Heavy users of prescription drugs--mortality and stability in use patterns.

Abstract:

:Longitudinal analyses of heavy users of prescription drugs were carried out in a geographically defined population in mideastern Sweden. During the period 1976-1983 the individual stability in heavy use of prescription drugs was analysed in heavy users identified in 1975. Mortality of heavy and nonheavy users during the same period was also studied. The 10% with the heaviest use accounted for more than 40% of total drugs prescribed. A substantial proportion of heavy users continued heavy use for eight or more years. These continuing heavy users accounted for more than 7% of total drugs prescribed during 1983. Individual stability in heavy use of prescription drugs over time varied with age. Continued heavy use was not common in the youngest heavy users, whereas a substantial proportion of older heavy users continued with such use over time. There were no differences between men and women in continued heavy use. Heavy users with use of hormonal drugs, including anti-diabetics, or use of psychotropics had a greater tendency towards continued heavy use, compared with heavy users without such use. Heavy users with use of antibiotics, systemic drugs for allergies or drugs for ear, nose, and throat conditions had a lower tendency towards continued heavy use over time, compared with other heavy users. Heavy users of prescription drugs had a higher mortality, compared with nonheavy users.

authors

Isacson D,Haglund B

doi

10.3109/02813438909087232

subject

Has Abstract

pub_date

1989-10-01 00:00:00

pages

149-55

issue

3

eissn

0281-3432

issn

1502-7724

journal_volume

7

pub_type

杂志文章
  • Daytime sleepiness in 40-64 year-old women in relation to somatic health and medical treatment.

    abstract:OBJECTIVE:To investigate daytime sleepiness and napping in relation to nocturnal sleep, health, and medication. DESIGN:An epidemiological survey using a questionnaire. SETTING:The county of Jämtland in northern Sweden. SUBJECTS:3669 randomly selected women aged 40-64 years, with a similar number of women in each 5-y...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/028134398750003278

    authors: Asplund R,Aberg H

    更新日期:1998-06-01 00:00:00

  • Patterns of abuse of the elderly in their own homes as reported by district nurses.

    abstract::This study aimed at describing patterns of abuse of elderly persons living in their homes as experienced by district nurses in a county of Sweden. 12% of the district nurses (n = 153) reported 30 cases. Those abused were 78.7 years old (mean) and half of them had disturbed memory and mental state and were mostly isola...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439308994912

    authors: Saveman BI,Hallberg IR,Norberg A,Eriksson S

    更新日期:1993-06-01 00:00:00

  • A multidisciplinary clinical study of patients suffering from illness associated with release of mercury from dental restorations. Medical and odontological aspects.

    abstract:OBJECTIVE:To describe medical and odontological aspects of patients who believed their illness was caused by mercury in dental fillings. DESIGN:Comparison of self-reported and assessed medical and odontological variables. SETTING:The School of Dentistry, Karolinska Institute. SUBJECTS:Sixty-seven patients, referred ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/028134398750003043

    authors: Furhoff AK,Tomson Y,Ilie M,Bågedahl-Strindlund M,Larsson KS,Sandborgh-Englund G,Torstenson B,Wretlind K

    更新日期:1998-12-01 00:00:00

  • A medical record and information system for primary health care in Iceland. The Egilsstadir Project.

    abstract::In Iceland a problem oriented medical record system for primary health care has been developed. A contact-form is used to record data on all contacts between the inhabitants in a district and the health center. A minicomputer is used for retrieval and analysis. One rural health center using this system has been succes...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438409017714

    authors: Sigurdsson G,Einarsson I,Josafatsson JI,Magnusson G,Olafsson O,Sigvaldason H,Thorarinsson S,Tulinius H

    更新日期:1984-11-01 00:00:00

  • The profiles of health care utilization among a non-depressed population and patients with depressive symptoms with and without clinical depression.

    abstract::Objective: To examine health service (HS) utilization profiles among a non-depressive population and patients with depressive symptoms (DS) with and without clinical depression. Design, subjects and setting: The study population was based on primary care patients with DS scoring ≥10 in the 21-item Beck Depression Inve...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2019.1639904

    authors: Tusa N,Koponen H,Kautiainen H,Korniloff K,Raatikainen I,Elfving P,Vanhala M,Mäntyselkä P

