G. Edward Miller|Eric Sarpong|Amy J. Davidoff|Eunice Y. Yang|Nicole Brandt|Donna M. Fick
Determinants of Potentially Inappropriate Medication Use among Community?Dwelling Older Adults
Agency for Healthcare Research and Quality|Agency for Healthcare Research and Quality|Yale New Haven Health System|University of North Carolina at Chapel Hill|University of Maryland, Baltimore|Pennsylvania State University
objective examine determinants potentially inappropriate medication pim use data sourcesstudy setting us nationally representative data n 16588 noninstitutionalized older adults age 65 drug use 20062010 medical expenditure panel survey study design operationalized 2012 beers criteria identify pim use year examined associations individuallevel characteristics hypothesized quality enabling related need complexity principal findings almost onethird 309 percent older adults used pim multivariate results suggest poor health status high pim risk conditions associated increased pim use increasing age educational attainment associated lower pim use contrary expectations lack usual care source care supplemental insurance associated lower pim use medication intensity appears pathway qualityenabling needcomplexity characteristics pim use conclusion results suggest physicians attempt avoid pim use oldest old inadequate focus high pim risk conditions educational programs targeted physician practice regarding high pim risk conditions patient literacy regarding medication use potential responses