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Titolo:
IMPACT OF REGULATION ON BENZODIAZEPINE PRESCRIBING TO A LOW-INCOME ELDERLY POPULATION, NEW-YORK-STATE
Autore:
MCNUTT LA; COLES FB; MCAULIFFE T; BAIRD S; MORSE DL; STROGATZ DS; BARON RC; EADIE JL;
Indirizzi:
NEW YORK STATE DEPT HLTH,BUR COMMUNICABLE DIS CONTROL,DIV EPIDEMIOL,CORNING TOWER BLDG ALBANY NY 12237 NEW YORK STATE DEPT HLTH,BUR COMMUNICABLE DIS CONTROL,DIV EPIDEMIOL ALBANY NY 12237 CTR DIS CONTROL,EPIDEMIOL PROGRAM OFF,DIV FIELD EPIDEMIOL ATLANTA GA 30333 ELDERLY PHARMACEUT INSURANCE COVERAGE PROGRAM ALBANY NY 00000 SUNY ALBANY,SCH PUBL HLTH,DEPT EPIDEMIOL ALBANY NY 12222 NEW YORK STATE DEPT HLTH,DIV PUBL HLTH PROTECT ALBANY NY 12201
Titolo Testata:
Journal of clinical epidemiology
fascicolo: 6, volume: 47, anno: 1994,
pagine: 613 - 625
SICI:
0895-4356(1994)47:6<613:IOROBP>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANTI-ANXIETY AGENTS; LONG-TERM USE; GENERAL-POPULATION; DRUG-THERAPY; PREVALENCE; INSOMNIA; COMMUNITY;
Keywords:
BENZODIAZEPINES; ELDERLY; NEW YORK; PRESCRIBING PRACTICES; REGULATION; EPIDEMIOLOGY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
50
Recensione:
Indirizzi per estratti:
Citazione:
L.A. Mcnutt et al., "IMPACT OF REGULATION ON BENZODIAZEPINE PRESCRIBING TO A LOW-INCOME ELDERLY POPULATION, NEW-YORK-STATE", Journal of clinical epidemiology, 47(6), 1994, pp. 613-625

Abstract

On 1 January 1989, in an effort to reduce diversion of benzodiazepines for illicit use and reduce inappropriate prescribing, a regulation was implemented requiring the reporting of all benzodiazepine prescriptions to the New York State Department of Health. To assess the impact of the regulation on prescribing practices to the elderly, we followedthe number of benzodiazepines and other central nervous system medications prescribed to a cohort of participants in an elderly pharmaceutical insurance program. Benzodiazepines were prescribed for 4652 (22%) of the 20,944 patients studied. By the last quarter of 1989, benzodiazepines were prescribed for 3120 (15%) patients, a decrease of 33%. Thenumber of prescriptions of benzodiazepines decreased by 5010 (45%), from 11,123 to 6113. Decreases in the number of prescriptions were similar across benzodiazepine brands (range 40-56%). Statistically significant (p < 0.05) decreases were seen in all sex, age, race and marital status groups. Increases in number (and percent increases) of prescriptions for miscellaneous anxiolytics (i.e. hydroxyzine (399, 69%), meprobamate (299, 149%), buspirone (263, 111%), chloral hydrate (138, 265%), antidepressants (658, 19%), barbiturates (150, 29%), and tranquilizers (198, 19%), some of which may be more toxic or less effective, were noted. New York State's reporting regulation was effective in reducing both the number of patients being prescribed benzodiazepines and the number of prescriptions given to those who remain on benzodiazepinesin the elderly population studies.

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Documento generato il 01/04/20 alle ore 23:04:19