社区环境下的痴呆症管理方案及老年人群精神药物的使用。
Dementia management programme in a community setting and the use of psychotropic drugs in the elderly population.
机构信息
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet Alzheimer Disease Research Centre, Stockholm, Sweden.
出版信息
Scand J Prim Health Care. 2011 Sep;29(3):181-6. doi: 10.3109/02813432.2011.585277. Epub 2011 Jul 11.
Abstract
BACKGROUND AND OBJECTIVE
The number of elderly persons in society is increasing, placing additional demands on the public health system. Extensive use of drugs is common in the elderly, and in patients with dementia this further increases their vulnerability. Since 1998 the municipality of Kalmar, Sweden, has worked with a dementia management programme that focuses on early intervention in order to identify the patient's help needs at an early stage. An important part of the programme aims at optimizing pharmacological treatment. The objective of the present study is to evaluate whether the dementia programme had a secondary effect on the use of psychotropic medication in the elderly population in general.
DESIGN AND SETTING
A retrospective, drug utilization study analysing the use of selected drug categories by the elderly (75 years and older) in the Kalmar municipality compared with the whole of Sweden.
RESULTS AND CONCLUSIONS
The results suggest that the dementia programme contributed to an improvement in psychotropic drug use in the elderly as a secondary effect. Furthermore, the implementation of this programme did not require allocation of extra funding.
摘要
背景与目的
社会中老年人的数量不断增加，这给公共卫生系统带来了额外的压力。老年人普遍大量使用药物，而痴呆症患者的用药情况则更为复杂，使他们更加脆弱。自 1998 年以来，瑞典卡尔马市一直在开展一项痴呆症管理计划，该计划侧重于早期干预，以尽早发现患者的需求。该计划的一个重要部分旨在优化药物治疗。本研究的目的是评估痴呆症计划是否对一般老年人的精神药物使用产生了次要影响。
设计与设置
一项回顾性药物利用研究，分析了卡尔马市（75 岁及以上）老年人与整个瑞典老年人使用选定药物类别的情况。
结果与结论
结果表明，痴呆症计划作为一种次要影响，有助于改善老年人的精神药物使用。此外，实施该计划无需额外资金。
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