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ERIC Number: EJ835391
Record Type: Journal
Publication Date: 2007-Nov
Pages: 10
Abstractor: As Provided
Reference Count: N/A
ISBN: N/A
ISSN: ISSN-1360-2322
Use of Psychoactive Medications in Hong Kong Institutions for Adults with Severe to Profound Learning Disabilities: A Retrospective Study (1988-2003) and Economic Analysis
Lim, Winston Woon Chu
Journal of Applied Research in Intellectual Disabilities, v20 n6 p529-538 Nov 2007
Background: Little information is available about prescribing patterns for patients with severe learning disabilities in Asian institutions. Materials and methods: Prescription audits were performed at Siu Lam Hospital (SLH) and Tuen Mun Hospital (TMH), Hong Kong, between 1988 and 2003. Results: About 65% of patients were receiving psychoactive medication. Male patients at TMH (but not at SLH) were more likely to receive psychoactive drugs than female (74% versus 58%). Polypharmacy occurred in around 30%. The proportions receiving anticonvulsants, lithium or benzodiazepines increased, while those receiving anticholinergics decreased. The most common indication for antipsychotic use was "acute psychomotor agitation" but 14-22% had no recorded indication. About 20-27% of prescriptions fell outside recommended daily dosages. Drug spending as a proportion of the total fell from 9% to 5%. Daily drug costs per patient were about HK$4. Conclusions: Changes in prescribing have occurred since 1988. Drug audits can improve prescribing for this vulnerable population.
Blackwell Publishing. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8599; Fax: 781-388-8232; e-mail: customerservices@blackwellpublishing.com; Web site: http://www.blackwellpublishing.com/jnl_default.asp
Publication Type: Journal Articles; Reports - Evaluative
Education Level: Adult Education
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Hong Kong