Pharmacoepidemiology at Nordic School of Public Health NHV: Examples from 1999 to 2014

Lundborg, Cecilia Stålsby; Gyllensten, Hanna; Hedna, Khedidja; Hakkarainen, Katja M.; Lesén, Eva; Sundell, Karolina Andersson

doi:10.1177/1403494814568600

Cited by 2 publications

(3 citation statements)

References 28 publications

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“…The previously-mentioned research group for Pharmacoepidemiology carried out extensive and important research on pharmaceutical drug use and overuse. This work also identified previously-unrecognised side effects [4, 16,17].…”

Section: Researchsupporting

confidence: 59%

“…Most of these activities are described in other papers in the present supplement; and therefore, are just mentioned here. Pharmacoepidemiology was introduced at NHV as a branch of public health and courses, master degree programmes and research training for Doctor of Public Health (DrPH) within this area became prominent parts of the recent activities at NHV [4]. In 2007, a Nordic interdisciplinary education programme in Infection Control in Hospitals and Primary Health Care was established at NHV.…”

Section: Epidemiology Coursesmentioning

confidence: 99%

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Epidemiology and statistics at the Nordic School of Public Health: Teaching and research 1979–2014

Eriksson

2015

Scand J Public Health

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The Nordic School of Public Health (NHV) was jointly founded in 1953 by the Nordic countries. Until 1979, the school provided ad hoc courses on public health topics, using external teachers drawn mainly from the Nordic countries. At the time, the permanent staff of the school was small. In 1979, it began a Master's degree programme and a few academic positions were established and filled, to support these courses. The programme included four main areas: Epidemiology, Social Medicine, Environmental Health and Health Services Administration. Epidemiology was compulsory in all Master of Public Health (MPH) exams, but there were a handful of optional courses that could be substituted for the other subjects.This paper tells the story of Epidemiology at NHV from about 1980, up until closure of the school in 2014. The original MPH model ran until 1995. Nursing Science entered NHV from about 1985 and worked mainly with qualitative research that often focused on individual patients. The new methods attracted nurses, midwives, psychologists and other groups that previously had been less represented in NHV. Being quantitative and population oriented, Epidemiology lost its unique position as a mandatory subject for the MPH examination. In addition the 'New Public Health' proposed by the World Health Organisation (WHO) that advocated health promotion and the philosophy of salutogenesis became a challenge for the programme in epidemiology: pathogenesis no longer was of primary interest. From 1995, the MPH format changed repeatedly and a DrPH programme was begun. For the last 8 years of its existence, NHV offered a reasonably comprehensive, basic course in Epidemiology.Throughout the years, epidemiology training and research at NHV were very traditional. In being a relatively free institution in terms of academic choices, NHV should have contributed to the development and innovation of epidemiology in public health. For several reasons, this did not happen.

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Section: Researchsupporting

confidence: 59%

Section: Epidemiology Coursesmentioning

confidence: 99%

Epidemiology and statistics at the Nordic School of Public Health: Teaching and research 1979–2014

Eriksson

2015

Scand J Public Health

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“…The Drug-Related Morbidity in Sweden (DRUMS) project has previously investigated the prevalence and economic impact of adverse drug events (ADEs), including ADRs, among the general population of Swedish adults 10 21 22. This included studying the relationship between PIP and ADRs for the 813 older adults of the cohort 2.…”

Section: Introductionmentioning

confidence: 99%

Healthcare costs of adverse drug reactions and potentially inappropriate prescribing in older adults: a population-based study

Robinson

Hedna

Hakkarainen³

et al. 2022

BMJ Open

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ObjectivesTo describe the distribution of costs based on potentially inappropriate prescribing (PIP) and adverse drug reaction (ADR) status in terms of total direct costs and costs caused by ADRs, among older adults.DesignA retrospective cohort study was conducted among older adults, identified from a random sample of the general Swedish population. PIP was identified based on the Screening Tool of Older Persons’ Prescriptions (STOPP) criteria and ADRs were identified using the Howard criteria. Causality between PIP and ADRs was evaluated using Hallas’ criteria. Prevalence-based direct healthcare costs were calculated for the 3-month study period, including the total cost for healthcare and drugs, and the cost caused by ADRs.SettingAll care levels, including primary care, other outpatient care and inpatient care.Participants813 adults ≥65 years.Primary outcome measuresThe prevalence and cost of PIP and ADRs.ResultsTotal direct cost for persons with PIP was approximately twice the total cost of those without PIP (€1958 (€1428–€2616) vs €881 (€817–€1167), p=0.0020). The costs caused by ADRs was 10 times higher among persons with PIP, compared with those without PIP (€270 (€86–€545) vs €27 (€10–€61), p=0.047). For persons with ADRs caused by PIP, total direct costs were €4646 (€2617–€7931). This group represented 8% of the study population and used 25% of the costs. The main cost driver in all studied patient groups was healthcare contacts.ConclusionsOlder persons with PIP and ADRs had high healthcare costs, particularly when ADRs were caused by PIP. Since these costs appear to be substantial, the potential savings by preventing their occurrence may, to a certain degree, cover the added cost of such activities. Further studies should be undertaken to provide further evidence on the costs of PIP, ADRs and ADRs caused by PIP.

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Pharmacoepidemiology at Nordic School of Public Health NHV: Examples from 1999 to 2014

Cited by 2 publications

References 28 publications

Epidemiology and statistics at the Nordic School of Public Health: Teaching and research 1979–2014

Epidemiology and statistics at the Nordic School of Public Health: Teaching and research 1979–2014

Healthcare costs of adverse drug reactions and potentially inappropriate prescribing in older adults: a population-based study

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