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Who's using medicines?

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Abstract

Data derived from a 1968–69 household survey of 3,481 persons in the Baltimore Standard Metropolitan Statistical Area revealed rates of medicine use and characteristics of users. In the 2 days before interview, 56% of the study population used one or more medicines. Users of prescribed medicine (33%) averaged 1.8 different kinds, and users of nonprescribed medicine (36%) averaged 1.4 kinds. Among users of prescribed medicine, 39% were also self-medicating. Pain relievers, vitamins, and cough and cold medicines were the most frequently used types. Two-thirds of physician visits were associated with an injection, immunization, medicine, or prescription. Rates of use for both prescribed and nonprescribed medicine were higher in females and varied with age, with nonprescribed varying less than prescribed. Nonwhites were less likely than whites to use either prescribed or nonprescribed medicines in all social status categories. Use of prescribed medicine increased with the increasing severity of acute and chronic illness, but use of nonprescribed medicine varied little with morbidity. Use of prescribed or nonprescribed medicine did not vary with economic class. Differences in use by age, sex, and race could not be accounted for by differences in morbidity, physician visits, or use of oral contraceptives.

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References

  1. Andersen R, Smedby B, Anderson OW:Medical Care Use in Sweden and the United States—A Comparative Analysis of Systems and Behavior. Chicago, Center of Health Administration, Research Series No. 27, 1970.

    Google Scholar 

  2. Prescribed and Nonprescribed Medicines, Type and Use of Medicines, United States—July, 1964-June, 1965. National Center for Health Statistics, Vital Health Statistics, Series 10, No. 39. Washington, D.C., Government Printing Office, 1967.

  3. Prescription Drug Data Summary: 1972. Social Security Administration, Office of Research and Statistics. DHEW No. (SSA) 73-11900. Washington, D.C., Government Printing Office, 1973.

  4. Rabin DL, Bush PJ: The use of medicines: Historical trends and international comparisons.Int J Health Serv 4:61–87, 1974.

    Google Scholar 

  5. Kohn R, White KL, eds:Use of Health Services: An International Collaborative Study. Main Report of the World Health Organization/International Collaborative Study of Medical Care Utilization. In preparation.

  6. Talley RB, Laventurier MF: Drug utilization and peer review in San Joaquin.Quality Assurance of Medical Care Monograph, 287–311, USDHEW No. (HSM) 73-7021. Washington, D.C., Government Printing Office, 1973.

    Google Scholar 

  7. Gardner P, Cluff LE: The epidemiology of adverse drug reactions: A review and perspective.Hopkins Med J 126:77–87, 1970.

    Google Scholar 

  8. Meleney HE, Fraser ML: Drug usage and adverse drug reactions in an outpatient population.Drug Inf Bull 2:96, 1968.

    Google Scholar 

  9. Maronde RF, Lee PV, McCarron MM, et al: A study of prescribing patterns.Med Care 9: 383–395, 1971.

    Google Scholar 

  10. Smith MC, Visconti JA: On the “costs” of the 1962 drug amendments.Inquiry 11: 61–64, 1974.

    Google Scholar 

  11. World Health Organization/International Collaborative Study of Medical Care Utilization:Manual 7: Analysis Manual. Baltimore, The Coordinating Committee, 1970.

    Google Scholar 

  12. Bice TW:Medical Care for the Disadvantaged. Baltimore, The Johns Hopkins University Department of Medical Care and Hospitals, 1971.

    Google Scholar 

  13. Dunnell K, Cartwright A:Medicine Takers, Prescribers and Hoarders. London, Routledge and Kegan Pual, 1972.

    Google Scholar 

  14. Rabin DL, ed: International comparisons of medical care, preliminary report of the World Health Organization/International Collaborative Study of Medical Care Utilization.Milbank Mem Fund Q 50: Special issue, 3 Part 2, 1972.

  15. Specialty Profile. National Disease and Therapeutic Index. Ambler, Pa., Lea, Inc., 1972.

  16. Rabin DL, Starfield BH, Burns CF, et al: Estimated physician services in a United States metropolitan area.Int J Health Serv 3: 197–211, 1973.

    Google Scholar 

  17. National Ambulatory Medical Survey: Background and Methodology. National Center for Health Statistics, Vital and Health Statistics Series 2, No. 61. Washington, D.C., Government Printing Office, 1974.

  18. Rabin DL, Schach E: Medicaid, morbidity and physician use.Med Care 13: 68–78, 1975.

    Google Scholar 

  19. Townsend P: Inequality and the health service.Lancet 2: 1179–1189, 1974.

    Google Scholar 

  20. Purola T, Kalimo E, Sievers K, et al:The Utilization of the Medical Services and Its Relationship to Morbidity, Health Resources and Social Factors. Helsinki, Research Institute for Social Security, 1968.

    Google Scholar 

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Additional information

The authors are with the Georgetown University School of Medicine, 3900 Reservoir Road, Washington, D.C. 20007. Baltimore data were drawn from the World Health Organization/International Collaborative Study of Medical Care Utilization, supported in the Baltimore Study Area by grants 8-R01-HS-00110 and 5-T01-HS-00012 from the National Center for Health Services Research and Development. Analysis of the data was supported by grant 1-R01-HS-01408-01. Part of this paper was presented before the Economic and Administrative Science Section of the Academy of Pharamaceutical Sciences at the 121st annual meeting of the American Pharmaceutical Association, Chicago, Illinois, August 6, 1974.

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Rabin, D.L., Bush, P.J. Who's using medicines?. J Community Health 1, 106–117 (1975). https://doi.org/10.1007/BF01319204

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