A database analysis of potentially inappropriate drug use in an elderly Medicaid population.
Piecoro-LT; Browning-SR; Prince-TS; Ranz-TT; Scutchfield-FD
Pharmacotherapy 2000 Jan; 20(2):221-228
We conducted a cross-sectional retrospective review of 1996 Kentucky Medicaid Pharmacy claims data to examine the prevalence of potentially inappropriate drug use in 64,832 Medicaid recipients aged 65 years and older who received a prescription. Twenty-seven percent of patients received at least one potentially inappropriate agent. Prevalence was higher for nursing home residents (33%) than for community dwellers (24%). Amitriptyline (7.6%), propoxyphene (6.5%), doxepin (4.0%), and indomethacin (2.3%) were the most prescribed potentially inappropriate agents. Education programs and interventions aimed at optimizing the prescribing and dispensing of the most appropriate drugs are needed.
Drugs; Drug-abuse; Pharmacology; Pharmacy-workers; Occupational-diseases; Overloading; Education; Educational-resource-centers
L.T. Piecoro, Pharm.D., 8700 Mason-Montgomery Road, Box 2117, Mason, OH 45040
Cooperative Agreement; Agriculture
University of Kentucky