Potentially Inappropriate Medication among Older Patients Who Are Frequent Users of Outpatient Services

doi:10.3390/ijerph18030985

Chia Nan University of Pharmacy & Science Institutional Repository > 智慧生活學院 > 資訊管理系 > 期刊論文 > Item 310902800/34481

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標題:	Potentially Inappropriate Medication among Older Patients Who Are Frequent Users of Outpatient Services
作者:	Hsu, Kung-Chuan Lu, Hai-Lin Kuan, Chi-Ming Wu, Jin-Song Huang, Chyn-Liang Lin, Pu-Hua Trezise, Damien Wang, Tzu-Chueh
貢獻者:	Giraffe Pharm Chia Nan Univ Pharm & Sci, Dept Informat Management Minist Hlth & Welf, Kaoping Div, Natl Hlth Insurance Adm Minist Hlth & Welf, Taiwan Food & Drug Adm, Div Med Prod Chia Nan Univ Pharm & Sci, Dept Appl Foreign Languages Chia Nan Univ Pharm & Sci, Dept Pharm
關鍵字:	older adults care polypharmacy potentially inappropriate medication
日期:	2021
上傳時間:	2023-11-11 11:56:38 (UTC+8)
出版者:	MDPI
摘要:	Aging is accompanied by changes in organ degeneration, and susceptibility to multiple diseases, leading to the frequent occurrence of adverse drug reactions resulting from polypharmacy (PP) and potentially inappropriate medications (PIM) in older patients. This study employs a retrospective cohort design and investigates the association of PP with PIM among older patients with high rates of medical utilization. Using records from a national pharmaceutical care database, an experimental group is formed from patients meeting these criteria, who are then offered home pharmaceutical care. Correspondingly, a control group is formed by identifying older patients with regular levels of use of medical services who had been dispensed medications at community pharmacies. Multivariate logistic regression is performed to assess the association between the rate of PIM and variables, including age, gender, and PP. The study finds that experimental PP participants had a higher rate of PIM prescription (odds ratio (OR) = 5.4) than non-PP control participants (all p < 0.001). In clinical practice, additional caution is required to avoid PIMs. Patients engaged in continuously using long-term medication should take precautions in daily life to alleviate related discomforts. Pharmacists should serve as a bridge between patients and physicians to enhance their health and improve their quality of life.
關聯:	INT J ENV RES PUB HE, v.18, n.3, pp.985
显示于类别:	[資訊管理系] 期刊論文 [應用外語系] 期刊論文 [藥學系(所)] 期刊論文

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