Beyth Rebecca J, Shorr Ronald I
Division of Health Services Research, Baylor College of Medicine, Houston Center for Quality of Care and Utilization Studies, Houston VAMC, Division of Health Services Research, Houston, TX 77030, USA.
Clin Geriatr Med. 2002 Aug;18(3):577-92. doi: 10.1016/s0749-0690(02)00017-4.
Health care providers must be aware of the issues involved in using drugs therapies in older patients because older patients are very vulnerable to the adverse effects of drugs. Although more data are needed to guide clinical decision making in prescribing drugs to older patients, some simple considerations can make drug use safer and more effective (Table 10). Careful, compassionate attention to these factors can have a profound effect on improving the quality of life, medication use, and the overall cost of health care in this vulnerable population.
医疗保健提供者必须意识到在老年患者中使用药物治疗所涉及的问题,因为老年患者极易受到药物不良反应的影响。尽管在为老年患者开药时需要更多数据来指导临床决策,但一些简单的考虑因素可以使药物使用更安全、更有效(表10)。认真、体贴地关注这些因素,对于改善这一弱势群体的生活质量、药物使用以及医疗保健的总体成本会产生深远影响。