Medicines prescribing for homeless persons: analysis of prescription data from specialist homelessness general practices

Aleena Khan, Om Kurmi, Richard Lowrie, Saval Khanal, Vibhu Paudyal

    Research output: Contribution to journalArticlepeer-review

    62 Downloads (Pure)

    Abstract

    Background: Specialist homelessness practices remain the main primary care access point for many persons experiencing homelessness. Prescribing practices are poorly understood in this population. Objective: This study aims to investigate prescribing of medicines to homeless persons who present to specialist homelessness primary care practices and compares the data with the general population. Setting: Analyses of publicly available prescribing and demographics data pertaining to primary care in England. Methods: Prescribing data from 15 specialist homelessness practices in England were extracted for the period 04/2019-03/2020 and compared with data from (a) general populations, (b) the most deprived populations, and (c) the least deprived populations in England. Main outcome measure: Prescribing rates, measured as the number of items/1000 population in key disease areas. Results: Data corresponding to 20,572 homeless persons was included. Marked disparity were observed in regards to prescribing rates of drugs for Central Nervous System disorders. For example, prescribing rates were 83-fold (mean (SD) 1296.7(1447.6) vs. 15.7(9.2) p = 0.033) items), and 12-fold (p = 0.018) higher amongst homeless populations for opioid dependence and psychosis disorders respectively compared to the general populations. Differences with populations in the least deprived populations were even higher. Prescribing medicines for other long-term conditions other than mental health and substance misuse was lower in the homeless than in the general population. Conclusions: Most of the prescribing activities in the homeless population relate to mental health conditions and substance misuse. It is possible that other long-term conditions that overlap with homelessness are under-diagnosed and under-managed. Wide variations in data across practices needs investigation.

    Original languageEnglish
    Pages (from-to)717-724
    Number of pages8
    JournalInternational Journal of Clinical Pharmacy
    Volume44
    Issue number3
    Early online date23 May 2022
    DOIs
    Publication statusPublished - Jun 2022

    Bibliographical note

    Open Access This article is licensed under a Creative Commons
    Attribution 4.0 International License, which permits use, sharing,
    adaptation, distribution and reproduction in any medium or format,
    as long as you give appropriate credit to the original author(s) and the
    source, provide a link to the Creative Commons licence, and indicate
    if changes were made. The images or other third party material in this
    article are included in the article’s Creative Commons licence, unless
    indicated otherwise in a credit line to the material. If material is not
    included in the article’s Creative Commons licence and your intended
    use is not permitted by statutory regulation or exceeds the permitted
    use, you will need to obtain permission directly from the copyright
    holder

    Keywords

    • Homelessness
    • prescribing
    • inequality

    Fingerprint

    Dive into the research topics of 'Medicines prescribing for homeless persons: analysis of prescription data from specialist homelessness general practices'. Together they form a unique fingerprint.

    Cite this