Prescribing in elderly people 1 - Appropriate prescribing in elderly people: how well can it be measured and optimised?

被引：766

作者：

Spinewine, Anne

Schmader, Kenneth E.

Barber, Nick

Hughes, Carmel

Lapane, Kate L.

Swine, Christian

Hanlon, Joseph T.

机构：

[1] Catholic Univ Louvain, Ctr Clin Pharm, Sch Pharm, B-1200 Brussels, Belgium

[2] Duke Univ, Med Ctr, Sch Med, Dept Geriatr Med, Durham, England

[3] Duke Univ, Med Ctr, Aging Ctr, Durham, England

[4] Vet Affairs Med Ctr, Ctr Geriatr Res Educ & Clin, Durham, NC USA

[5] Univ London, Sch Pharm, Dept Practice & Policy, London, England

[6] Queens Univ, Sch Pharm, Belfast, Antrim, North Ireland

[7] Brown Med Sch, Dept Community Hlth, Providence, RI USA

[8] Catholic Univ Louvain, Mt Godinne Univ Hosp, Dept Geriatr Med, B-1200 Brussels, Belgium

[9] Univ Pittsburgh, Inst Aging, Pittsburgh, PA USA

[10] Univ Pittsburgh, Sch Med, Dept Geriatr Med, Pittsburgh, PA USA

[11] Univ Pittsburgh, Sch Pharm, Dept Pharm & Therapeut, Pittsburgh, PA USA

[12] Vet Affairs Pittsburgh Healthcare Syst, Ctr Hlth Equ Res, Pittsburgh, PA USA

[13] Vet Affairs Pittsburgh Healthcare Syst, Ctr Geriatr Res Educ & Clin, Pittsburgh, PA USA

来源：

LANCET | 2007年 / 370卷 / 9582期

关键词：

D O I：

10.1016/S0140-6736(07)61091-5

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Prescription of medicines is a fundamental component of the care of elderly people, and optimisation of drug prescribing for this group of patients has become an important public-health issue worldwide. Several characteristics of ageing and geriatric medicine affect medication prescribing for elderly people and render the selection of appropriate pharmacotherapy a challenging and complex process. In the first paper in this series we aim to define and categorise appropriate prescribing in elderly people, critically review the instruments that are available to measure it and discuss their predictive validity, critically review recent randomised controlled intervention studies that assessed the effect of optimisation strategies on the appropriateness of prescribing in elderly people, and suggest directions for future research and practice.

引用

页码：173 / 184

页数：12

共 153 条

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