PHARMACY INTERVENTIONS FOR POLYPHARMACY IN THE ELDERLY

这项研究的目的是确定干预措施是否 临床药剂师可以改善药物使用模式 老年流动人口与综合药房。通过增强 患者依从性和减少不适当的处方， 老年患者的医疗保健可以得到改善。两个人 需要评估的具体干预措施包括：(1)提供 向患者提供用药咨询和(2)提供 关于初级保健药物方案的教育反馈 医生。 这项研究的设计意义重大，因为它将是第一个 关注高危人群的随机对照试验， 也就是说，年龄超过70岁的患者和超过 三种药物。结果衡量标准，如服用的药物， 药物不良反应、依从性、卫生服务利用、 医疗费用和健康状况将在 在实施干预措施之后。 最终目标是提高卫生保健的质量 并评估一种治疗老年患者的成本效益 门诊环境中的临床药剂师。

The purpose of this study is to determine whether interventions by a clinical pharmacist can improve drug use patterns in a elderly ambulatory population with polypharmacy. By enhancing patient compliance and reducing inappropriate prescribing, the health care of older patients could be improved. The two specific interventions to be evaluated are (1) the provision of medication counseling to patients and (2) the provision of educational feedback concerning drug regimens to primary care physicians. The research design is significant in that it will be the first randomized controlled trial to focus on a high risk population, that is, patients older than 70 years of age and on more than three medications. Outcome measures, such as medications taken, adverse drug reactions, compliance, health service utilization, medication costs, and health status, will be assessed before and after the implementation of the interventions. The ultimate objectives are to enhance the quality of health care of older patients and to assess the cost-effectiveness of a clinical pharmacist within an ambulatory setting.