为评估二、三年级家庭医学住院医师诊治的初级保健患者潜在的不良多重用药情况而进行的病历审查结果。
Results of chart reviews conducted to evaluate primary care patients seen by second and third year family medicine residents for potential adverse polypharmacy.
作者信息
F Linda, Lutfiyya May N, Cha Isaac, El-Khabiry Ehab
机构信息
Department of Family and Community Medicine, University of Illinois College of Medicine at Rockford, Rockford, Illinois ( USA ).
出版信息
Pharm Pract (Granada). 2007;5(2):85-8. doi: 10.4321/s1886-36552007000200006.
OBJECTIVE
To determine the prescribing patterns of family medicine residents for patients aged more than 60 years with 2 or more chronic diseases and seen at least twice in a 12 month timeframe.
METHODS
This is a descriptive analysis which was based on chart reviews. The setting was the University of Illinois-Rockford Family Practice Residency. Patients aged 60 years with 2 or more chronic diseases who were seen at least twice by second and third year residents.
RESULTS
FINDINGS FROM THIS CHART REVIEW INCLUDE: 28.8% of the prescribed medications were not effective for the documented condition, 26.3% of the prescribed doses were incorrect, and 44.5% of the drugs prescribed were not the least expensive alternative.
DISCUSSION
This preliminary study suggests a need for a focused intervention with family medicine residents regarding inappropriate polypharmacy issues with older patients.
目的
确定家庭医学住院医师针对60岁以上患有两种或更多慢性病且在12个月内至少就诊两次的患者的处方模式。
方法
这是一项基于病历审查的描述性分析。研究地点为伊利诺伊大学罗克福德分校家庭医学住院医师培训项目。研究对象为60岁以上患有两种或更多慢性病且由二、三年级住院医师至少诊治过两次的患者。
结果
本次病历审查的结果包括：28.8%的处方药对所记录病情无效，26.3%的处方剂量不正确，44.5%的处方药并非最便宜的选择。
讨论
这项初步研究表明，有必要针对家庭医学住院医师在老年患者不适当的多药联用问题上进行有针对性的干预。
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