Official websites use. Share sensitive information only on official, secure websites. Potentially inappropriate medications PIMs and potential prescribing omissions PPOs are common in multimorbid patients. The LoChro-trial compared healthcare involving an additional care manager with usual care.
Inclusion criteria were age over 64, local residence and scoring over one in the Identification of Older patients at Risk Screening Tool. The mean number of PIMs was 1. CoC showed similar results for both indices with a mean of 0. Consultation of different care providers in open-access healthcare systems could possibly ameliorate under-prescribing in multimorbid older patients.
Keywords: health services, general medicine see internal medicine , geriatric medicine, polypharmacy, patient care management, multimorbidity. Description of the frequencies of potentially inappropriate medications PIMs and potential prescribing omissions PPOs based on patient-confirmed medication in an outpatient setting in Germany. Context-related adaptions of the common instruments measuring CoC were necessary to tailor them towards the specific open-access outpatient setting in Germany; this affects interpretation and comparison.
Four Poisson regressions, as appropriate calculations for countable outcome variables, modelled possible impacts of CoC on PIMs as well as PPOs, the number of calculations influences the probability of statistically significant findings alpha inflation. The use of month follow-up data of a randomised controlled trial lowers the generalisability of the results; however, the group variable was integrated into the calculation and the comparison with the initial trial population was discussed.
Potentially inappropriate medications PIMs 1 2 and potential prescribing omissions PPOs 3 are related to polypharmacy and multimorbidity. Both are common phenomena seen in the primary care setting. Continuity of care CoC is described as one of the core functions of primary care, and shows interrelations with further attributes of primary care as the point of first contact, comprehensiveness and coordination. Higher CoC has been shown to be associated with desirable health outcomes such as reduced mortality, 20 higher patient satisfaction 21 and reduced healthcare use and costs.
