Coprescription Trends in Western Medicine, Chinese Herbal Medicine and Dental Medicine among Older Adults in Taiwan from 1997 to 2013

Background: Coprescription is a potential medical problem for older adults that could induce polypharmacy and subsequent complications. In Taiwan, Chinese herbal medicine (CHM) is popular among the older adults. Investigating the coprescription trends in Western medicine, CHM and dental medicine is...

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Autores principales:	Chia-Yu Huang, Mei-Yao Wu, Chia-Ling Chang, Yuan-Ching Liao, Ying-Yu Chen, Wu-Chou Lin, Hung-Rong Yen
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Coprescription Chinese herbal medicine Epidemiology Geriatrics National Health Insurance Research Database Polypharmacy Other systems of medicine RZ201-999
Acceso en línea:	https://doaj.org/article/6fdd570d65254db19e53c47c3c90a100
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spelling	oai:doaj.org-article:6fdd570d65254db19e53c47c3c90a1002021-11-14T04:30:47ZCoprescription Trends in Western Medicine, Chinese Herbal Medicine and Dental Medicine among Older Adults in Taiwan from 1997 to 20130965-229910.1016/j.ctim.2021.102782https://doaj.org/article/6fdd570d65254db19e53c47c3c90a1002021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S0965229921001230https://doaj.org/toc/0965-2299Background: Coprescription is a potential medical problem for older adults that could induce polypharmacy and subsequent complications. In Taiwan, Chinese herbal medicine (CHM) is popular among the older adults. Investigating the coprescription trends in Western medicine, CHM and dental medicine is important to avoid possible polypharmacy. Methods: We analyzed data from the Longitudinal Health Insurance Database 2000 (LHID 2000) in Taiwan. Patients ≥ 60 years old who received coprescription of Western medicine, CHM and drugs for dental care from 1997 to 2013 were included. The odds ratio (OR) and 95% confidence interval (95% CI) were estimated by a logistic regression model for evaluating the correlation between baseline characteristics and coprescription. Results: A total of 266,034 patients were included for the analysis. Most patients receiving coprescriptions lived in the northern Taiwan and with a monthly income lower than 20,000 new Taiwan dollars. The trends in older adults using Western medicine alone or CHM alone decreased over time, but the cohort using dental medicine alone had the opposite result. Decreased trends in coprescription with age were noted. The trends in the proportion of coprescription and the number of days of coprescription increased with the calendar year. Increased trends in the proportion of patients with coprescription were also found, except for the cohort of patients who used both Western medicine and CHM. Patients who were female, and aged 70–79 years were prone to receive coprescription. Conclusions: Coprescription in older patients is not uncommon in Taiwan. Healthcare providers and policymakers should be aware of the complex coprescription pattern in the older adults.Chia-Yu HuangMei-Yao WuChia-Ling ChangYuan-Ching LiaoYing-Yu ChenWu-Chou LinHung-Rong YenElsevierarticleCoprescriptionChinese herbal medicineEpidemiologyGeriatricsNational Health Insurance Research DatabasePolypharmacyOther systems of medicineRZ201-999ENComplementary Therapies in Medicine, Vol 63, Iss , Pp 102782- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Coprescription Chinese herbal medicine Epidemiology Geriatrics National Health Insurance Research Database Polypharmacy Other systems of medicine RZ201-999
spellingShingle	Coprescription Chinese herbal medicine Epidemiology Geriatrics National Health Insurance Research Database Polypharmacy Other systems of medicine RZ201-999 Chia-Yu Huang Mei-Yao Wu Chia-Ling Chang Yuan-Ching Liao Ying-Yu Chen Wu-Chou Lin Hung-Rong Yen Coprescription Trends in Western Medicine, Chinese Herbal Medicine and Dental Medicine among Older Adults in Taiwan from 1997 to 2013
description	Background: Coprescription is a potential medical problem for older adults that could induce polypharmacy and subsequent complications. In Taiwan, Chinese herbal medicine (CHM) is popular among the older adults. Investigating the coprescription trends in Western medicine, CHM and dental medicine is important to avoid possible polypharmacy. Methods: We analyzed data from the Longitudinal Health Insurance Database 2000 (LHID 2000) in Taiwan. Patients ≥ 60 years old who received coprescription of Western medicine, CHM and drugs for dental care from 1997 to 2013 were included. The odds ratio (OR) and 95% confidence interval (95% CI) were estimated by a logistic regression model for evaluating the correlation between baseline characteristics and coprescription. Results: A total of 266,034 patients were included for the analysis. Most patients receiving coprescriptions lived in the northern Taiwan and with a monthly income lower than 20,000 new Taiwan dollars. The trends in older adults using Western medicine alone or CHM alone decreased over time, but the cohort using dental medicine alone had the opposite result. Decreased trends in coprescription with age were noted. The trends in the proportion of coprescription and the number of days of coprescription increased with the calendar year. Increased trends in the proportion of patients with coprescription were also found, except for the cohort of patients who used both Western medicine and CHM. Patients who were female, and aged 70–79 years were prone to receive coprescription. Conclusions: Coprescription in older patients is not uncommon in Taiwan. Healthcare providers and policymakers should be aware of the complex coprescription pattern in the older adults.
format	article
author	Chia-Yu Huang Mei-Yao Wu Chia-Ling Chang Yuan-Ching Liao Ying-Yu Chen Wu-Chou Lin Hung-Rong Yen
author_facet	Chia-Yu Huang Mei-Yao Wu Chia-Ling Chang Yuan-Ching Liao Ying-Yu Chen Wu-Chou Lin Hung-Rong Yen
author_sort	Chia-Yu Huang
title	Coprescription Trends in Western Medicine, Chinese Herbal Medicine and Dental Medicine among Older Adults in Taiwan from 1997 to 2013
title_short	Coprescription Trends in Western Medicine, Chinese Herbal Medicine and Dental Medicine among Older Adults in Taiwan from 1997 to 2013
title_full	Coprescription Trends in Western Medicine, Chinese Herbal Medicine and Dental Medicine among Older Adults in Taiwan from 1997 to 2013
title_fullStr	Coprescription Trends in Western Medicine, Chinese Herbal Medicine and Dental Medicine among Older Adults in Taiwan from 1997 to 2013
title_full_unstemmed	Coprescription Trends in Western Medicine, Chinese Herbal Medicine and Dental Medicine among Older Adults in Taiwan from 1997 to 2013
title_sort	coprescription trends in western medicine, chinese herbal medicine and dental medicine among older adults in taiwan from 1997 to 2013
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/6fdd570d65254db19e53c47c3c90a100
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Coprescription Trends in Western Medicine, Chinese Herbal Medicine and Dental Medicine among Older Adults in Taiwan from 1997 to 2013

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