ArticleSAGE open medicine2018
Prescriber continuity and medication availability in older adults with cardiometabolic conditions.
Article in SAGE open medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed.
- Association between continuity of care and detection of hypertension in Dutch general practice: a 10-year cohort study.BMJ open · 2026Article
- An Examination of Prescribing Responsibilities between Psychiatrists and Primary Care Providers.The Psychiatric quarterly · 2021Article
- Patterns of clinic switching and continuity of medication for opioid use disorder in a Medicaid-enrolled population.Drug and alcohol dependence · 2021Article
- A Novel Approach to Developing a Discordance Index for Older Adults With Chronic Kidney Disease.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020Article
- Personal Continuity and Appropriate Prescribing in Primary Care.Annals of family medicineObservational
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundMany older adults have multiple conditions and see multiple providers, which may impact their use of essential medications.
objectiveWe examined whether the number of prescribers of these medications was associated with the availability of medications, a surrogate for adherence, to manage diabetes, hypertension or dyslipidemia.
methodsA retrospective cohort of 383,145 older adults with diabetes, hypertension or dyslipidemia in the US Medicare program living in 10 states. The association between the number of prescribers of cardiometabolic medications in 2010 and medication availability (proportion of days with medication on hand) in 2011 was estimated via logistic regression, controlling for patient demographic characteristics and chronic conditions.
resultsMedicare beneficiaries with diabetes, hypertension and/or dyslipidemia had an average of five chronic conditions overall, obtained 10-12 medications for all conditions and most often had one prescriber of cardiometabolic medications. In adjusted analyses, the number of prescribers was not significantly associated with availability of oral diabetes agents but having more prescribers is associated with increased medication availability in older Medicare beneficiaries with dyslipidemia or hypertension.
conclusionThe incremental addition of new prescribers may be clinically reasonable for complex patients but creates the potential for coordination problems and informational discontinuity over time. Health systems may want to identify complex patients with multiple prescribers to minimize care fragmentation.
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