Socioeconomic Variations in Use of Prescription Medicines for COPD: A Register-Based Study.

Abstract:

BACKGROUND:The purpose of this study was to examine socioeconomic variations in the use of prescription medicines among elderly subjects with COPD. METHODS:Data from the Danish national administrative registers were used. The study population included 1,365 individuals >60 y old residing in the Municipality of Copenhagen and diagnosed with COPD in a hospital setting in 2007. Logistic regression analysis was applied to examine the associations between the use of all prescription medicines for obstructive pulmonary diseases and the use of long-acting bronchodilators, in subject groups of different socioeconomic position. RESULTS:The study demonstrated that approximately 90% of subjects with COPD purchased at least one prescription medicine for obstructive pulmonary diseases, whereas approximately 50% purchased a long-acting bronchodilator. Medicine use did not vary according to educational status or personal wealth. CONCLUSIONS:There were no systematic socioeconomic differences in the use of relevant prescription medicines in elderly subjects diagnosed with COPD in hospital settings in Copenhagen. However, our findings indicate a gap between guideline recommendations and observed use of long-acting bronchodilators and hence suboptimal quality of treatment in the elderly COPD population.

journal_name

Respir Care

journal_title

Respiratory care

authors

Jacobsen R,Ekholm O,Rasmussen NK,Hansen EH,Frølich A

doi

10.4187/respcare.04335

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

943-9

issue

7

eissn

0020-1324

issn

1943-3654

pii

respcare.04335

journal_volume

61

pub_type

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