Financial demands on pharmacotherapy in the elderly
outpatients—a cross-sectional study

a 2022

Financial demands on pharmacotherapy in the elderly outpatients—a cross-sectional study

ŠUTOROVÁ, Martina, Dominik GREGA, Tünde AMBRUS a Jozef KOLÁŘ

Základní údaje

Originální název

Financial demands on pharmacotherapy in the elderly outpatients—a cross-sectional study

Autoři

ŠUTOROVÁ, Martina (703 Slovensko, garant, domácí), Dominik GREGA (703 Slovensko, domácí), Tünde AMBRUS (703 Slovensko, domácí) a Jozef KOLÁŘ (203 Česká republika, domácí)

Vydání

50th ESCP Symposium on Clinical Pharmacy, 2022

Další údaje

Jazyk

angličtina

Typ výsledku

Konferenční abstrakt

Obor

30104 Pharmacology and pharmacy

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.400

Kód RIV

RIV/00216224:14160/22:00127359

Organizační jednotka

Farmaceutická fakulta

ISSN

DOI

http://dx.doi.org/10.1007/s11096-022-01521-5

Klíčová slova anglicky

medication prescription in the elderly; outpatient geriatric patients; structure of prescription; potentially inappropriate medication

Štítky

rivok, ÚAF

Změněno: 6. 12. 2022 16:20, JUDr. Sabina Krejčiříková

Anotace

V originále

Background and Objective: Even though the first explicit criteria of potentially inappropriate medication in the elderly patients were published more over 30 years, in everyday clinical practice can occur several problems related to multimorbidity and polypharmacotherapy of geriatric patients. In this context, health risks and the related financial demands on the healthcare systems should be observed and evaluated. The study aims to evaluate medicines prescribed for the elderly outpatients from economic aspects. Method: One-month prescription of medicinal products was analysed for outpatient geriatric patients aged 65 and older, insured at the Dôvera Health Insurance Company, Inc. in Slovakia. Main outcome measures: Focusing on the amount of prescribed medication, total price of prescribed medicines, proportion of their reimbursement and patients’ co-payment, and structure of the costs concerning the specified age groups. Results: The set consisted of 167,182 patients (22.8% of the Slovak population 65 years and older), who were prescribed 366,241 packages of medicinal products in one month. The total price of prescribed medicinal products was 4,136,675 EUR, of which the health insurance company reimbursed 84%, and 16% represented the patients’ co-payment. The most expensive outpatient treatment was ascertained in the patients' age group of 65–69 years—35.8% of the total costs. The average price of medicines on one medical prescription increased up to 79 years, with 80-year and older patients had a decreasing trend. Conclusion: In the studied set, the general practitioners had prescribed twice as many potentially inappropriate medicines as specialists. So, it is necessary to pay close attention to adherence to current recommendations and guidelines and consider the financial impacts of inappropriate medicine use to improve the quality of pharmacotherapy in elderly patients.

Návaznosti

MUNI/A/1246/2021, interní kód MU

Název: Studium vybraných aspektů kvality lékárenské péče (Akronym: SVAKLP)

Investor: Masarykova univerzita, Studium vybraných aspektů kvality lékárenské péče

Citovat

ŠUTOROVÁ, Martina, Dominik GREGA, Tünde AMBRUS a Jozef KOLÁŘ. Financial demands on pharmacotherapy in the elderly outpatients—a cross-sectional study. In 50th ESCP Symposium on Clinical Pharmacy. 2022. ISSN 2210-7711. Dostupné z: https://dx.doi.org/10.1007/s11096-022-01521-5.

@proceedings{2237578,
   author = {Šutorová, Martina and Grega, Dominik and Ambrus, Tünde and Kolář, Jozef},
   booktitle = {50th ESCP Symposium on Clinical Pharmacy},
   doi = {http://dx.doi.org/10.1007/s11096-022-01521-5},
   keywords = {medication prescription in the elderly; outpatient geriatric patients; structure of prescription; potentially inappropriate medication},
   language = {eng},
   title = {Financial demands on pharmacotherapy in the elderly outpatients—a cross-sectional study},
   url = {https://link.springer.com/article/10.1007/s11096-022-01521-5},
   year = {2022}
}

TY  - CONF
ID  - 2237578
AU  - Šutorová, Martina - Grega, Dominik - Ambrus, Tünde - Kolář, Jozef
PY  - 2022
TI  - Financial demands on pharmacotherapy in the elderly outpatients—a cross-sectional study
KW  - medication prescription in the elderly
KW  - outpatient geriatric patients
KW  - structure of prescription
KW  - potentially inappropriate medication
UR  - https://link.springer.com/article/10.1007/s11096-022-01521-5
N2  - Background and Objective: Even though the first explicit criteria of potentially inappropriate medication in the elderly patients were published more over 30 years, in everyday clinical practice can occur several problems related to multimorbidity and polypharmacotherapy of geriatric patients. In this context, health risks and the related financial demands on the healthcare systems should be observed and evaluated. The study aims to evaluate medicines prescribed for the elderly outpatients from economic aspects. Method: One-month prescription of medicinal products was analysed for outpatient geriatric patients aged 65 and older, insured at the Dôvera Health Insurance Company, Inc. in Slovakia. Main outcome measures: Focusing on the amount of prescribed medication, total price of prescribed medicines, proportion of their reimbursement and patients’ co-payment, and structure of the costs concerning the specified age groups. Results: The set consisted of 167,182 patients (22.8% of the Slovak population 65 years and older), who were prescribed 366,241 packages of medicinal products in one month. The total price of prescribed medicinal products was 4,136,675 EUR, of which the health insurance company reimbursed 84%, and 16% represented the patients’ co-payment. The most expensive outpatient treatment was ascertained in the patients' age group of 65–69 years—35.8% of the total costs. The average price of medicines on one medical prescription increased up to 79 years, with 80-year and older patients had a decreasing trend. Conclusion: In the studied set, the general practitioners had prescribed twice as many potentially inappropriate medicines as specialists. So, it is necessary to pay close attention to adherence to current recommendations and guidelines and consider the financial impacts of inappropriate medicine use to improve the quality of pharmacotherapy in elderly patients.
ER  -

ŠUTOROVÁ, Martina, Dominik GREGA, Tünde AMBRUS a Jozef KOLÁŘ. Financial demands on pharmacotherapy in the elderly outpatients—a cross-sectional study. In \textit{50th ESCP Symposium on Clinical Pharmacy}. 2022. ISSN~2210-7711. Dostupné z: https://dx.doi.org/10.1007/s11096-022-01521-5.

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