Medication complexity and COVID-19 pandemic impact on the cost burden in non-COVID elderly patients at the emergency department

IF 0.5 Q4 EDUCATION, SCIENTIFIC DISCIPLINES

Pharmacy Education Pub Date : 2023-10-10 DOI:10.46542/pe.2023.234.264268

Khusnul Fitri Hamidah, Mahardian Rahmadi, Erfan Abdissalam, Indah Septiani, Febriansyah Nur Utomo, Wieka Rafelina Batubara

{"title":"Medication complexity and COVID-19 pandemic impact on the cost burden in non-COVID elderly patients at the emergency department","authors":"Khusnul Fitri Hamidah, Mahardian Rahmadi, Erfan Abdissalam, Indah Septiani, Febriansyah Nur Utomo, Wieka Rafelina Batubara","doi":"10.46542/pe.2023.234.264268","DOIUrl":null,"url":null,"abstract":"Background: The global increase in the elderly population and the incidence of emergency conditions due to physiological changes pose cost challenges for emergency services. COVID-19 potentially affects the financial burden of medication in elderly patients. Objective: To analyse the impact of medication complexity on the cost burden in elderly patients admitted to the Emergency Department (ED) before and during the COVID-19 pandemic. Method: A retrospective observational study was conducted among elderly patients (aged > 60 years) who visited ED but were not hospitalised between January to April 2020. The medication complexity was measured using the Medication Regimen Complexity Index (MRCI) while the cost was collected from the hospital information system. Result: A total of 321 ED visits were included in this study. The results showed that the mean of the total medication was 3.89 ± 1.70, while the mean score of the MRCI was 15.20 ± 6.54. The mean medication cost required was IDR 56,342 for each ED visit. Conclusion: This study provided an overview and input to control medication costs for elderly patients in the emergency setting. Interested parties can design policies that are beneficial in economics and therapeutic outcomes.","PeriodicalId":19944,"journal":{"name":"Pharmacy Education","volume":"28 1","pages":"0"},"PeriodicalIF":0.5000,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pharmacy Education","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.46542/pe.2023.234.264268","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}

引用次数: 0

Abstract

Background: The global increase in the elderly population and the incidence of emergency conditions due to physiological changes pose cost challenges for emergency services. COVID-19 potentially affects the financial burden of medication in elderly patients. Objective: To analyse the impact of medication complexity on the cost burden in elderly patients admitted to the Emergency Department (ED) before and during the COVID-19 pandemic. Method: A retrospective observational study was conducted among elderly patients (aged > 60 years) who visited ED but were not hospitalised between January to April 2020. The medication complexity was measured using the Medication Regimen Complexity Index (MRCI) while the cost was collected from the hospital information system. Result: A total of 321 ED visits were included in this study. The results showed that the mean of the total medication was 3.89 ± 1.70, while the mean score of the MRCI was 15.20 ± 6.54. The mean medication cost required was IDR 56,342 for each ED visit. Conclusion: This study provided an overview and input to control medication costs for elderly patients in the emergency setting. Interested parties can design policies that are beneficial in economics and therapeutic outcomes.

查看原文本刊更多论文

用药复杂性和COVID-19大流行对急诊非covid老年患者费用负担的影响

背景:全球老年人口的增加和由于生理变化引起的紧急情况的发生率对紧急服务提出了成本挑战。COVID-19可能会影响老年患者的药物经济负担。目的:分析2019冠状病毒病(COVID-19)大流行前和期间急诊科老年患者用药复杂性对费用负担的影响。方法:对老年患者(aged >60岁)，在2020年1月至4月期间访问了急诊科，但没有住院。使用用药方案复杂性指数(MRCI)测量用药复杂性，从医院信息系统收集费用。结果:本研究共纳入急诊321例。结果显示，两组患者总用药时间均值为3.89±1.70,MRCI均值为15.20±6.54。每次急诊科就诊所需的平均药物费用为56,342印尼盾。结论:本研究为急诊老年患者的用药费用控制提供了综述和参考。感兴趣的各方可以设计有利于经济和治疗结果的政策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Pharmacy Education EDUCATION, SCIENTIFIC DISCIPLINES-

CiteScore

0.80

自引率

20.00%

发文量

174

期刊介绍： Pharmacy Education journal provides a research, development and evaluation forum for communication between academic teachers, researchers and practitioners in professional and pharmacy education, with an emphasis on new and established teaching and learning methods, new curriculum and syllabus directions, educational outcomes, guidance on structuring courses and assessing achievement, and workforce development. It is a peer-reviewed online open access platform for the dissemination of new ideas in professional pharmacy education and workforce development. Pharmacy Education supports Open Access (OA): free, unrestricted online access to research outputs. Readers are able to access the Journal and individual published articles for free - there are no subscription fees or ''pay per view'' charges. Authors wishing to publish their work in Pharmacy Education do so without incurring any financial costs.