Suboptimal prescribing for older adults in primary care is common and is associated with risk of adverse events requiring emergency department visits or hospitalization. The Veterans Health Administration (VHA) serves a large population of older adults, with 47% of beneficiaries aged 65 and older. VHA rates of adverse drug events are similar to those of other health systems. Multiple studies use exposure to potentially inappropriate medications (PIMs) as a proxy for poor quality prescribing and adverse outcomes. PIMs in older adults include medications with high risk of adverse events because of their pharmacological properties (e.g., highly anticholinergic medications), physiological changes of aging (e.g., poor renal clearance), or poor evidence of efficacy in older adults. Nationally, 21.3% of veterans aged 65 and older received a PIM during 18 months in 2002–03, compared with 28.8% of private‐sector health maintenance organization enrollees during a similar period. Some of the poorest quality prescribing is experienced in the rural South, where veterans were 22% as likely to be prescribed a PIM as their urban‐dwelling counterparts.To address suboptimal prescribing, the VHA Geriatrics Pharmacy Taskforce recommended in 2011 that facilities offer “individualized pharmacy review for high‐risk patients on multiple medications,” similar to requirements for Medicare Part D
Journal of American Geriatrics Society – Wiley
Published: Jan 1, 2018
Keywords: ; ; ; ;
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera