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Title
Use of outpatient drugs as death approaches.
First Author
Stuart, Bruce
Date of Pub
1994 Spring
Pages
63-82
Volume
15
Issue
3
Other Authors
Coulson, N Edward
Abstract
This article explores changes in outpatient prescription drug use up to 72 months prior to death and relates the findings to trends in Medicare-covered services during the same life stage. The study sample comprises 5,261 decedents who, prior to their deaths, had enrolled in the Pennsylvania Pharmaceutical Assistance Contract for the Elderly (PACE) program. Descriptive time-series show steady increases in both outpatient drug use and physician contacts in the final 36 months of life. However, multivariate analysis shows that impending death is associated with significant reductions in the probability of using outpatient drugs. Only in the final 12 months of life is this effect offset by rising numbers of drug claims by prescription users.
Abstract Continued
N/A
MeSH
Aged : Ambulatory Care/economics : Data Collection : Drug Utilization/statistics & numerical data : Health Services Research/methods : Human : Insurance, Pharmaceutical Services/statistics & numerical data/utilization : Medicare/statistics & numerical data/utilization : Outpatients/statistics & numerical data : Pennsylvania : Prescriptions, Drug/economics : Support, U.S. Gov't, Non-P.H.S. : Terminal Care/economics/utilization : Time Factors : United States
NTIS Number
PB95-123477