Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Dec;28(6):432-436.
doi: 10.5455/msm.2016.28.432-436.

The Effects of a Web Application and Medical Monitoring on the Quality of Medication, Adverse Drug Events and Adherence in the Elderly Living at Home: a Protocol of the Study

Polona Selic  1 , Eva Cedilnik Gorup  1 , Savin Gorup  1 , Marija Petek Ster  1 , Janez Rifel  1 , Zalika Klemenc Ketis  2
Affiliations

The Effects of a Web Application and Medical Monitoring on the Quality of Medication, Adverse Drug Events and Adherence in the Elderly Living at Home: a Protocol of the Study

Polona Selic et al. Mater Sociomed. 2016 Dec.

Abstract

Background: In more than half of elderly chronically-ill family clinic attendees, drug prescribing deviates from the internationally acknowledged STOPP/START recommendations. Our study will determine whether it is possible to improve the quality of drug prescriptions in chronically-ill elderly people living at home by regularly monitoring the prescribed drugs according to STOPP/START criteria.

Methods: The project started in 2014 and will run until 2017. Forty general practitioners (GPs) are participating in a pragmatic randomized controlled trial. From the patient register, GPs randomly selected 20 patients older than 65 years who regularly receive at least one drug and invited them to participate in the study. We will use the START/STOPP criteria to determine the (in)adequacy of drug prescribing in the elderly by a web application (WA). Expected.

Results: The use of the WA will be the basis of the implementation of the final version of the application into the regular family medicine practice, thereby reducing the problems of inappropriate prescribing, correct medication, polypharmacy and adherence; we will identify the stability of the factors of drug prescribing in the elderly. By comparing the test and control groups, it will be possible to distinguish which are related to the WA and which act independently.

Keywords: ADE – adverse drug events; adherence; chronic illness; depression; drug prescription; elderly; family medicine; multi morbidity; patient; polypharmacy.

PubMed Disclaimer

References

    1. Fortin M, Bravo G, Hudon C, Vanasse A, Lapointe L. Ann Fam Med. 2005 May-Jun;3(3):223–8. - PMC - PubMed
    1. Pečar-Čad S, Hribovšek T. Ambulantno predpisovanje zdravil v Sloveniji po ATC klasifikaciji v letu 2011. Inštitut za varovanje zdravja republike Slovenije, november; 2012. [Assessed 2.6.2013]. http://www.ivz.si/Mp.aspx?ni=137&pi=5&_5_id=2137&_5_PageIndex=0&_5_group... .
    1. Klemenc-Ketiš Z, Kersnik J, Novak-Glavac D. Determinants of depression and anxiety in family practice patients with comorbidities. Wien Klin Wochenschr. 2010 May;122(Suppl 2):35–9. - PubMed
    1. Spinewine A, Schmader KF, Barber N, Hughes C, Lapane KL, Swine C, Hanlon JT. Appropriate prescribing in elderly people:how well can it be measured and optimised? Lancet. 2007 Jul 14;370(9582):173–84. - PubMed
    1. Gallagher P, Lang PO, Cherubini A, Topinkova E, Cruz-Jentoft A, Errasquin BM, Madlova P, Gasperini B, Baeyens H, Baeyens JP, Michel JP, O’Mahony D. Prevalence of potentially inappropriate prescribing in an acutely ill population of older patients admitted to six European hospitals. Eur J Clin Pharmacol. 2011 Nov;67(11):1175–88. - PubMed

LinkOut - more resources