.
We
found
frailty
be
costs,
whereas
drug
only
pharmaceutical
not
overall
costs.
With
no
patient's
more
research
required
understand
how
where
unlock
savings
populations.
Language: Английский
Usability of APIMedOlder: A Web Application to Manage Potentially Inappropriate Medication in Older Adults
Acta Médica Portuguesa,
Journal Year:
2024,
Volume and Issue:
37(9), P. 609 - 616
Published: Sept. 2, 2024
Introduction:
Considering
the
increase
in
proportion
of
older
population
worldwide,
demand
for
health
system
resources
also
arises.
These
tools
optimize
clinical
decision-making,
thus
avoiding
iatrogenesis
and
contributing
to
a
better
quality
life
population.
In
response,
we
created
an
online
web
application,
APIMedOlder,
that
provides
access
healthcare
professionals
allow
potentially
inappropriate
medication
identification
criteria
through
useful
tool
with
simplified
profile,
allowing
its
applicability
practice.
This
study
aims
assess
usability
APIMedOlder
application
by
professionals.Methods:
A
questionnaire,
based
on
System
Usability
Scale,
was
distributed
among
15
(five
pharmacists,
four
physicians,
three
pharmacy
technicians,
nurses),
fully
explore
website.Results:
Overall,
professionals’
evaluation
rated
as
“Best
imaginable”
(mean
score
87.17
points),
individual
scores
ranging
from
75
100
points.
Internal
consistency
α
=
0.881
(CI
95%:
0.766
-
0.953)
achieved.
Specific
questionnaire
items
this
high
included
ease
use,
learning
efficiency,
integration
functions.Conclusion:
The
overall
developed
positive,
being
recognized
easy
use
having
well-integrated
functions.
Language: Английский