1980 Summary: National Ambulatory Medical Care Survey

McLemore, Thomas; Koch, Hugo

doi:10.1037/e604832007-001

Cited by 6 publications

(14 citation statements)

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“…Of the 575.7 million office visits by all ages (SE = 23.6 million), 10 1 per cent or 6,763,000 (SE = 588,000) were by patients ≥85 years. The majority of office visits were made by women: 4,362,000 or 64.5 per cent.…”

Section: Resultsmentioning

confidence: 99%

Drug Prescribing for Ambulatory Patients 85 Years of Age and Older

Knapp¹,

Knapp²,

Wiser³

et al. 1984

J American Geriatrics Society

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Drug prescribing for ambulatory patients greater than or equal to 85 years of age was studied using data from the 1980 National Ambulatory Medical Care Survey (NAMCS) on office visits to physicians. NAMCS is a survey by the US National Center for Health Statistics, which collected information on office visits and extrapolated the results to the US population. Of the 575.7 million office visits by all ages, 6.8 million (1 per cent) were by persons greater than or equal to 85 years of age, and 64 per cent involved females. Ninety per cent of the total office visits of those greater than or equal to 85 years were with a physician who had seen them before; 94 per cent were with MDs as compared with DOs; 56 per cent were with general practitioners or internists; and 95 per cent had some type of follow-up planned. The most frequent duration of the office visit was 11-15 minutes (36 per cent). The most frequent diagnostic class was diseases of the circulatory system. The survey physicians were asked to list all drugs, new or already in use by the patient, that were ordered, administered, or prescribed during the visit. The authors converted the drug brand names to their nonproprietary or generic name component(s); each active ingredient of combination products was treated as a separate drug entity. All drug analyses used generic names. Thirty-two per cent of visits did not involve the use of any drug, 21 per cent involved one drug; 12 per cent, two drugs; and 16 per cent, three drugs. Cardiovascular-renal drugs were the most frequently mentioned. One-third of the visits involved the use of one or more drugs that have psychologic effects, either intended or as side effects. Three per cent of the office visits involved the use of two or more drugs that had the potential for clinically important interactions.

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Section: Resultsmentioning

confidence: 99%

Drug Prescribing for Ambulatory Patients 85 Years of Age and Older

Knapp¹,

Knapp²,

Wiser³

et al. 1984

J American Geriatrics Society

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“…Detailed information on NAMCS sampling and data collection is given in other NAMCS references. [11][12][13][14] Only patient visits having a principal (first-listed) diagnosis of essential hypertension (ICD-9-CM code 401 15 ) were included for this study. The JNC reports [2][3][4][5][6] were used to identify and classify the antihypertensive drugs.…”

Section: Methodsmentioning

confidence: 99%

Trends in Antihypertensive Drug Therapy of Ambulatory Patients by US Office-Based Physicians

