TY - JOUR AU - Ananchaisarp, Thareerat AU - Duangkamsee, Namfon AU - Burapakiat, Bongkot AU - Buppodom, Theerapat AU - Rojanusorn, Ukrit AU - Katawatee, Kesinee AU - Nawalerspunya, Pongnarin AU - Siriwong, Teerat AU - Haruthaiborrirux, Puri AU - Saktiwarawat, Krittithee PY - 2018/09/17 Y2 - 2024/03/29 TI - Prevalence of Under-Prescription in Elderly Type 2 Diabetic Patients in the Primary Care Unit of a University Hospital JF - Journal of Health Science and Medical Research JA - J Health Sci Med Res VL - 36 IS - 4 SE - Original Article DO - 10.31584/jhsmr.2018.36.4.22 UR - https://he01.tci-thaijo.org/index.php/jhsmr/article/view/109581 SP - 259-267 AB - <p><strong>Objectives:</strong> This study aimed to assess the prevalence of under-prescription among elderly type 2 diabetic patients in the primary care unit of a university hospital in southern Thailand and identify the associated factors. <br><strong>Material and Methods:</strong> A 1-year retrospective medical record review was conducted in elderly type 2 diabetic patients treated continuously in the primary care unit. Under-prescription was the primary outcome assessed from criteria developed from the START criteria (2015), Thailand’s clinical practice guideline for diabetes (2014), and for hypertension (2015). <br><strong>Results:</strong> This study included 458 medical records that fit our inclusion criteria. The median age was 69.1 years old and more than 80% of them had a comorbidity of dyslipidemia or hypertension. The prevalence of under-prescription in elderly type 2 diabetic patients was 84.5%. The most commonly omitted medication was aspirin for primary prevention of cardiovascular disease. An increased number of medications received and having cardiovascular disease was associated with a lower risk of under-prescription. <br><strong>Conclusion:</strong> The prevalence of the omission of beneficial medications in elderly type 2 diabetic patients in the primary care unit of a university hospital was high, especially under-prescription of aspirin for primary prevention of cardiovascular disease.</p> ER -