General practitioners' office consultations with elderly patients – diagnoses and prescriptions: A report from the Møre & Romsdal Prescription Study

Jørund Straand, Hogne Sandvik, Kirsten Rokstad
2009 Norsk Epidemiologi  
<strong><span style="font-family: TimesNewRomanPS-BoldMT;"><span style="font-family: TimesNewRomanPS-BoldMT;"><p align="left"> </p><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><p align="left">Study
more » ... </p></span></span></strong></span><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><p align="left"> </p></span></strong></span><p align="left"> </p><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><p align="left">Design:</p></span></span></strong></span><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><p align="left"> </p></span></strong></span><p align="left"> </p><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><p align="left">Setting:</p></span></span></strong></span><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><p align="left"> </p></span></strong></span><p align="left"> </p><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><p align="left">Participants:</p></span></span></strong></span><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><p align="left"> </p></span></strong></span><p align="left"> </p><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><p align="left">Main results:</p></span></span></strong></span><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><p align="left"> </p></span></strong></span><p align="left"> </p><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><p align="left">Conclusion:</p></span></span></strong></span><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><p align="left"> </p></span></strong></span><p align="left"> </p><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><p align="left">Key words:</p></span></span></strong></span><strong><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldItalicMT;"><p align="left"> </p></span></strong></span><p align="left"> </p><span style="font-size: xx-small; font-family: TimesNewRomanPSMT;"><span style="font-size: xx-small; font-family: TimesNewRomanPSMT;"><p align="left">This paper is based on a previous Norwegian publication: Straand J, Sandvik H, Rokstad K. 10 850 kontorkonsultasjoner</p><span style="font-size: xx-small; font-family: TimesNewRomanPSMT;"><span style="font-size: xx-small; font-family: TimesNewRomanPSMT;"><p align="left">med eldre pasienter i allmennpraksis. Fra diagnose-resept-undersøkelsen i Møre og Romsdal.</p></span></span></span><span style="font-size: xx-small; font-family: TimesNewRomanPSMT;"><p align="left"> </p></span></span><p align="left"><span style="font-size: xx-small; font-family: TimesNewRomanPS-ItalicMT;"><span style="font-size: xx-small; font-family: TimesNewRomanPS-ItalicMT;">Tidsskr Nor Lægeforen</span></span><span style="font-size: xx-small; font-family: TimesNewRomanPSMT;"><span style="font-size: xx-small; font-family: TimesNewRomanPSMT;"><span style="font-size: xx-small; font-family: TimesNewRomanPSMT;"><span style="font-size: xx-small; font-family: TimesNewRomanPSMT;"><p>1997;</p></span></span></span><span style="font-size: xx-small; font-family: TimesNewRomanPSMT;"><p> </p></span></span><p><strong><span style="font-size: xx-small; font-family: TimesNewRomanPS-BoldMT;"><span style="font-size: xx-small; font-family: TimesNewRomanPS-BoldMT;">117</span></span></strong><span style="font-size: xx-small; font-family: TimesNewRomanPSMT;"><span style="font-size: xx-small; font-family: TimesNewRomanPSMT;">: 3980-3984. With permission.</span></span></p></p><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><span style="font-size: x-small; font-family: TimesNewRomanPSMT;">health services for the aged; family practice; drugs</span></span></strong><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><span style="font-size: x-small; font-family: TimesNewRomanPSMT;">In the context of quality assurance large benefits may be gained even if focus is put on rather<p align="left">few diagnoses and drugs.</p></span></span></strong><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><span style="font-size: x-small; font-family: TimesNewRomanPSMT;">60% of the consultations involved female patients, mean age was 74 years. One of three<p align="left">consultations were for new diagnoses, two thirds were follow-ups. The most common diagnostic groups were</p><p align="left">cardiovascular (28%), musculoskeletal (13%), psychiatric (8%) and respiratory diseases (8%). Almost 10% of</p><p align="left">all consultations were for hypertension. Drugs were prescribed during 56% of all consultations. 27% of all</p><p align="left">prescriptions were for cardiovascular drugs, and 25% were for the central nervous system. The 20 most common</p><p align="left">diagnoses constituted more than half of all the diagnoses, and the ten most common drugs (therapeutic</p><p align="left">groups) constituted almost 70% of all prescriptions.</p></span></span></strong><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><span style="font-size: x-small; font-family: TimesNewRomanPSMT;">In 1988 and 1989 the general practitioners recorded all encounters with patients over a period<p align="left">of two months. The participation rate was close to 100%, and we report data from 10,850 office consultations</p><p align="left">with elderly patients (65 years and older).</p></span></span></strong><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><span style="font-size: x-small; font-family: TimesNewRomanPSMT;">The Norwegian county of Møre and Romsdal.</span></span></strong><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><span style="font-size: x-small; font-family: TimesNewRomanPSMT;">Cross-sectional survey.</span></span></strong><span style="font-size: x-small; font-family: TimesNewRomanPSMT;"><span style="font-size: x-small; font-family: TimesNewRomanPSMT;">To analyse office consultations with elderly people in general practice: reason for encounter,<p align="left">diagnostic indications for prescribing drugs, and what drugs are prescribed for the different diagnoses.</p></span></span></span></span><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldMT;"><span style="font-size: x-small; font-family: TimesNewRomanPS-BoldMT;">ABSTRACT</span></span></strong>
doi:10.5324/nje.v8i2.450 fatcat:vl5hp45honexhjdpgt2mucoc5q