Potentially inappropriate prescriptions: Associations with the health insurance contract and the quality of the patient–physician relationship?

Pauline Chauvin (), Sarah Fustinoni, Laurence Seematter-Bagnoud, Marie Herr and Brigitte Santos Eggimann
Additional contact information
Sarah Fustinoni: UNIL - Université de Lausanne = University of Lausanne
Laurence Seematter-Bagnoud: UNIL - Université de Lausanne = University of Lausanne
Marie Herr: CESP - Centre de recherche en épidémiologie et santé des populations - UVSQ - Université de Versailles Saint-Quentin-en-Yvelines - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Paul Brousse - INSERM - Institut National de la Santé et de la Recherche Médicale - Université Paris-Saclay
Brigitte Santos Eggimann: UNIL - Université de Lausanne = University of Lausanne

Post-Print from HAL

Abstract: Context: Potentially Inappropriate Prescriptions (PIP) are often used as an indicator of potential drug overuse or misuse to limit adverse drug events in older people. Objective: To determine whether PIP exposure differs as a function of the patient's health insurance scheme and the patient–physician relationship. Methods: Our dataset was collected from two surveys delivered to two cohorts of the Swiss Lc65+ study, together with a stratified random sample of older people in the Swiss canton of Vaud. The study sample consisted of 1,595 people aged 68 years and older living in the community and reporting at least one prescription drug. Logit regression models of PIP risk were run for various categories of variables: health related, socioeconomic, health insurance scheme and patient–physician relationship. Results: 17% of our respondents had at least one PIP. Our results suggested that being enrolled in a health plan with restriction in the patient's choice of providers and having higher deductibles were associated with lower PIP risk. PIP risk did not differ as a function of the quality of the patient–physician relationship. Conclusion: Our study helps to raise awareness about the organizational risk factors of PIP and, more specifically, how health insurance contracts could play a role in improving the management of drug consumption among community-dwelling older people.

Keywords: Cost sharing; Inappropriate prescribing; Managed care programs; Physician-patient relations (search for similar items in EconPapers)
Date: 2021
References: Add references at CitEc
Citations: View citations in EconPapers (1)

Published in Health Policy, 2021, 125 (9), pp.1146-1157. ⟨10.1016/j.healthpol.2021.06.011⟩

There are no downloads for this item, see the EconPapers FAQ for hints about obtaining it.

Related works:
Journal Article: Potentially inappropriate prescriptions: Associations with the health insurance contract and the quality of the patient–physician relationship? (2021)
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-03401774

DOI: 10.1016/j.healthpol.2021.06.011

Access Statistics for this paper

More papers in Post-Print from HAL
Bibliographic data for series maintained by CCSD ().