Table 4.
Patient prescription history associated with statin and ACEI/ARB prescribing at in-person office visits at 10 community health centers in Oregon where the medication(s) was/were clinically indicateda, June 2011 to May 2014
| Office visitsb where a statin indicated | Office visitsb where an ACEI/ARB was indicated | |||||
|---|---|---|---|---|---|---|
| Number of encountersc | % with an statin Rx < = 2 days | p-value | Number of encountersc | % with an ACEI/ARBs Rx < = 2 days | p-value | |
| Total | 11588 | (13.2) | 9887 | (15.8) | ||
| Patient prescription history | ||||||
| Patient previously had prescription for indicated drug | <.0001 | <.0001 | ||||
| No | 6761 | (10.9) | 2898 | (18.5) | ||
| Yes | 4827 | (16.5) | 6989 | (14.8) | ||
| Patient has activedprescription for insulin | ||||||
| No | 8682 | (14.7) | <.0001 | 7075 | (18.7) | <.0001 |
| Yes | 2906 | (8.7) | 2812 | (8.7) | ||
| Patient has activedprescription for non-insulin anti-hyperglycemic meds | <.0001 | <.0001 | ||||
| No | 5639 | (15.5) | 4914 | (18.5) | ||
| Yes | 5949 | (11.1) | 4973 | (13.2) | ||
| Patient has activedprescription for narcotic | <.0001 | <.0001 | ||||
| No | 9422 | (14.7) | 7805 | (18.1) | ||
| Yes | 2166 | (6.7) | 2082 | (7.3) | ||
| Patient has activedprescription for CVD meds | <.0001 | <.0001 | ||||
| No | 8374 | (15.4) | 6553 | (19.5) | ||
| Yes | 3214 | (7.6) | 3334 | (8.7) | ||
| Patient has activedprescription for psychotherapeutic meds | <.0001 | <.0001 | ||||
| No | 7541 | (16.1) | 5996 | (20.4) | ||
| Yes | 4047 | (7.9) | 3891 | (8.8) | ||
Abbreviations: ACEI angiotensin-converting enzyme inhibitor, ARB angiotensin II receptor blockers, CVD cardiovascular disease; Rx referral
aPoint-of-care alert for specified drug class fired at the visit
bOffice visits defined as in-person encounters at a study clinic where the provider was a MD, PA, NP, or resident, and the encounter Evaluation & Management CPT code was in: 99201-99205; 99212-99215; 99243; 99385-99387; 99395-99397
cVisit counts are not mutually exclusive e.g. if both types of BPA fired at a visit, the visit is counted in both the statin and ACEI/ARB columns. p-value from chi square test for independence between characteristic and outcome of Rx < = 2 days
dRx ordered < date of the visit and end date of order is null or > date of visit