    更新日期:2019-09-01 00:00:00

  • Predictors for spread of clinical group A streptococcal tonsillitis within the household.

    abstract:OBJECTIVE:The objectives of this study were to explore how frequently group A streptococci (GAS) were giving additional cases of clinical GAS tonsillitis within the households and to analyse predictors for such spread of GAS infection. SETTING:Two Norwegian general practice populations in Stokke and Kongsberg communit...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430410006729

    authors: Lindbaek M,Høiby EA,Lermark G,Steinsholt IM,Hjortdahl P

    更新日期:2004-12-01 00:00:00

  • Introduction of the patient-list system in general practice. Changes in Norwegian physicians' perception of their gatekeeper role.

    abstract:OBJECTIVE:To explore whether the patient-list system, recently introduced in general practice, has influenced general practitioners' (GPs') self-perception as gatekeepers. DESIGN:Structured focus group interviews with GPs and a short self-administered questionnaire. SETTING:Primary care within the public health care ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430310004155

    authors: Carlsen B,Norheim OF

    更新日期:2003-12-01 00:00:00

  • General parental education in Sweden: participants and non-participants.

    abstract:OBJECTIVE:To study factors of importance for participation in parental education within routine child health care. DESIGN:All parents of children born during 1 year were invited by the district nurse to participate in parental education; their participation during the infant year was registered. SETTING:Catchment are...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430310000555

    authors: Petersson C,Petersson K,Håkansson A

    更新日期:2003-03-01 00:00:00

  • Active listing and more consultations in primary care are associated with shorter mean hospitalisation and interacting with psychiatric disorders when adjusting for multimorbidity, age and sex.

    abstract:OBJECTIVE:Patient-provider relationships with primary care and need for hospitalisations are related within the complex networks comprising healthcare. Our objective was to analyse mean days hospitalised, using registration status (active or passive listing) with a provider and number of consultations as proxies of pat...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2018.1499514

    authors: Ranstad K,Midlöv P,Halling A

    更新日期:2018-09-01 00:00:00

  • Frequent attenders in general practice and immigrant status in Norway: a nationwide cross-sectional study.

    abstract:OBJECTIVE:To compare the likelihood of being a frequent attender (FA) to general practice among native Norwegians and immigrants, and to study socioeconomic and morbidity factors associated with being a FA for natives and immigrants. DESIGN, SETTING AND SUBJECTS:Linked register data for all inhabitants in Norway with ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813432.2014.982368

    authors: Diaz E,Gimeno-Feliu LA,Calderón-Larrañaga A,Prados-Torres A

    更新日期:2014-12-01 00:00:00

  • Out-of-hours service in rural areas. An observational study of accessibility, attitudes and quality standards among general practitioners in Iceland.

    abstract:OBJECTIVES:To examine the access, workload, duties, commitments and quality standards of primary care physicians (GPs) resulting from out-of-hours service. SETTING:All GPs (n = 96) in rural Iceland. MAIN OUTCOME MEASURES:Answers to a postal survey. RESULTS:The participation rate was 80%. The GPs estimated that in 97...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/028134300750018945

    authors: Olafsson G,Sigurdsson JA

    更新日期:2000-06-01 00:00:00

  • Smoking in pregnancy: a way to cope with excessive workload?

    abstract:OBJECTIVE:To examine if abstention from smoking in pregnancy increases with opportunities to limit workload. DESIGN:Cross-sectional study based on self-administered questionnaires to women post partum. SETTING:All maternity wards in Norway, 16 October-26 November 1989. SUBJECTS:5 438 women, or 87.2% of all parturien...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439608997064

    authors: Wergeland E,Strand K,Bjerkedal T

    更新日期:1996-03-01 00:00:00

  • Prediction of cervical and low-back pain based on routine school health examinations. A nine- to twelve-year follow-up study.

    abstract::The school health records of 302 persons from the village of Röros, Norway, were scrutinized concerning the notes made by the author when performing a routine school health examination of all the subjects, then aged 16, in the years 1970-73. The notes concerning assessment of posture, findings on muscle palpation, sub...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438509013957

    authors: Hertzberg A

    更新日期:1985-11-01 00:00:00

  • Menstrual disorders in women. Social economic consequences of examining women with menstrual disorders for cancer of the body of the uterus.

