Titre :
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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)
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Auteurs :
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K. SAUNDERS ;
T. BUSH ;
L. GROTHAUS ;
G. Simon ;
Center for Health Studies. Group Health Cooperative of Puget Sound. Seattle. WA. USA
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Type de document :
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Article
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Dans :
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Journal of clinical epidemiology (vol. 51, n° 10, 1998)
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Pagination :
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883-890
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Langues:
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Anglais
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Mots-clés :
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Antidépresseur
;
Thérapeutique médicamenteuse
;
Autoévaluation
;
Epidémiologie
;
Thérapeutique
;
Méthodologie
;
Evaluation
;
Homme
;
Etats Unis
;
Amérique
;
Etude comparée
;
Informatique
;
Amérique du Nord
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Résumé :
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[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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