BACKGROUND Drug is an important part of disease treatment, but medication errors happen frequently and have significant clinical and financial consequences. The prevalence of prescription medication use among the ambulatory adult population increases with advancing age. Because of the global aging society, outpatients need to improve medication safety more than inpatients. OBJECTIVE The elder...

Phase I of the voluntary chronic care improvement (CCI-I) under traditional fee-for-service Medicare initiative seeks to extend the benefits of disease management to an elderly population with comorbid chronic medical conditions. Active, sustained involvement of treating physicians, a historical deficit of disease management programs, is a CCI-I program goal. During the last decade, Kaiser Perm...

Introduction: Since the 1950s, air travel has grown exponentially. In 2018, the number of international air passengers was estimated at 4.1 billion. Air travel exposes the passenger to a number of constraints (like physical constraints, stress) that can be correlated and lead to an inflight medical event, especially for passengers with chronic conditions or fragile health.<br /...

PURPOSE This study applied a uniform methodology for measuring and comparing duloxetine adherence in the treatment of multiple chronic medical conditions. MATERIALS AND METHODS Study patients 18-64 years of age initiating duloxetine therapy during 2008 were identified from a large managed care database. The study was restricted to patients with continuous health plan eligibility for 12 months...

Foods for special dietary use are recommended by physicians for chronic diseases or conditions of childhood, including inherited metabolic diseases. Although many states have created legislation requiring reimbursement for foods for special dietary use, legislation is now needed to mandate consistent coverage and reimbursement for foods for special dietary use and related support services with ...

INTRODUCTION Women with chronic medical conditions are at higher risk of adverse pregnancy outcomes, which may be minimized through optimal preconception care and appropriate contraceptive use. This study aimed to describe contraceptive use among women with chronic medical conditions and factors associated with its non-use. METHODS This study used cross-sectional data from a family planning s...

BACKGROUND The aim was to examine if self reported chronic regional pain (CRP) and chronic widespread pain (CWP) predicted inpatient care due to serious medical conditions such as cerebrovascular diseases, ischemic heart diseases, neoplasms and infectious diseases in a general population cohort over a ten year follow-up period. METHODS A ten-year follow up of a cohort from the general adult p...

The systematic review by Bleich and colleagues contributes to the much needed evidence supporting management of patients with multiple chronic conditions — multimorbidity. Although the review’s focus is the United States, it addresses an issue that is highly relevant to all health care systems and raises important questions about how we can design systems to address the needs of this vulnerable...

Depression severely affects older adults in the United States. As part of the social environment, significant social support was suggested to ameliorate depression among older adults. We investigate how varying forms of social support moderate depressive symptomatology among older adults with multiple chronic conditions (MCC). Data were analyzed using a sample of 11,400 adults, aged 65 years or...

With advances in medical technology and healthcare, an increasing number of adolescents with chronic health conditions, including childhood onset disabilities, are now surviving into adulthood (Blum et al. 1993). For adolescents with chronic health conditions growing up and becoming an adult, this important developmental stage represents a challenging period as they are at risk of delayed devel...