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HTML Table
classconfluenceTable
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Name
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Potentially Inappropriate Medication Prescribed to Seniors
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Short/Other Names
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Percentage Rate of Beers Drug Use Among Seniors on Public Drug Programs

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Description
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Wiki Markup
The rate of seniors who have a claim from the Beers list (American Geriatrics Society \[AGS\] 20152019 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults)

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Interpretation
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This indicator is interpreted as the rate of seniors who take a medication identified as potentially inappropriate to prescribe to seniors because it is either ineffective or it poses unnecessarily high risk for older persons and a safer alternative is available. It should be noted that there may be cases where it is appropriate for seniors to take drugs on the Beers list.

There may be differences in population characteristics (such as age and health status) between seniors with and without public coverage. In provinces where a lower proportion of seniors have claims accepted by the public plan, drug utilization patterns among those with public coverage are more likely to be affected by these differences and, therefore, may be less reflective of utilization patterns among all seniors in the province.

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HSP Framework Dimension
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Health System Outputs: Appropriate and effective

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Areas of Need
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Living With Illness, Disability or Reduced Function

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Geographic Coverage
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Newfoundland and Labrador, Prince Edward Island, New Brunswick, Nova Scotia, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, Yukon

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Reporting Level/Disaggregation
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Province/Territory

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Indicator Results
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Accessing Indicator Results on Your Health System: In Depth

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HTML Table
iddescAndCalRegion
Table Row (tr)
Table Cell (td)
Description
Table Cell (td)

Wiki Markup
The rate of seniors who have a claim from the Beers list (American Geriatrics Society \[AGS\] 20152019 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults)

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Table Cell (td)
Calculation: Description
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The total number of seniors with at least one claim for a drug from the Beers list that was accepted by a public drug program divided by the total number of seniors with at least one claim for any drug accepted by a public drug program

Unit of Analysis: Patients

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Calculation: Geographic Assignment
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Place of service

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Calculation: Type of Measurement
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Percentage or proportion

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Calculation: Adjustment Applied
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Age-sex-adjusted

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Calculation: Method of Adjustment
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Direct Standardization
Standard Population:
Canadian senior population (Statistics Canada, Demography Division, CANSIM table)

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Denominator
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Description:
Total number of seniors with at least one claim accepted by a public drug program
Inclusions:
1. All seniors (age 65 years and older)
Exclusions:
2. All non-seniors (age younger than 65 years)

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Numerator
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Description:
Total number of senior claimants with at least one claim for a drug from the Beers list accepted by a public drug program
Inclusions:
1. All seniors (age 65 years and older) with at least one claim for a drug from the Beers list
Exclusions:
1. All non-seniors (age younger than 65 years)

2. Seniors without a claim from the Beers list

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idavailabilityRegion
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Data Sources
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NPDUIS Database

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Available Data Years
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Type of Year:
Fiscal
First Available Year:
2005
Last Available Year:
2017 2018

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Geographic Coverage
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Newfoundland and Labrador, Prince Edward Island, New Brunswick, Nova Scotia, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, Yukon

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Reporting Level/Disaggregation
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Province/Territory

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HTML Table
idresultRegion
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Update Frequency
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Whenever required for analytical product or data request

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Indicator Results
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Web Tool:
Your Health System: In Depth
URL:
Accessing Indicator Results on Your Health System: In Depth

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Updates
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Not applicableIn the 2019 update, 2 medications (ticlopidine and pentazocine) were removed and 4 medications (glimepiride, homatropine, methscopolamine and pyrilamine) were added, compared with the 2015 criteria. These changes caused an absolute decrease of 0.3% in the proportion of seniors identified as using a drug meeting the Beers criteria.

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<div role="button" class="expandableTitle" aria-controls="qualityRegion">Quality Statement</div>

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