Medication-related problems in the elderly - Defining the issues and identifying solutions

Medication-related problems in the elderly - Defining the issues and identifying solutions
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DOI:
10.2165/00002512-200522070-00002
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发表时间:
2005-01-01
期刊:
影响因子:
2.8
通讯作者:
Feinberg, JL
Feinberg, JL
中科院分区:
医学2区
文献类型:
--
作者:
Simonson, W;Feinberg, JL

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老年人由于年龄相关的生理变化、多种慢性疾病和病症的存在以及他们所消费的处方药和非处方药的种类和数量,面临着与药物相关的问题的巨大风险,与药物相关的问题已受到国际关注。在美国,每年可能有多达20万人死于与药物有关的问题。从其他发达国家的研究中发现,在从疗养院到社区住宅等医疗环境中,老年人会出现各种药物相关问题,为了减少老年人药物相关问题的可能性,人们采取了各种措施。药剂师在识别和预防药物相关问题的负面健康结果和成本方面可以发挥的作用越来越受到认可。事实上,许多研究已经证明了药剂师在这一领域的积极影响,并且正在进行研究。随着老年人数量的增加,以及可用药物的数量和类型的增加,必须提高对药物相关问题的认识,并制定进一步的举措,以优化老年人药物治疗的积极成果。
The elderly population is at great risk for medication-related problems as a result of age-related physiological changes, the presence of multiple chronic diseases and conditions, and the types and numbers of prescription and nonprescription medications they consume.Medication-related problems have received international attention. In the US, as many as 200 000 people may die of medication-related problems each year. Studies from other developed nations where patients have access to medications have determined that various types of medication-related problems occur in the elderly population in healthcare environments ranging from nursing homes to community dwelling settings.A variety of initiatives have been developed in an attempt to reduce the likelihood of medication-related problems in the elderly. The role that a pharmacist can play in identifying and preventing the negative health outcomes and costs of medication-related problems is being increasingly recognised. Indeed, numerous studies have now documented the positive impact that pharmacists can have in this area, and ongoing research is being conducted.With the growing numbers of elderly, and the increase in the numbers and types of medications available, it is imperative that awareness of medication-related problems be increased and that further initiatives be developed to optimise the positive outcomes of drug therapy in the elderly.