[Psychopharmaceutical prescriptions to older people. A comparison between patients in aged- and nursing homes, outpatient treatment with nursing care and outpatients without nursing care].
[Psychopharmaceutical prescriptions to older people. A comparison between patients in aged- and nursing homes, outpatient treatment with nursing care and outpatients without nursing care].
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[老年人的精神药物处方。
DOI：
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发表时间：
2004
期刊：
影响因子：
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通讯作者：
W. Kirch
中科院分区：
文献类型：
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作者：
I. Hach;A. Rentsch;J. Krappweis;W. Kirch
确定年龄、性别、护理需要程度和入住养老院是否会影响老年人的处方行为。采用回顾性和纵向研究相结合的方法，对养老院居民与有护理需要和不需要护理的非住院人员的精神活性药物处方模式进行了比较。1999年期间，获得了由德国柏林的一个健康保险基金(BKK)投保的3592人(60岁)的计算机档案。养老院居民收到的精神活性药物处方明显多于其他人，尤其是更多的抗精神病药物(40.1%比12.4%和7.4%)。疗养院的处方质量似乎更高(使用副作用更少、相互作用更小的药物)，精神科医生和神经科医生开出精神活性药物处方的频率更高(37%)。非住院患者从全科医生那里获得的最多(45%)。女性比男性患者获得更多的精神活性药物处方。随着护理需求等级的提高，更多的患者接受了精神活性药物。这项研究的结果表明，老年人精神药物处方的质量不高。
To determine, whether age, sex, grade of need of care and living in nursing homes can influence prescribing behavior in elderly. In a retrospective and longitudinal study, the pattern of psychoactive drug prescriptions of nursing home residents was compared with non-institutionalized people with and without need of care. During 1999, the computerized files of 3592 people (> 60 years), insured by a health insurance fund (BKK) in Berlin, Germany, were obtained. Nursing home residents received significantly more prescriptions of psychoactive drugs than the others, especially more neuroleptics (40.1% versus 12.4% and 7.4%). Quality of prescriptions seemed to be higher in nursing homes (use of drugs with fewer side effects and less possible interactions), psychoactive drug prescriptions were given more frequently by psychiatrists and neurologists (37%). Non-institutionalized patients received them most from general practitioners (45%). Women received more prescriptions of psychoactive drugs than male patients. With rising grade of need of care, proportionately more patients received psychoactive drugs. The results of this study show some evidence of the lacking quality in the prescriptions of psychopharmaceuticals to the elderly.