| Titre : | Assessing the feasibility of using computerized pharmacy refill data to monitor antidepressant treatment on a population basis : A comparison of automated and self-report data. (1998) |
| Auteurs : | K. SAUNDERS ; T. BUSH ; L. GROTHAUS ; G. Simon ; Center for Health Studies. Group Health Cooperative of Puget Sound. Seattle. WA. USA |
| Type de document : | Article |
| Dans : | Journal of clinical epidemiology (vol. 51, n° 10, 1998) |
| Pagination : | 883-890 |
| Langues: | Anglais |
| Mots-clés : | Antidépresseur ; Thérapeutique médicamenteuse ; Autoévaluation ; Epidémiologie ; Thérapeutique ; Méthodologie ; Evaluation ; Homme ; Etats Unis ; Amérique ; Etude comparée ; Informatique ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST EyzR0x94. Diffusion soumise à autorisation]. This article compares self-report and automated data as measures of dose and duration of antidepressant use in order to assess the feasibility of using automated pharmacy data in a disease management context. We used self-report and computerized refill data to identify two treatment failures-premature discontinuation of the medication and sub-optimal dosages-at time points 1 and 4 months after initiation of antidepressant therapy. The sources showed modest agreement regarding identification of current users at I month (kappa=33) ; agreement was high at 4 months (kappa=72). Agreement regarding dosage adequacy was also higher later in treatment, with kappas of. 52 and. 65 at 1 and 4 months, respectively. The two sources showed high agreement on an overall measure of acute phase treatment adequacy (kappa=80). Data completeness was another outcome, with data on current users and overall treatment adequacy generally available from computerized files, data on dose less so. Automated pharmacy data appear to be a feasible means of monitoring treatment adequacy and quality of care as part of a disease management approach to improving care for populations of patients. |
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