Wen, Yu-Ping and Shieh, Ming-Ju and Lin, Hui-Chin and Tseng, Hsu-Min (2013) High-dose and Long-term Users of Hypnotic and Sedative Drugs among Taiwanese Outpatients: Prevalence and Correlates from a Population-based Analysis. British Journal of Medicine and Medical Research, 4 (7). pp. 1577-1590. ISSN 22310614
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Abstract
Aims: This study aims to analyze the dose and length of hypnotic and sedative drug prescriptions under a free-to-visit health insurance system.
Study Design: Outpatients aged 15 years and older covered by the Taiwan National Health Insurance during 2007 (N=1,337,444) are included in this study.
Methodology: The total amount of prescriptions for each patient was described according to the WHO Defined Daily Dosage (DDD) equivalent. Participants were categorized into 4 groups by dimensions of length (90 days) and dose (3 DDD per day). Patient characteristics and prescription drug use patterns were examined using a multinomial logit regression.
Results: Although most prescription doses fell within the recommended ranges, the average flunitrazepam dose was substantially higher than that recommended for both long-term and high-dose users. Our results indicate that male sex, a psychiatric illness diagnosis, and receiving care at more than one institute were positively correlated with long-term use. However, these factors were negatively correlated with high-dose user. Distinct differences between the characteristics associated with long-term and high-dose use were observed, compared with normal users.
Conclusion: These findings call for clinicians and policy makers to focus their attention on potential safety and efficiency issues. The alignment of prescribing practices and guidelines is highly recommended.
Item Type: | Article |
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Subjects: | Open Library Press > Medical Science |
Depositing User: | Unnamed user with email support@openlibrarypress.com |
Date Deposited: | 03 Sep 2024 04:53 |
Last Modified: | 03 Sep 2024 04:53 |
URI: | http://info.euro-archives.com/id/eprint/1608 |