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Racial disparities in quality of medication use in older adults: findings from a longitudinal study

TitleRacial disparities in quality of medication use in older adults: findings from a longitudinal study
Publication TypeJournal Article
Year of Publication2011
AuthorsRoth, MT, Esserman, DA, Ivey, JL, Weinberger, M
JournalAm J Geriatr PharmacotherAm J Geriatr Pharmacother
Volume9
Pagination250-8
Date PublishedAug
ISBN Number1876-7761 (Electronic)<br/>1876-7761 (Linking)
Accession Number21664193
KeywordsAfrican Americans/ ethnology, Aged, Aged, 80 and Over, Cohort Studies, Drug-Related Side Effects and Adverse Reactions, European Continental Ancestry Group/ ethnology, Female, Healthcare Disparities/ ethnology/ trends, Humans, Longitudinal Studies, Medication Adherence, Medication Errors/prevention & control/ trends, Prospective Studies
AbstractBACKGROUND: The quality of medication use in older adults is suboptimal, with a large percentage of individuals not receiving recommended care. Most efforts to evaluate the quality of medication use target high-risk drugs, appropriate treatment of prevalent chronic disease states, or a set of predefined quality indicators of medication use rather than the patient. It is also suggested that racial differences in the quality of medication use may exist in older adults. OBJECTIVE: This study was conducted to determine the prevalence, number, and types of medication-related problems in older adults, examining the impact of race on quality medication use. METHODS: This was a prospective cohort study involving in-home interviews and medical record reviews of community-residing older adults, stratified by race, conducted 3 times over 1 year. No intervention to address medication-related problems was performed. The quality of medication use was reported as medication-related problems by clinical pharmacists. RESULTS: Of the 200 participants (100 blacks, 100 whites), mean age was 78.3 (whites) and 75.5 (blacks), and the majority of patients were female. Although whites used more medications than blacks (mean, 11.6 vs 9.7; P
Ethno Med: