scholarly journals Adherence to dosing schedule of denosumab therapy for osteoporosis during COVID-19 lockdown: an electronic medical record and pharmacy claims database study from Asia

2021 ◽  
Author(s):  
Manju Chandran ◽  
Ying Hao ◽  
Ann Kerwen Kwee ◽  
Mcvin Hua Heng Cheen ◽  
Yun Ann Chin ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Dosing Schedule ◽  
Claims Database ◽  
Database Study ◽  
Pharmacy Claims

scholarly journals Prescription Patterns of Medications for Alzheimer’s Disease in Japan from 2010 to 2015: A Descriptive Pharmacy Claims Database Study

2016 ◽  
Vol 6 (1) ◽  
pp. 25-37 ◽  
Author(s):  
Kimiko Kadohara ◽  
Izumi Sato ◽  
Yuko Doi ◽  
Masaru Arai ◽  
Yosuke Fujii ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Prescription Patterns ◽  
Claims Database ◽  
Database Study ◽  
Pharmacy Claims

scholarly journals Anticholinergic and sedative drug burden in community-dwelling older people: a national database study

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e022500 ◽  
Author(s):  
Catherine J Byrne ◽  
Caroline Walsh ◽  
Caitriona Cahir ◽  
Cristín Ryan ◽  
David J Williams ◽  
...  
Keyword(s):  
Older People ◽  
Community Dwelling ◽  
National Database ◽  
Older Individuals ◽  
Patient Factors ◽  
Claims Database ◽  
Database Study ◽  
Factors Associated ◽  
Pharmacy Claims ◽  
Sedative Effects

ObjectivesThe Drug Burden Index (DBI) tool quantifies individual exposure to anticholinergic and sedative medications. The DBI has been internationally validated against adverse health outcomes in older people. DBI exposure has not been reported in the Irish older population. This study aimed to: (1) develop a list of drugs with clinically significant anticholinergic and/or sedative effects (DBI medications) relevant to Ireland; (2) examine, using the DBI formula, the prevalence of exposure to DBI medications in Irish older people and (3) explore patient factors associated DBI exposure.DesignA cross-sectional national pharmacy claims database study.SettingCommunity setting using the General Medical Services (GMS) scheme pharmacy claims database maintained by the Health Service Executive Primary Care Reimbursement Services.ParticipantsIrish older individuals (aged ≥65 years) enrolled in the GMS scheme and dispensed at least one prescription item in 2016 (n=428 516).Main outcome measuresPrevalence of exposure to DBI medications and patient factors associated with DBI exposure.Results282 874 (66%) of the GMS population aged ≥65 years were exposed to at least one DBI medication in 2016. Prevalence of exposure to DBI medications was significantly higher in females than males (females 71.6% vs males 58.7%, adjusted OR 1.65, 95% CI 1.63 to 1.68). Prevalence of DBI exposure increased progressively with the number of chronic drugs used, rising from 42.7% of those prescribed 0–4 chronic drugs to 95.4% of those on ≥12 chronic drugs (adjusted OR 27.8, 95% CI 26.7 to 29.0). The most frequently used DBI medications were codeine/paracetamol combination products (20.1% of patients), tramadol (11.5%), zopiclone (9.5%), zolpidem (8.5%), pregabalin (7.9%) and alprazolam (7.8%).ConclusionsThe majority of older people in Ireland are exposed to medications with anticholinergic and/or sedative effects, particularly females and those with multiple comorbidities. The high use of low-dose codeine/paracetamol combination products, Z-drugs and benzodiazepines, suggests there are opportunities for deprescribing.

scholarly journals ELECTRONIC MEDICAL RECORD DATABASE STUDY OF VITRECTOMY AND OBSERVATION FOR VITREOMACULAR TRACTION

Retina ◽  
2016 ◽  
Vol 36 (10) ◽  
pp. 1897-1905 ◽  
Author(s):  
Timothy L. Jackson ◽  
Paul H. J. Donachie ◽  
Robert L. Johnston
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Vitreomacular Traction ◽  
Database Study ◽  
Electronic Medical Record Database ◽  
Medical Record Database

Identifying the Needs and Benefits of an Electronic Medical Record (EMR) System through Research, Development, and Implementation

2010 ◽  
Author(s):  
Arif Ahmed ◽  
Kimona Kousins ◽  
Ritika Jhangiani ◽  
Shinjini Kar ◽  
Michael Lewis
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Research Development

Virtuelle Medizin in der Behandlung von Sucht in den USA, Kanada und darüber hinaus

Suchttherapie ◽  
2020 ◽  
Vol 21 (04) ◽  
pp. 189-193
Author(s):  
R. Michael Krausz ◽  
Farhud Shams ◽  
Maurice Cabanis
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Record Systems

ZusammenfassungInsbesondere während der aktuellen Corona-Pandemie hat der Gebrauch virtueller Lösungen in der Medizin international stark zugenommen. Es gibt eine zunehmende Akzeptanz gerade auch in dem Bereich der hausärztlichen Versorgung, der Behandlung psychischer Störungen und der Abhängigkeitserkrankungen.Die Entwicklung ist international unterschiedlich, v. a, wenn man die USA und Kanada auf der einen Seite und Europa, insbesondere Deutschland, andererseits vergleicht. In Nordamerika hat bei dem Einsatz von moderner Technologie die Einführung von „Electronic Medical Record Systems“ eine dominierende Rolle gespielt. Diese ist insbesondere auf Abrechnung und Dokumentation zu Versicherungszwecken fokussiert. Daneben gibt es zunehmend Apps, die spezifische therapeutische Ansätze zu implementieren helfen. Die Anwendung virtueller Ansätze im Suchtbereich ist begrenzt, aber in Teilen sehr innovativ und auf deutsche Verhältnisse anwendbar. Wie in Europa gibt es auch in Nordamerika nur sehr begrenzte Forschungskapazitäten und prinzipiell Widerstand bei den medizinischen Berufsgruppen bezüglich der Anwendungsmöglichkeiten und der Rolle im Behandlungsprozess. Mehr Kooperation würde international zu einer Beschleunigung der Entwicklung und der Etablierung gemeinsamer Standards beitragen sowie die Behandlungssysteme bedeutend verbessern.

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