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Evaluation of electronic prescription implementation in polymedicated users of Catalonia, Spain: a population-based longitudinal study.

Lizano-Díez I, Modamio P, López-Calahorra P, Lastra CF, Segú JL, Gilabert-Perramon A, Mariño EL - BMJ Open (2014)

Bottom Line: There was a significant upward trend in the number of polymedicated users, number of prescriptions and total cost (p<0.05), which seemed independent from the implementation of electronic prescribing when comparing the preimplementation and postimplementation period.Prescriptions per user and cost per user showed a decrease between the preimplementation and postimplementation period, being significant in two BHAs (p<0.05).Results suggest that after the implementation of electronic prescribing, the rationality of prescribing in polymedicated patients improved.

View Article: PubMed Central - PubMed

Affiliation: Clinical Pharmacy and Pharmacotherapy Unit, Department of Pharmacy and Pharmaceutical Technology, Faculty of Pharmacy, University of Barcelona, Barcelona, Spain.

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Evolution of total cost per polymedicated user in the six basic health areas of study.
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BMJOPEN2014006177F2: Evolution of total cost per polymedicated user in the six basic health areas of study.

Mentions: There was a significant upward trend in the number of polymedicated users, number of prescriptions and total cost (p<0.05), comparing the period January 2008–April 2009 with May 2009–April 2010. As depicted in online supplementary appendixes 1–3, the increase in those indicators seems independent from the implementation of electronic prescribing. Individually, five of the six BHAs showed this increase in those indicators, with the increase being significant in four of them (p<0.05). On the other hand, prescriptions per user and cost per user showed a decrease between the preimplementation and postimplementation period, whereas cost per prescription showed no variation. The decrease in prescription per user and cost per user was evident for overall as well as three of the six BHAs individually, with results being significant in two of them (p<0.05). A slight upward trend is observed graphically in those two indicators prior to the implementation of electronic prescription; after this point the overall trend was decreasing (figures 1–3).


Evaluation of electronic prescription implementation in polymedicated users of Catalonia, Spain: a population-based longitudinal study.

Lizano-Díez I, Modamio P, López-Calahorra P, Lastra CF, Segú JL, Gilabert-Perramon A, Mariño EL - BMJ Open (2014)

Evolution of total cost per polymedicated user in the six basic health areas of study.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4225236&req=5

BMJOPEN2014006177F2: Evolution of total cost per polymedicated user in the six basic health areas of study.
Mentions: There was a significant upward trend in the number of polymedicated users, number of prescriptions and total cost (p<0.05), comparing the period January 2008–April 2009 with May 2009–April 2010. As depicted in online supplementary appendixes 1–3, the increase in those indicators seems independent from the implementation of electronic prescribing. Individually, five of the six BHAs showed this increase in those indicators, with the increase being significant in four of them (p<0.05). On the other hand, prescriptions per user and cost per user showed a decrease between the preimplementation and postimplementation period, whereas cost per prescription showed no variation. The decrease in prescription per user and cost per user was evident for overall as well as three of the six BHAs individually, with results being significant in two of them (p<0.05). A slight upward trend is observed graphically in those two indicators prior to the implementation of electronic prescription; after this point the overall trend was decreasing (figures 1–3).

Bottom Line: There was a significant upward trend in the number of polymedicated users, number of prescriptions and total cost (p<0.05), which seemed independent from the implementation of electronic prescribing when comparing the preimplementation and postimplementation period.Prescriptions per user and cost per user showed a decrease between the preimplementation and postimplementation period, being significant in two BHAs (p<0.05).Results suggest that after the implementation of electronic prescribing, the rationality of prescribing in polymedicated patients improved.

View Article: PubMed Central - PubMed

Affiliation: Clinical Pharmacy and Pharmacotherapy Unit, Department of Pharmacy and Pharmaceutical Technology, Faculty of Pharmacy, University of Barcelona, Barcelona, Spain.

Show MeSH