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基层医疗中针对老年人的处方开具

Prescribing in primary care for the older people.

作者信息

Al-Doghether Mohammed H, Al-Megbil Tarek I

机构信息

Center of Postgraduate Studies in Family Medicine, Ministry of Health, Riyadh, Kingdom of Saudi Arabia.

出版信息

Saudi Med J. 2004 Apr;25(4):488-92.

PMID:15083222
Abstract

OBJECTIVE

To assess doctor's knowledge, attitude and practices, which influence their prescribing for older people.

METHODS

This is a cross-sectional study conducted by the primary health care physicians working in the primary health care centers in Riyadh city, Kingdom of Saudi Arabia during April 2001 to July 2001. A hundred physicians in randomly selected primary health care centers in Riyadh were asked to fill a structured questionnaire to assess their knowledge, attitude and practices on prescribing for older people.

RESULTS

The study showed 56% of the physicians thought that number of older people in PHC is increasing, 65% of physicians felt confident in dealing with older people, 27% of physicians thought that patient's family influenced their decision in prescribing older people. Forty-seven percent of physicians considered that patient being older influenced their decision to prescribe and 50% of the participating physicians showed poor knowledge mainly in the area of drugs.

CONCLUSION

There is an evident defect in physician knowledge in prescribing for the older people. In depth, research is badly needed on various aspects of therapeutics to this age group. A robust prescribing strategy is required to address the issue of suitable prescribing for the older people in primary care.

摘要

目的

评估影响医生为老年人开处方的知识、态度和行为。

方法

这是一项横断面研究,由沙特阿拉伯王国利雅得市初级保健中心的初级保健医生于2001年4月至2001年7月进行。在利雅得随机选择的初级保健中心,邀请100名医生填写一份结构化问卷,以评估他们在为老年人开处方方面的知识、态度和行为。

结果

研究表明,56%的医生认为初级保健中老年人数量在增加,65%的医生对处理老年人问题有信心,27%的医生认为患者家属影响他们为老年人开处方的决定。47%的医生认为患者年龄较大影响他们开处方的决定,50%的参与医生知识水平较差,主要在药物领域。

结论

医生在为老年人开处方方面的知识存在明显缺陷。迫切需要对该年龄组治疗的各个方面进行深入研究。需要制定强有力的开处方策略,以解决初级保健中为老年人合理开处方的问题。

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