Cartwright A
Institute for Social Studies in Medical Care, Hampstead, London, United Kingdom.
Pharm Weekbl Sci. 1990 Apr 27;12(2):60-5. doi: 10.1007/BF01970147.
A random sample of 805 people aged 65 or more were interviewed in their homes in England about the drugs they were taking, and about their experiences with and views about the way drugs were prescribed. Assessments by a pharmacologist and pharmacists identified inappropriate prescribing and labelling and revealed the extent of elderly people's knowledge of their drugs. Information obtained from general practitioners, with the consent of the elderly people, showed that over a third of the elderly people were taking prescribed drugs of which their physician was unaware, but over four-fifths of the drugs reported by both patients and physicians were thought by both groups to be taken appropriately or as prescribed. The processes and problems of drug utilization and drug prescribing are demonstrated by approaching both patients and physicians and further illuminated by the expertise of pharmacologist and pharmacist.
在英格兰,随机抽取了805名65岁及以上的老人,在他们家中就其正在服用的药物、用药经历以及对药物处方方式的看法进行了访谈。药理学家和药剂师的评估确定了不恰当的处方和标签,并揭示了老年人对其药物的了解程度。在征得老年人同意后,从全科医生那里获得的信息表明,超过三分之一的老年人正在服用其医生并不知晓的处方药,但患者和医生都报告的药物中,超过五分之四的药物被两组人员认为服用得当或符合处方要求。通过接触患者和医生展示了药物使用和药物处方的过程及问题,药理学家和药剂师的专业知识进一步阐明了这些问题。