    abstract:OBJECTIVE:To explore the health economic consequences of menstrual disorders in Denmark. DESIGN:Analysis of the total costs of menstrual disorders in women, and a cost effectiveness analysis of menstrual disorders in women. SETTING:The analysis is based on retrospective 1991 data from the Danish National Patient Regi...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439508996752

    authors: Grønvald LF

    更新日期:1995-06-01 00:00:00

  • Current health as a general health indicator. II: Evaluation of reliability and validity.

    abstract:OBJECTIVE:To examine whether a Current Health scale produces reliable and valid measures of self perceived health status. DESIGN:Examination of reliability, based on internal consistency (Cronbach's alpha coefficient). Examination of validity focusing on convergent and discriminant validity. SUBJECTS:2263 male and fe...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439508996730

    authors: Bentzen N,Christiansen T

    更新日期:1995-03-01 00:00:00

  • Early multidisciplinary assessment was associated with longer periods of sick leave: a randomized controlled trial in a primary health care centre.

    abstract:OBJECTIVE:To study the effects on sick leave from an early multidisciplinary assessment at a primary health care centre. DESIGN:Randomized controlled trial. SETTING:Patients who saw GPs at a primary health care centre in mid-Sweden and asked for a sickness certificate for psychiatric or musculoskeletal diagnoses were...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/02813432.2013.811943

    authors: Carlsson L,Englund L,Hallqvist J,Wallman T

    更新日期:2013-09-01 00:00:00

  • The fibromyalgia diagnosis: hardly helpful for the patients? A qualitative focus group study.

    abstract:OBJECTIVE:To explore experiences and consequences of the process of being diagnosed with fibromyalgia. DESIGN:Qualitative focus-group study. SETTING:Two local self-help groups. SUBJECTS:Eleven women diagnosed with fibromyalgia. MAIN OUTCOME MEASURES:Descriptions of experiences and consequences of the process of bei...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430701706568

    authors: Undeland M,Malterud K

    更新日期:2007-12-01 00:00:00

  • Old persons' contact with general practitioners in relation to health: a Danish population study.

    abstract::The study describes health, social situation, and contact with general practitioners in a random sample of non-institutionalized persons 70-95 years old in Denmark. There was a strong correlation between health and contact with general practitioners. A small group, 3% of the respondents, had no health problems, but ha...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439109018528

    authors: Almind G,Holstein BE,Holst E,Due P

    更新日期:1991-12-01 00:00:00

  • Visit patterns at primary care centres and individual blood pressure level - a cross-sectional study.

    abstract:OBJECTIVE:Hypertension is a major cause of cardiovascular disease. Nevertheless, blood pressure (BP) is often inadequately treated. We studied visit patterns at primary health care centres (PHCCs) and their relation to individual BP control. DESIGN AND SETTING:Cross-sectional register-based study on all patients with ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2019.1569369

    authors: Ödesjö H,Adamsson Eryd S,Franzén S,Hjerpe P,Manhem K,Rosengren A,Thorn J,Björck S

    更新日期:2019-03-01 00:00:00

  • What do patients want and not want to see about themselves on the computer screen: a qualitative study.

    abstract:OBJECTIVE:To explore patients' views about what they would or would not like to read on the computer screen, and how this might be managed. DESIGN:A qualitative study using semi-structured interviews with patients who had recently consulted, and who were representative of the age-sex structure of our practice populati...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439709035024

    authors: Ridsdale L,Hudd S

    更新日期:1997-12-01 00:00:00

  • Should pulse oximetry be included in GPs' assessment of patients with obstructive lung disease?

    abstract:OBJECTIVE:To explore the associations between decreased pulse oximetry values (SpO2) and clinical, laboratory, and demographic variables in general practice patients diagnosed with asthma or chronic obstructive pulmonary disease (COPD), including those with both COPD and asthma in combination. DESIGN/SETTING:A cross-s...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813432.2015.1117283

    authors: Dalbak LG,Straand J,Melbye H

    更新日期:2015-01-01 00:00:00

  • Psychiatric caseness is a marker of major depressive episode in general practice.

