Naughton C, Bennett K, Feely J
Dept Pharmacology and Therapeutics, Trinity College Dublin, Trinity Centre for Health Science, St James's Hospital, Dublin.
Ir J Med Sci. 2006 Jul-Sep;175(3):32-9. doi: 10.1007/BF03169170.
Age, gender and geographical regions are recognised factors in inequalities in prescribing for chronic diseases in the elderly.
To compare the health board regional distribution of chronic disease among the elderly and to examine variation in quality prescribing across age, gender and regions.
Population based study of prescribing for chronic disease using a national pharmacy claims database. All individuals aged 70 years and over (n = 271,518) were eligible.
Over 60% of the elderly in all regions received cardiovascular related medication. The South Eastern, North Western and Western Health Boards had below average prescribing for many chronic conditions. Logistic regression identified age, gender and regional variations in prescribing of preventative therapies for CVD and diabetes.
There is a high prevalence of prescribing for chronic conditions in the elderly in Ireland, and there is evidence of gender, age and residing health board inequalities in prescribing.
年龄、性别和地理区域是老年人慢性病处方不平等的公认因素。
比较老年人慢性病在健康委员会区域的分布情况，并研究年龄、性别和地区间合理处方的差异。
基于全国药房索赔数据库对慢性病处方进行人群研究。所有70岁及以上的个体（n = 271,518）均符合条件。
所有地区超过60%的老年人接受了心血管相关药物治疗。东南、西北和西部健康委员会在许多慢性病的处方方面低于平均水平。逻辑回归确定了心血管疾病（CVD）和糖尿病预防性治疗处方在年龄、性别和地区上的差异。
爱尔兰老年人慢性病处方的患病率很高，并且有证据表明在处方方面存在性别、年龄和所在健康委员会的不平等现象。
