Managing Medications in Clinically Complex Elders "There's Got to Be a Happy Medium"
Managing Medications in Clinically Complex Elders "There's Got to Be a Happy Medium"
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DOI：
10.1001/jama.2010.1482
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发表时间：
2010-10-13
影响因子：
120.7
通讯作者：
Hanlon, Joseph T.
中科院分区：
文献类型：
--
作者：
Steinman, Michael A.;Hanlon, Joseph T.
多种药物的使用在老年人中很常见，可以改善症状，改善和延长生活质量，偶尔治愈疾病。不幸的是，多种药物的使用也是处方和依从性问题，不良药物事件和其他不良健康结果的主要风险因素。使用的情况下，老年患者服用多种药物，这篇文章总结了循证文献，改善药物使用和撤回特定的药物和药物类别。它还描述了一个系统的方法，卫生专业人员可以如何评估和改善药物治疗方案，以造福患者及其护理人员和家庭。JAMA. 2010;304（14）：1592-1601 www.jama.com
Multiple medication use is common in older adults and may ameliorate symptoms, improve and extend quality of life, and occasionally cure disease. Unfortunately, multiple medication use is also a major risk factor for prescribing and adherence problems, adverse drug events, and other adverse health outcomes. Using the case of an older patient taking multiple medications, this article summarizes the evidence-based literature about improving medication use and withdrawing specific drugs and drug classes. It also describes a systematic approach for how health professionals can assess and improve medication regimens to benefit patients and their caregivers and families. JAMA. 2010;304(14):1592-1601 www.jama.com