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Prescribing in older people

Prescribing in older people. Presentation to HRB PCRC seminar 10 Sept ‘09 Tom O’Dowd & Susan Smith. Progress with Multimorbidity strand. Publications BJGP BMC Cochrane review (currently being peer-reviewed) BJGP Additional funding Irish Lung Foundation - clinical research fellow

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Prescribing in older people

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  1. Prescribing in older people Presentation to HRB PCRC seminar 10 Sept ‘09 Tom O’Dowd & Susan Smith

  2. Progress with Multimorbidity strand • Publications • BJGP • BMC • Cochrane review (currently being peer-reviewed) • BJGP • Additional funding • Irish Lung Foundation - clinical research fellow • Trinity College - OT research assistant • Adelaide Society - lecturers in health policy

  3. Two or more chronic illnesses in the same individual From primary care in Canada : Fortin et al BMJ 2007

  4. Lipid disorders 15 Hypertension 12.5 Depression 5.5 NIDDM 7.5 COPD 6 Asthma 5 Acute MI 2 IHD-no angina 1.5 IHD-with angina 3.5 Cardiovascular disease other 2.5 Chronic alcohol abuse 3 Hiatus hernia 1 Prevalence of conditions %in General practice in IrelandSmith, Ferede, O’Dowd

  5. Single vs MultimorbiditySmith, Ferede, O’Dowd

  6. Research plan • Intervention • Medicines management • Occupational therapy • Function using rehab model • Feasability project with pilot study of multifaceted intervention Oct 09-Sept 2010 • Grant application HRB for RCT

  7. Policy implications • Needs to be developed • Current GMS contract is not geared to chronic illness • Current hospital care is suited to simple & complicated care • Planning conference on chronic disease with Adelaide Society in early 2010 • Will need input from HRB Primary Care Research Centre

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