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Estimation of severe drug-drug interaction warnings by medical specialist groups for Austrian nationwide eMedication

Journal: Applied Clinical Informatics
ISSN: 1869-0327
DOI: http://dx.doi.org/10.4338/ACI-2014-04-RA-0030
Issue: Vol. 5: Issue 3 2014
Pages: 603-611

Estimation of severe drug-drug interaction warnings by medical specialist groups for Austrian nationwide eMedication

Research Article

Special Topic: eHealth2014

C. Rinner (1), S. K. Sauter (1), L. M. Neuhofer (1), D. Edlinger (1), W. Grossmann (2), M. Wolzt (3), G. Endel (4), W. Gall (1)

(1) Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna; (2) Research Group Scientific Computing, University of Vienna; (3) Department of Clinical Pharmacology, Medical University of Vienna; (4) Main Association of Austrian Social Security Organizations, Vienna, Austria

Keywords

Medical Informatics, Public health informatics, drug interactions

Summary

Objective: The objective of this study is to estimate the amount of severe drug-drug interaction warnings per medical specialist group triggered by prescribed drugs of a patient before and after the introduction of a nationwide eMedication system in Austria planned for 2015.

Methods: The estimations of interaction warnings are based on patients’ prescriptions of a single health care professional per patient, as well as all patients’ prescriptions from all visited health care professionals. We used a research database of the Main Association of Austrian Social Security Organizations that contains health claims data of the years 2006 and 2007.

Results: The study cohort consists of about 1 million patients, with 26.4 million prescribed drugs from about 3,400 different health care professionals. The estimation of interaction warnings show a heterogeneous pattern of severe drug-drug-interaction warnings across medical specialist groups.

Conclusion: During an eMedication implementation it must be taken into consideration that different medical specialist groups require customized support.

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