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首页> 外文期刊>International Journal of Pharmaceutical and Healthcare Marketing >Applying the 2003 Beers update to Medicaid/Medicare enrollees
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Applying the 2003 Beers update to Medicaid/Medicare enrollees

机译：将2003年Beers更新应用到Medicaid / Medicare注册者

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Purpose – The purpose of this paper is to examine rates of potentially inappropriate prescribing in a population dually eligible for Medicare and Medicaid using the new 2003 Fick update, which revises the previous 1997 Beers list. Design/methodology/approach – Cross sectional retrospective review of 2003 Centers for Medicare and Medicaid Service (CMS) Medicaid Pharmacy claims data. Claims data submitted for outpatient and nursing home residents for elderly enrollees dually eligible for Medicare and Medicaid were analyzed. Potentially inappropriate drug use was assessed using the 2003 Fick update to the previous 1997 Beers list. Inappropriate use was identified based on these criteria for drugs independent of diagnosis. Findings – Of enrollees with drug use, 34 percent received an inappropriate drug per the 1997 Beers list; 47 percent per the 2003 Fick update. Hispanics had the highest percentage of drug recipients receiving an inappropriate drug in the Northeast region per the 2003 Fick update. Within therapeutic category, the number of inappropriate genitourinary products dispensed to total genitourinary products ranked the highest at 20 percent per the 2003 Fick update. Practical implications – This study examines variations in Beers drug use in the elderly dually eligible Medicare and Medicaid population in 2003 by applying the 2003 Fick et al. update of the 1997 Beers list to one of the nation's largest sources of person-specific data on prescribed drugs. Inappropriate use was identified for drugs independent of diagnosis. Of enrollees with drug use, 34 percent received an inappropriate drug per the 1997 Beers list; 47 percent per the 2003 Fick update. Within therapeutic category, the number of inappropriate genitourinary products dispensed to total genitourinary products ranked the highest at 20 percent per the 2003 Fick update. The paper's findings provide evidence that the potential use of inappropriate drugs in Hispanics should be considered separately from other ethnicity groups. Originality/value – A markedly higher rate of potentially inappropriate drug use in the elderly Medicaid population exists following the Fick update. These findings provide evidence that the potential use of inappropriate drugs in Hispanics should be considered separately from other ethnicity groups. By comparing drug use based on therapeutic category, genitourinary products were found to have the highest potential for inappropriate prescribing.
机译：目的–本文的目的是使用新的2003 Fick更新来检查双重符合Medicare和Medicaid资格的人群中可能不适当开处方的比率，该更新修订了先前的1997 Beers清单。设计/方法/方法–对2003年医疗保险和医疗补助服务中心（CMS）的医疗补助药房索赔数据进行横断面回顾。分析了针对同时符合Medicare和Medicaid资格的老年患者的门诊和疗养院居民提交的索赔数据。根据2003年Fick对之前的1997年Beers清单的更新，评估了潜在的不当药物使用情况。根据这些与药物无关的诊断标准，确定了不当使用。调查结果–根据1997年Beers清单，在使用毒品的参与者中，有34％的人服用了不当药物；根据2003 Fick更新的47％。根据2003年Fick更新，拉美裔人在东北地区接受不当药物的吸毒者比例最高。在治疗类别中，根据2003年Fick更新，分配给总泌尿生殖产品的不当泌尿生殖产品的数量最高，为20％。实际意义–这项研究应用2003 Fick等人的方法，研究了2003年具有双重资格的老年医疗保险和医疗补助人群中啤酒消费的变化。将1997年Beers清单更新为全美最大的处方药特定人群数据来源之一。已确定与诊断无关的药物使用不当。根据1997年Beers清单，在使用毒品的参与者中，有34％接受了不适当的毒品；根据2003 Fick更新的47％。在治疗类别中，根据2003年Fick更新，分配给总泌尿生殖产品的不当泌尿生殖产品的数量最高，为20％。该论文的发现提供了证据，应将在西班牙裔美国人中不适当药物的潜在使用与其他种族分开考虑。原创性/价值–在Fick更新之后，老年医疗补助人群中潜在的不适当药物使用率显着增加。这些发现提供了证据，应与其他种族分开考虑在西班牙裔中潜在使用不当药物的可能性。通过比较基于治疗类别的药物使用情况，发现泌尿生殖道产品最有可能出现不适当处方的可能性。

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