Nelson

Knapp

2000

Hypertension

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Abstract-This study assessed trends from 1980 to 1995 in ambulatory patients' antihypertensive drug therapy by US office-based physicians for visits in which hypertension was the principal diagnosis and compared these trends with the respective guidelines given in 5 Joint National Committee (JNC) Reports on Detection, Evaluation, and Treatment of High Blood Pressure published around the same time period. Data from the National Center for Health Statistics' National Ambulatory Medical Care Surveys for 1980, 1990 were used. From 1980 1 In 1995, it accounted for 3.2% of these visits. The purpose of this study was to (1) assess NAMCS trends from 1980 to 1995 in ambulatory patients' antihypertensive drug therapy by US office-based physicians at visits in which hypertension was the principal diagnosis and (2) compare these trends with the respective guidelines given in the 5 Joint National Committee (JNC) reports 2-6 published around the same time period. These were 1975 to 1976 1980, JNC II; 1984, JNC III; 1988, JNC IV;, JNC V. The most recent, JNC VI, was published in 1997. 7 There have been other national surveys that have evaluated antihypertensive drug prescribing trends. 8 -10 However, NAMCS data have the advantages of methodological and analytical consistencies, coverage of the time periods necessary to measure the effects of the first 5 JNC reports, and the ability to assess antihypertensive drug pattern characteristics during patient visits. MethodsNAMCS is a national, probability-sample survey conducted by the National Center for Health Statistics, Centers for Disease Control and Prevention. It collects data on medical care services provided by office-based physicians during ambulatory patient visits. To assess a 15-year trend in antihypertensive drug therapy, 1980, 1985, 1990, and 1995 NAMCS data were used. NAMCS medication data were first collected in 1980. Detailed information on NAMCS sampling and data collection is given in other NAMCS references. [11][12][13][14] Only patient visits having a principal (first-listed) diagnosis of essential hypertension (ICD-9-CM code 401 15 ) were included for this study. The JNC reports 2-6 were used to identify and classify the antihypertensive drugs. To analyze antihypertensive drug prescribing, the following coding procedures were performed. Each hypertension visit in which at least 1 antihypertensive drug was mentioned was counted as an antihypertensive drug visit. On the NAMCS data collection forms, physicians could record the antihypertensive drugs prescribed during the visit by using either generic drug names or brand names. Where brand names were listed, each generic name (active ingredient) component of the drug product was coded separately. Then, each occurrence of an antihypertensive generic name was categorized to its major antihypertensive drug class. If a particular antihypertensive drug class occurred more than once for a visit, it was counted only once. For the first analysis, antihypertensive drug class occurrences, the frequency of occurrence for e...

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“…By comparison, family practice physicians, pediatricians, and internal medicine physicians provide the bulk of outpatient musculoskeletal care 12 .It is estimated that 10% to 37% of all outpatient visits to primary care physicians are for musculoskeletal symptoms [1][2][3][4][5][8][9][10]13 . We evaluated the musculoskeletal knowledge and self-perceived confidence of fully trained, practicing academic primary care physicians and tested the following hypotheses: (1) a relationship exists between a provider's musculoskeletal knowledge and self-perceived confidence, (2) demographic variables are associated with differences in the knowledgeconfidence relationship, and (3) specific education or training affects a provider's musculoskeletal knowledge and clinical confidence.…”

mentioning

confidence: 99%

“…It is estimated that 10% to 37% of all outpatient visits to primary care physicians are for musculoskeletal symptoms [1][2][3][4][5][8][9][10]13 . Despite this high prevalence, many medical students and pri-M…”

mentioning

confidence: 99%

“…The present study tested the following hypotheses: (1) a relationship exists between a provider's musculoskeletal knowledge and his or her self-perceived level of clinical confidence in addressing musculoskeletal problems, (2) demographic variables are associated with differences in the knowledge-confidence relationship, and (3) specific education or training affects musculoskeletal knowledge and clinical confidence.…”

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confidence: 99%

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Important Demographic Variables Impact the Musculoskeletal Knowledge and Confidence of Academic Primary Care Physicians

Lynch

Schaad

Leopold

2006

The Journal of Bone & Joint Surgery

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Although a large proportion of primary care visits are for musculoskeletal symptoms, the majority of primary care providers tested at a large, regional, academic primary care institution failed to demonstrate adequate musculoskeletal knowledge and confidence. Further characterization of the relationship between knowledge and confidence and its association with demographic variables might benefit the education of musculoskeletal providers in the future.

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1980 Summary: National Ambulatory Medical Care Survey

Cited by 6 publications

References 0 publications

Drug Prescribing for Ambulatory Patients 85 Years of Age and Older

Drug Prescribing for Ambulatory Patients 85 Years of Age and Older

Trends in Antihypertensive Drug Therapy of Ambulatory Patients by US Office-Based Physicians

Important Demographic Variables Impact the Musculoskeletal Knowledge and Confidence of Academic Primary Care Physicians

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