Journal article

Potentially suboptimal prescribing of medicines for older Aboriginal Australians in remote areas

Amy Page, Zoe Hyde, Kate Smith, Christopher Etherton-Beer, David N Atkinson, Leon Flicker, Linda Skeaf, Roslyn Malay, Dina C LoGiudice

The Medical Journal of Australia | WILEY | Published : 2019

Abstract

OBJECTIVES: To investigate the prevalence of polypharmacy, under-prescribing and potentially inappropriate medicine use among Aboriginal Australians living in remote Western Australia. DESIGN: Cross-sectional study. SETTING: Six remote communities and the town of Derby in the Kimberley, Western Australia. PARTICIPANTS: Aboriginal people aged 45 years or more with complete medication histories. MAIN OUTCOME MEASURES: Proportions of patients with medicine histories indicating polypharmacy, potential under-prescribing of indicated medicines, or potentially inappropriate prescribing (including potential prescribing cascades or drug interactions). RESULTS: Complete medicine histories were availab..

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Grants

Awarded by National Health and Medical Research Council (NHMRC)


Awarded by NHMRC Early Career Fellowship


Awarded by NHMRC-Australian Research Council Dementia Research Development Fellowship


Funding Acknowledgements

The National Health and Medical Research Council (NHMRC) (project grants 353612 and 634486) supported this investigation. Amy Page is supported by an NHMRC Early Career Fellowship (1156892) and Kate Smith by an NHMRC-Australian Research Council Dementia Research Development Fellowship (1108527). The NHMRC did not have a role in study design, data collection, analysis or interpretation, reporting or publication. We gratefully acknowledge the community members living in Derby, Ardyaloon, Warmun, Wirrimanu, Looma, Junjuwa and Mowanjum who participated in this investigation and the support of Kimberley Aboriginal Medical Services and Kimberley Aged and Community Services. We acknowledge the contributions of the community research assistants in this project, Gina Malo and Maria Taylor.