Library Open Repository

Data-mining of medication records to improve asthma management

Downloads

Downloads per month over past year

Bereznicki, BJ and Peterson, GM and Jackson, SL and Walters, EH and Fitzmaurice, KD and Gee, PR (2008) Data-mining of medication records to improve asthma management. Medical Journal of Australia, 189 (1). pp. 21-25. ISSN 0025-729X

[img] PDF
Bereznicki_MJA.pdf | Request a copy
Full text restricted
Available under University of Tasmania Standard License.

Abstract

Objectives: To use community pharmacy medication records to identify patients whose asthma may not be well managed and then implement and evaluate a multidisciplinary educational intervention to improve asthma management. Design, setting and participants: We used a multisite controlled study design. Forty-two pharmacies throughout Tasmania ran a software application that “data-mined” medication records, generating a list of patients who had received three or more canisters of inhaled short-acting β2-agonists in the preceding 6 months. The patients identified were allocated to an intervention or control group. Pre-intervention data were collected for the period May to November 2006 and post-intervention data for the period December 2006 to May 2007. Intervention: Intervention patients were contacted by the community pharmacist via mail, and were sent educational material and a letter encouraging them to see their general practitioner for an asthma management review. Pharmacists were blinded to the control patients’ identities until the end of the post-intervention period. Main outcome measure: Dispensing ratio of preventer medication (inhaled corticosteroids [ICSs]) to reliever medication (inhaled short-acting β2-agonists). Results: Thirty-five pharmacies completed the study, providing 702 intervention and 849 control patients. The intervention resulted in a threefold increase in the preventer-to-reliever ratio in the intervention group compared with the control group (P < 0.01) and a higher proportion of patients in the intervention group using ICS therapy than in the control group (P < 0.01). Conclusions: Community pharmacy medication records can be effectively used to identify patients with suboptimal asthma management, who can then be referred to their GP for review. The intervention should be trialled on a national scale to determine the effects on clinical, social, emotional and economic outcomes for people in the Australian community, with a longer follow-up to determine sustainability of the improvements noted.

Item Type: Article
Journal or Publication Title: Medical Journal of Australia
Page Range: pp. 21-25
ISSN: 0025-729X
Date Deposited: 20 Jan 2009 23:25
Last Modified: 18 Nov 2014 03:55
URI: http://eprints.utas.edu.au/id/eprint/8243
Item Statistics: View statistics for this item

Repository Staff Only (login required)

Item Control Page Item Control Page