Study identifies gaps in primary health care for seniors with multiple chronic conditions

The number of health care services seniors use is determined more by the number of chronic conditions they have than by their age, according to a new study from the Canadian Institute for Health Information.

The study found that Canadian seniors with three or more chronic conditions reported taking an average of six prescription drugs regularly, twice as many as seniors with only one chronic condition. Seniors with chronic conditions regularly taking at least five prescription medications were more than twice as likely to experience a side effect requiring medical attention (13%) as those taking only one or two prescription medications (6%). Yet less than half of seniors with chronic conditions reported that their doctor reviewed their medications (48%) and explained potential side effects (47%) at least some of the time.

"Seniors who are taking a large number of drugs face not only the risk of side effects from negative drug interactions but also the possibility of not taking their medications as directed," says Dr. Bill Hogg, Research Director of the C. T. Lamont Primary Healthcare Research Centre at the ?‰lisabeth Bruy??re Research Institute at the University of Ottawa. "Strategies to reduce the number of medications a senior is prescribed, when possible, can result in better compliance with medication regimens and lead to a better quality of life."

Reducing gaps in preventive care could lead to fewer health care visits

While the majority of seniors reported having a family physician, only two out of five (42%) reported that at least some time in the past year they had talked with a health professional about what they could do to improve their health or prevent illness (including quitting smoking, increasing exercise or limiting alcohol consumption). The results were similar for tomorrow’s seniors, as only 45% of adults between the age of 45 and 64 spoke with their health care provider about things they could do to improve their health.

"As Canada’s population ages, it is natural to assume that the prevalence of chronic conditions will increase," says Greg Webster, CIHI’s Director of Primary Health Care. "Efforts to better understand the relationship between the management of chronic conditions and health care use can lead to better preventive care, which will result in healthier seniors and reduced costs to the system."


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