Lamy P P
Md Med J. 1989 Feb;38(2):144-8.
Drugs are the most cost-effective modality of chronic care, and older adults with multiple illnesses often need multiple drugs. Because this may lead to drug interactions, adverse drug effects, and problems with compliance, drug regimens should be individualized and as few drugs as possible used. When a new drug is indicated, it is important for the physician reassess the appropriateness and continued need for the existing regimen. Patients and providers must agree on a particular regimen, its goals, promises, and limitations.
药物是慢性护理中最具成本效益的方式,患有多种疾病的老年人通常需要多种药物。由于这可能导致药物相互作用、药物不良反应和依从性问题,药物治疗方案应个体化,且用药应尽可能少。当需要使用新药时,医生重新评估现有治疗方案的适宜性和持续必要性非常重要。患者和医疗服务提供者必须就特定的治疗方案、其目标、预期效果和局限性达成一致。