    abstract:OBJECTIVE:Screening for a major depressive episode (MDE) in high-risk groups of patients within the primary care setting has been suggested by several Central Health Organizations. The objective of this study was to investigate whether patients rated as "psychiatric cases" by their general practitioner (GP) were likely...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813432.2010.501235

    authors: Ostergaard SD,Foldager L,Allgulander C,Dahl AA,Huuhtanen MT,Rasmussen I,Munk-Jørgensen P

    更新日期:2010-12-01 00:00:00

  • The added value of the registration of home accidents in general practice.

    abstract:OBJECTIVES:To determine the number, the nature and the circumstances of home accidents managed in general practices, and to compare the results with the European Home and Leisure Accidents Surveillance System (EHLASS) data. DESIGN:A prospective population survey of all domestic accidents managed in 138 sentinel genera...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:

    authors: Devroey D,Van Casteren V,Walckiers D

    更新日期:2002-06-01 00:00:00

  • From resistance to rescue--patients' shifting attitudes to antihypertensives: a qualitative study.

    abstract:OBJECTIVE:The objective of this study was to gain a deeper knowledge and understanding of experiences of antihypertensive drug treatment. DESIGN:Interview study. SETTING:A primary health care centre in western Sweden. METHOD:Qualitative interviews and analyses through systematic text condensation described by Malter...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813432.2014.982365

    authors: Hultgren F,Jonasson G,Billhult A

    更新日期:2014-12-01 00:00:00

  • Factors related to consultation time: experience in Slovenia.

    abstract:OBJECTIVE:Consultation time has a serious impact on physicians' work and patient satisfaction. No systematic study of consultation time in general practice in Slovenia has yet been carried out. The aim of the present study was to measure consultation time, to identify the factors influencing it, and to study the influe...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430701760789

    authors: Petek Ster M,Svab I,Zivcec Kalan G

    更新日期:2008-01-01 00:00:00

  • One doctor's 25-year experience of beta-blocker treatment to the same group of hypertensive women.

    abstract:OBJECTIVE:To assess the importance of long-term doctor-patient relationship, and to assess the effect of long-term treatment with beta-blockers of hypertensive women. DESIGN:A 25-year follow-up study of hypertensive women, compared with participants in a prospective population study of women of the same age. SETTING:...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/028134399750002520

    authors: Bengtsson C

    更新日期:1999-09-01 00:00:00

  • Usual care and management of fall risk increasing drugs in older dizzy patients in Dutch general practice.

    abstract:OBJECTIVE:For general practitioners (GPs) dizziness is a challenging condition to deal with. Data on the management of dizziness in older patients are mostly lacking. Furthermore, it is unknown whether GPs attempt to decrease Fall Risk Increasing Drugs (FRIDs) use in the management of dizziness in older patients. The a...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813432.2016.1160634

    authors: Stam H,Harting T,Sluijs Mv,van Marum R,Horst Hv,Wouden JC,Maarsingh OR

    更新日期:2016-06-01 00:00:00

  • The quality of the sickness certificate. A case control study of patients with symptom and disease specific diagnoses in primary health care in Sweden.

    abstract::Objective: To compare information in sickness certificates and rehabilitation activities for patients with symptom diagnoses vs patients with disease specific diagnoses. Design: Retrospective case control study 2013-2014. Setting: Primary health care, Sweden. Subjects. Patients with new onset sickness certificates wit...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2019.1639905

    authors: Starzmann K,Hjerpe P,Boström KB

    更新日期:2019-09-01 00:00:00

  • Intervention against long-term use of hypnotics/sedatives in general practice.

    abstract::The aim of the study was to evaluate the efficiency of different strategies of intervention to reduce prescription of hypnotics/sedatives in general practice. All 356 general practitioners in the county of Aarhus, Denmark, were divided in three groups. One group received personal information at meetings, another recei...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439008994941

    authors: Holm M

    更新日期:1990-07-01 00:00:00

  • Doctors in a white coat--what do patients think and what do doctors do?

    abstract::Patients and general practitioners in northern Norway were asked their opinion on the doctors' use of a white coat in the consultation. 51.9% of the patients wanted their doctor not to wear a white coat, whereas 11.7% of the doctors never wore one. 5.7% of the doctors' staff members never wore a white coat. The patien...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439008994937

    authors: Anvik T

    更新日期:1990-07-01 00:00:00