Problems with Medication Use in the Elderly: An Australian Perspective

Problems with Medication Use in the Elderly: An Australian Perspective
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老年人用药问题:澳大利亚的观点

DOI:
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发表时间:
2006
期刊:
影响因子:
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通讯作者:
R. Elliott
R. Elliott
中科院分区:
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文献类型:
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作者:
R. Elliott

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药物治疗是老年患者医疗护理的重要组成部分,大约三分之二的 60 岁以上澳大利亚人使用 4 种或更多药物。尽管多重用药是众所周知的药物不良事件的危险因素,但对于患有多种合并症的老年人来说,使用多种药物可能是不可避免的。尽管人们一直担心不恰当的处方、多重用药和不依从性,但现在人们认识到还有更广泛的药物相关问题需要解决。其中包括药物监测欠佳、患者家中药物管理不善、处方不足以及卫生专业人员之间沟通不畅。这是对澳大利亚关于老年人用药问题的文献的回顾,并提供了提高该人群用药质量的指南。
Pharmacotherapy is an essential component of medical care for older patients, and around two‐thirds of Australians over the age of 60 years use 4 or more drugs. Although polypharmacy is a well‐known risk factor for adverse drug events, use of multiple drugs may be unavoidable in the elderly with multiple comorbidities. While there have been concerns about inappropriate prescribing, polypharmacy and non‐adherence, it is now recognised that there are a broader range of drug‐related problems that need to be addressed. These include suboptimal monitoring of drugs, poor medication management in patients' homes, under‐prescribing and poor communication between health professionals. This is a review of the Australian literature on problems with medication use in the elderly, with guidelines for improving the quality of medicine use in this population.
DOI: 10.1001/jama.294.6.716
发表时间: 2005-08-10
影响因子: 120.7
作者:
Boyd, CM;Darer, J;Wu, AW
通讯作者: Wu, AW
DOI: 10.1001/jama.289.9.1107
发表时间: 2003-03-05
影响因子: 120.7
作者:
Gurwitz, JH;Field, TS;Bates, DW
通讯作者: Bates, DW