Factors Related to Non-Integrated or Fragmentation Polypharmacy in A Colombian Population

Castro-Rodríguez, Alejandro; Machado‐Duque, Manuel Enrique; Gaviria‐Mendoza, Andrés; Medina-Morales, Diego Alejandro; Tatiana, Álvarez-Vera; Machado-Alba, J

doi:10.1016/j.jval.2018.04.647

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“…The associations of RVF and FCI with polypharmacy as well as outpatient healthcare costs, which are related to care fragmentation, were investigated. [36][37][38][39] The group without a history of visits to a medical facility, for which the FCI could not be calculated, was excluded from the analysis utilizing FCI. To evaluate the correlation between RVF and FCI, Kendall's rank correlation coefficient was calculated.…”

Section: Discussionmentioning

confidence: 99%

“…To assess the concurrent validity of RVF, we examined its correlation with FCI, an established measure of care fragmentation. The associations of RVF and FCI with polypharmacy as well as outpatient healthcare costs, which are related to care fragmentation, were investigated 36–39 . The group without a history of visits to a medical facility, for which the FCI could not be calculated, was excluded from the analysis utilizing FCI.…”

Section: Methodsmentioning

confidence: 99%

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Measurement of polydoctoring as a crucial component of fragmentation of care among patients with multimorbidity: Cross‐sectional study in Japan

Ando,

Sasaki,

Abe

et al. 2023

J of Gen and Family Med

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BackgroundCare fragmentation, characterized by the uncoordinated involvement of multiple healthcare providers, leads to inefficient and ineffective healthcare, posing a significant challenge in managing patients with multimorbidity. In this context, “polydoctoring,” where patients see multiple specialists, emerges as a crucial aspect of care fragmentation. This study seeks to develop an indicator to assess polydoctoring, which can subsequently enhance the management of multimorbidity.MethodsBaseline survey data from the Kawasaki Aging and Wellbeing Project (KAWP) involving independent community‐dwelling older adults aged 85–89 were utilized in this cross‐sectional study. Polydoctoring measure was defined as the number of regularly visited facilities (RVFs). The association of RVF with the Fragmentation of Care Index (FCI) and the outcome measures of polypharmacy and ambulatory care costs were examined as indicators of care fragmentation.ResultsThe analysis comprised 968 participants, with an average of 4.70 comorbid chronic conditions; 65.3% of the participants had two or more RVFs, indicating polydoctoring. A significant correlation between RVF and FCI was observed. Modified Poisson regression analyses revealed associations between higher RVF and increased prevalence ratio of polypharmacy. Likewise, a higher RVF was associated with higher outpatient medical costs.ConclusionsRVF was significantly correlated with FCI, polypharmacy, and higher outpatient medical costs. Unlike complex indices, RVF is simple and intuitively comprehensible. Further research is needed to evaluate the impact of care fragmentation on patient outcomes, considering factors such as RVF thresholds, patient multimorbidity, and social support. Understanding the influence of polydoctoring can enhance care quality and efficiency for patients with multimorbidity.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Measurement of polydoctoring as a crucial component of fragmentation of care among patients with multimorbidity: Cross‐sectional study in Japan

Ando,

Sasaki,

Abe

et al. 2023

J of Gen and Family Med

View full text Add to dashboard Cite

show abstract

Factors Related to Non-Integrated or Fragmentation Polypharmacy in A Colombian Population

Abstract: the guidelines according to results of pharmacovigilance and investigations of active pharmaceutical substances available in Colombia.

Cited by 1 publication

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Measurement of polydoctoring as a crucial component of fragmentation of care among patients with multimorbidity: Cross‐sectional study in Japan

Measurement of polydoctoring as a crucial component of fragmentation of care among patients with multimorbidity: Cross‐sectional study in Japan

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