Prescriber continuity and medication availability in older adults with cardiometabolic conditions:

SAGE Open Medicine

Matthew LMaciejewski¹ 

关键词: Medicare;    beneficiary;    medication;    prescribers;    chronic conditions;    hypertension;    diabetes;    dyslipidemia;    compliance;   

DOI  :  10.1177/2050312118757388

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:Many older adults have multiple conditions and see multiple providers, which may impact their use of essential medications.Objective:We 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.Methods:A 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.Results:Medicare 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 adju...

【 授权许可】

CC BY