Thursday, May 3, 2012

Adherence Patterns With First- Versus Second-Generation Antipsychotics for Newly Diagnosed Schizophrenia in Taiwan.




HubMed - health insurance





Adherence Patterns With First- Versus Second-Generation Antipsychotics for Newly Diagnosed Schizophrenia in Taiwan.



Psychiatr Serv. 2012 May 1; 63(5): 504-507
Chang CM, Wu KY, Liang HY, Wu EC, Chen CY, Wu CS, Chen SJ, Chang TK, Tsai HJ

OBJECTIVE: The aim of this study was to compare the early adherence patterns for first-generation antipsychotics and second-generation antipsychotics during the first month of treatment for patients newly diagnosed as having schizophrenia.  METHODS: With a random sample from the Taiwan national health insurance database, persons with a schizophrenia diagnosis (ICD-9-CM code 295.X) and a concurrent initial antipsychotic prescription from 1998 to 2006 were defined as being newly treated for schizophrenia. Adherence patterns within one month of diagnosis were categorized into four independent groups: refill, switch, admission, and discontinuation.  RESULTS: Treatment initiated with first-generation or second-generation antipsychotics resulted in similar rates of refill (57% versus 59%). However, patients who started with first-generation antipsychotics were significantly less likely to switch (9% versus 14%) but more likely to discontinue (34% versus 26%) medications than those whose treatment was initiated with second-generation antipsychotics.  CONCLUSIONS: The data substantiated previous observations of the magnitude of adherence problems in Asian populations and highlight the importance of developing new strategies for intervention. (Psychiatric Services 63:504-507, 2012; doi: 10.1176/appi.ps.201100011).








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Open Question: Conservatives are saying how France is going broke and Greece is already broke and socialist ideas don't work?



I asked this question 2 years ago and just copy and pasted it now to see if I get different answers :

Conservatives were saying this 30 years ago. The fact is socialism does work, and those people in Europe who never had to worry about paying for their kids college or health insurance and have been getting 2 months a year off from work have been living a better life than the cons in America will allow you to live. There are billionaires in France, life is good in France. They say if you don't like it here go to Europe. I say **** that, I am an American and I want the good life here in America. We can have what they have in Europe and we will. Will you vote for the good life? Will you vote democrat this November?
http://answers.yahoo.com/question/index;_ylt=ApOS.Bw9r.uc7TnyQLUxoSYjzKIX;_ylv=3?qid=20100908173247AAM3avA






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