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  1. Assessing the feasibility of using computerized pharmacy refill data to monitor antidepressant treatment on a population basis : A comparison of automated and self-report data.

    Article - En anglais

    This article compares self-report and automated data as measures of dose and duration of antidepressant use in order to assess the feasibility of using automated pharmacy data in a disease management context.

    We used self-report and computerized refill data to identify two treatment failures-premature discontinuation of the medication and sub-optimal dosages-at time points 1 and 4 months after initiation of antidepressant therapy.

    The sources showed modest agreement regarding identification of current users at I month (kappa=33) ; agreement was high at 4 months (kappa=72).

    Agreement regarding dosage adequacy was also higher later in treatment, with kappas of. 52 and. 65 at 1 and 4 months, respectively.

    The two sources showed high agreement on an overall measure of acute phase treatment adequacy (kappa=80).

    Data completeness was another outcome, with data on current users and overall treatment adequacy generally available from computerized files, data on dose less so.

    Automated pharmacy data appear to be a feasible means of monitoring treatment adequacy and quality of care as part of a disease management approach to improving care for populations of patients.

    Mots-clés Pascal : Antidépresseur, Prescription médicale, Posologie, Durée, Chimiothérapie, Assistance ordinateur, Source information, Autoévaluation, Epidémiologie, Traitement, Méthodologie, Evaluation, Homme, Etats Unis, Amérique du Nord, Amérique, Etude comparative, Informatique

    Mots-clés Pascal anglais : Antidepressant agent, Medical prescription, Posology, Duration, Chemotherapy, Computer aid, Information source, Self evaluation, Epidemiology, Treatment, Methodology, Evaluation, Human, United States, North America, America, Comparative study, Computer science

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0511732

    Code Inist : 002B02B02. Création : 23/03/1999.