ArticleRisk management and healthcare policy2015
Prescription of potentially inappropriate medication in older persons in Switzerland: does the dispensing channel make a difference?
Article in Risk management and healthcare policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Availability of Dispensing and Storage Facilities at Public and Community Pharmacies at Bahir Dar and Gondar Towns.Risk management and healthcare policy · 2024Article
- Potentially Inappropriate Medication Dispensing in Outpatients: Comparison of Different Measurement Approaches.Risk management and healthcare policy · 2023Article
- Swiss GPs' preferences for antidepressant treatment in mild depression: vignette-based quantitative analysis.BMC family practice · 2021Article
- Death at no cost? Persons with no health insurance claims in the last year of life in Switzerland.BMC health services research · 2018Article
- Potentially inappropriate medications: predictor for mortality in a cohort of community-dwelling older adults.European journal of clinical pharmacology · 2017Article
- Mapping clinical pharmacy practice in Swiss hospitals: a cross-sectional study.European journal of hospital pharmacy : science and practice · 2016Article
- Comparison Quality of Health Services between Public and Private Providers: The Iranian People's Perspective.Electronic physician · 2016Article
- Physician drug dispensing in Switzerland: association on health care expenditures and utilization.BMC health services research · 2016Article
- Medication adherence in patients with diabetes mellitus: does physician drug dispensing enhance quality of care? Evidence from a large health claims database in Switzerland.Patient preference and adherence · 2016Article
- How does hospitalization affect continuity of drug therapy: an exploratory study.Therapeutics and clinical risk management · 2016Article
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Authors and funding
3 authors.
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Abstract
backgroundDrugs can be supplied either directly from the prescribing physician (physician dispensing [PD]) or via a pharmacy. It is unclear whether the dispensing channel is associated with quality problems. Potentially inappropriate medication (PIM) is associated with adverse outcomes in older persons and can be considered a marker for quality deficits in prescribing. We investigated whether prevalence of PIM differs across dispensing channels. PATIENTS AND
methodsWe analyzed basic health insurance claims of 50,747 person quarter years with PIM use of residents of the Swiss cantons Aargau and Lucerne of the years 2012 and 2013. PIM was identified using the Beers 2012 criteria and the PRISCUS list. We calculated PIM prevalence stratified by supply channel. Adjusted mixed effects logistic regression analysis was done to estimate the effect of obtaining medications through the dispensing physician as compared to the pharmacy channel on receipt of PIM. The most frequent PIMs were identified.
resultsThere is a small but detectable difference in total PIM prevalence: 30.7% of the population supplied by a dispensing physician as opposed to 29.3% individuals who received medication in a pharmacy. According to adjusted logistic regression individuals who obtained the majority of their medications from their prescribing physician had a 15% higher chance to receive a PIM (odds ratio 1.15, 95% confidence interval 1.08-1.22; P<0.001).
conclusionPhysician dispensing seems to affect quality and safety of drug prescriptions. Quality issues should not be neglected in the political discussion about the regulations on PD. Future studies should explore whether PD is related to other indicators of inefficiency or quality flaws. The present study also underlines the need for interventions to reduce the high rates of PIM prescribing in Switzerland.
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