老年人的处方药使用情况：描述性分析
Prescription drug use in the elderly: a descriptive analysis.
作者信息
Moxey Elizabeth D, O'Connor John P, Novielli Karen D, Teutsch Steven, Nash David B
机构信息
Thomas Jefferson University Hospital, 1015 Chestnut Street, 2nd Floor, Philadelphia, PA 19107-5099, USA.
出版信息
Health Care Financ Rev. 2003 Summer;24(4):127-41.
Abstract
In the current policy debate, pharmaceutical use in the elderly has been characterized largely by its economic impact, with little discussion of what drugs the elderly are taking. Based on data from the Medicare Current Beneficiary Survey (MCBS), this study defines subgroups of the community-dwelling elderly using health and functional status, and provides a comprehensive description of the composition of prescription drug use in this population. Drugs are classified into 16 primary therapeutic classes, with further breakdown into secondary classes and characterization by chronic versus acute use. Utilization is reported by age and health status categories.
摘要
在当前的政策辩论中，老年人用药情况主要是从其经济影响的角度来描述的，而对于老年人正在服用哪些药物却鲜有讨论。基于“医疗保险当前受益人调查”（MCBS）的数据，本研究根据健康和功能状况对居家老年人亚组进行了定义，并全面描述了该人群中处方药使用的构成情况。药物被分为16个主要治疗类别，进一步细分为次要类别，并按慢性用药与急性用药进行特征描述。按年龄和健康状况类别报告了药物使用情况。
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本文引用的文献
1
The influence of income on health: views of an epidemiologist.收入对健康的影响：一位流行病学家的观点。
Health Aff (Millwood). 2002 Mar-Apr;21(2):31-46. doi: 10.1377/hlthaff.21.2.31.
2
Policy implications of the gradient of health and wealth.健康与财富梯度的政策含义。
Health Aff (Millwood). 2002 Mar-Apr;21(2):13-30. doi: 10.1377/hlthaff.21.2.13.
3
Potentially inappropriate medication use in the community-dwelling elderly: findings from the 1996 Medical Expenditure Panel Survey.社区居住老年人中潜在不适当用药情况：1996年医疗支出小组调查结果
JAMA. 2001 Dec 12;286(22):2823-9. doi: 10.1001/jama.286.22.2823.
4
Medicare beneficiaries and drug coverage.医疗保险受益人及药物保险
Health Aff (Millwood). 2000 Mar-Apr;19(2):248-56. doi: 10.1377/hlthaff.19.2.248.
5
Beyond survey data: a claims-based analysis of drug use and spending by the elderly.超越调查数据：基于索赔的老年人药物使用和支出分析
Health Aff (Millwood). 2000 Mar-Apr;19(2):198-211. doi: 10.1377/hlthaff.19.2.198.
6
Five most commonly used types of pharmaceuticals.五种最常用的药品类型。
Health Care Financ Rev. 1999 Spring;20(3):119-23.
7
Prescription drug coverage, utilization, and spending among Medicare beneficiaries.医疗保险受益人中的处方药覆盖范围、使用情况及支出
Health Aff (Millwood). 1999 Jan-Feb;18(1):231-43. doi: 10.1377/hlthaff.18.1.231.
8
Medication use patterns among demented, cognitively impaired and cognitively intact community-dwelling elderly people.社区居住的痴呆、认知障碍和认知正常老年人的用药模式。
Age Ageing. 1998 Jul;27(4):493-501. doi: 10.1093/ageing/27.4.493.
9
Use of prescription medications in an elderly rural population: the MoVIES Project.农村老年人群中处方药的使用：“电影”项目
Ann Pharmacother. 1996 Jun;30(6):589-95. doi: 10.1177/106002809603000604.
10
Medication use by ambulatory elderly. An in-home survey.门诊老年患者的用药情况。一项家庭调查。
J Am Geriatr Soc. 1986 Jan;34(1):1-4. doi: 10.1111/j.1532-5415.1986.tb06332.x.
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