Medication acquisition across systems of care and patient–provider communication among older veterans
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Le résumé fourni par la source
PURPOSE: The results of a survey assessing Medicare Part D enrollment, the use of pharmacotherapies for chronic diseases, and other medication-use issues in a population of elderly military veterans are presented. METHODS: Medicare-eligible (i.e., ≥65 years of age) patients with documented recent service use at a single Veterans Affairs (VA) medical center were targeted for a mail survey. Women were oversampled (20%) to ensure an adequate sample size; the sample was weighted to adjust for this oversampling. Usable survey data were received from 458 survey respondents. RESULTS: Nearly all respondents (93.2%) reported having one or more chronic conditions; of those, 93.3% reported regular use of multiple drug therapies, and 30.1% reported using medications prescribed by both VA and non-VA providers for the same chronic condition. About half of the survey respondents reported at least one office visit with a non-VA physician during the previous year, and 55.8% reported obtaining medications from non-VA pharmacies. More than half (54.1%) of the respondents reported non-VA medication coverage, with 21.2% indicating they were enrolled in Medicare Part D. Among the respondents who reported obtaining medications from non-VA pharmacies, substantial proportions reported discussing those medications with VA physicians never (38.4%) or infrequently (15.7%). CONCLUSION: Although large proportions of Medicare-eligible veterans take multiple medications and use non-VA health care services and pharmacies, many do not discuss medications obtained outside the VA system with VA physicians, suggesting that increased efforts to enhance provider-patient communication and medication reconciliation across VA and non-VA systems of care may be warranted.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Medication acquisition across systems of care and patient–provider communication among older veterans
- Date Crossref
- 01/05/2013
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Jr. VA Hospital Edward Hines pays non établi dans la noticeÉtablissement de santé
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Edith Nourse Rogers Memorial Veterans Hospital National eHealth QUERI Coordinating Center pays non établi dans la noticeÉtablissement de santé
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Quality Enhancement Research Initiative pays non établi dans la noticeInstitution
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Health Research and Educational Trust pays non établi dans la noticeOrganisation à but non lucratif
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University of Pittsburgh pays non établi dans la noticeUniversité ou école supérieure
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VA Pittsburgh Healthcare System pays non établi dans la noticeÉtablissement de santé
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University of Illinois Chicago pays non établi dans la noticeUniversité ou école supérieure
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University of Michigan Center for Clinical Management Research pays non établi dans la noticeUniversité ou école supérieure
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VA Center for Clinical Management Research pays non établi dans la noticeÉtablissement de santé
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Jr. VA (Veterans Affairs) Hospital Edward Hines pays non établi dans la noticeÉtablissement de santé
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VA Medical Center pays non établi dans la noticeÉtablissement de santé
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Health Research & Educational Trust pays non établi dans la noticeInstitution
Edward Hines — Jr. VA Hospital, National eHealth QUERI Coordinating Center — Edith Nourse Rogers Memorial Veterans Hospital et Quality Enhancement Research Initiative, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.