東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back

Switch To: Labeled | MARC Mode | ISBD

Are prescribing health care professi...

Fitzgerald, Timothy P.

Linked to FindBook

Google Book

Amazon

博客來

Are prescribing health care professionals following Beers criteria?

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Are prescribing health care professionals following Beers criteria?/
Author:	Fitzgerald, Timothy P.
Description:	133 p.
Notes:	Source: Dissertation Abstracts International, Volume: 69-12, Section: B, page: 7447.
Contained By:	Dissertation Abstracts International69-12B.
Subject:	Gerontology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3340679
ISBN:	9780549955443

Are prescribing health care professionals following Beers criteria?
Fitzgerald, Timothy P.

Are prescribing health care professionals following Beers criteria? - 133 p.

Source: Dissertation Abstracts International, Volume: 69-12, Section: B, page: 7447.

Thesis (Ph.D.)--University of the Sciences in Philadelphia, 2009.

Background. Recent estimates of human and economic consequences of medication-related problems demonstrate the importance of preventing inappropriate medication use in the elderly. (Hansen, Putallaz, & Taydus, 2006) The differing pharmacokinetic and pharmacodynamic profiles and the lack of data from clinical trials establishing definitive prescribing guidelines, contribute to this healthcare issue. (Avorn, 1995) In response to this lack of prescribing guidance, Beers Criteria were developed.

ISBN: 9780549955443Subjects--Topical Terms:

533633
Gerontology.

Are prescribing health care professionals following Beers criteria?
LDR:03333nam 2200337 4500 001 1391375
005 20110119101640.5
008 130515s2009 ||||||||||||||||| ||eng d
020 $a 9780549955443
035 $a (UMI)AAI3340679
035 $a AAI3340679
040 $a UMI $c UMI
100 1 $a Fitzgerald, Timothy P. $3 1669798
245 1 0 $a Are prescribing health care professionals following Beers criteria?
300 $a 133 p.
500 $a Source: Dissertation Abstracts International, Volume: 69-12, Section: B, page: 7447.
502 $a Thesis (Ph.D.)--University of the Sciences in Philadelphia, 2009.
520 $a Background. Recent estimates of human and economic consequences of medication-related problems demonstrate the importance of preventing inappropriate medication use in the elderly. (Hansen, Putallaz, & Taydus, 2006) The differing pharmacokinetic and pharmacodynamic profiles and the lack of data from clinical trials establishing definitive prescribing guidelines, contribute to this healthcare issue. (Avorn, 1995) In response to this lack of prescribing guidance, Beers Criteria were developed.
520 $a Beers Criteria were updated in 2002 to include medications to avoid for elderly with certain conditions, such as benzodiazepines to elderly with a history of falls. (Fick et al., 2003) The primary concerns include risk of ataxia, syncope, and additional falls. (Fick et al., 2003)
520 $a Following the 1997 version of Beers Criteria, studies demonstrate a significant decline in the use of potentially inappropriate medications (Stuart et al., 2003). However, after the publication of the 2002 criteria, no study has looked at adherence to adoption of a specific criterion, such as contraindicated benzodiazepine use in the elderly with a history of falls.
520 $a Objectives. This study addressed whether or not prescribers are following Beers Criteria. The criterion indicating that benzodiazepines should not be prescribed to elderly who have experienced a fall in the last year was used as an indicator of overall adherence to Beers Criteria. Prescribing trends of benzodiazepines in community dwelling elderly with a history of falls during the first three years following the 2002 version of Beers Criteria was assessed.
520 $a Methods and Results. Data from the Medicare Current Beneficiary Survey (MCBS) Cost and Use Files were used to examine the prevalence of self-reported benzodiazepine use of community-dwelling elderly between 2002 and 2004. The logistic regression model showed that there was no significant change in benzodiazepine use over the study period.
520 $a Conclusions. This study has indicated that the use of benzodiazepines by the study population who experienced a fall in the last year did not decrease, indicating that this newly added criterion was not associated with a change in prescribing patterns of benzodiazepines. In addition, several independent variables were significantly associated with benzodiazepine use indicating that there are several factors that influence prescribing behavior.
590 $a School code: 1379.
650 4 $a Gerontology. $3 533633
650 4 $a Health Sciences, Medicine and Surgery. $3 1017756
650 4 $a Health Sciences, Pharmacy. $3 1017737
650 4 $a Health Sciences, Public Health. $3 1017659
690 $a 0351
690 $a 0564
690 $a 0572
690 $a 0573
710 2 $a University of the Sciences in Philadelphia. $3 1017850
773 0 $t Dissertation Abstracts International $g 69-12B.
790 $a 1379
791 $a Ph.D.
792 $a 2009
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3340679