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德国巴登-符腾堡州全科医生对 FORTA(“适合老年人”)清单和 FORTA 应用程序的了解和使用情况。

Knowledge on and use of the FORTA ("Fit fOR The Aged")-list and the FORTA App by general practitioners in Baden-Württemberg, Germany.

机构信息

Institute of Clinical Pharmacology, Medical Faculty Mannheim, Ruprecht-Karls-University Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.

出版信息

Eur Geriatr Med. 2020 Jun;11(3):499-503. doi: 10.1007/s41999-020-00311-4. Epub 2020 Mar 17.

DOI:10.1007/s41999-020-00311-4
PMID:32297266
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8270821/
Abstract

PURPOSE

Drug treatment of older people is complicated as multimorbidity and polypharmacy are highly prevalent. To increase the drug appropriateness in older people, the FORTA ("Fit fOR The Aged")-list was developed. A survey was designed to describe knowledge and use of the FORTA list and the related FORTA App in a German state.

METHODS

Survey conducted among 872 general practitioners (GP) from districts (n = 694; 79.6%) or from district-free cities (n = 178; 20.4%) in Baden-Württemberg, Germany who were contacted by e-mail and/or phone.

RESULTS

The response rate was 9.4%. 48% of GP claim to know the FORTA list, 54.5% the FORTA App. 32.5% use one of them regularly, 27% at least once a week.

CONCLUSIONS

Responding GP expose knowledge and use of the FORTA list and/or the App exceeding expectations given the limited time since the wider appearance of either tool. These results, though limited by a low response rate, tentatively indicate their successful dissemination underlining utility, implementability and teachability.

摘要

目的

老年人的药物治疗较为复杂,因为多病共存和多种药物同时使用的情况非常普遍。为了提高老年人用药的适宜性,开发了 FORTA(“适合老年人”)清单。本研究设计了一项调查,以描述德国某州的全科医生(GP)对 FORTA 清单及其相关 FORTA App 的知识和使用情况。

方法

对德国巴登-符腾堡州的地区(n=694;79.6%)或无地区的城市(n=178;20.4%)的 872 名全科医生进行了调查,通过电子邮件和/或电话联系他们。

结果

应答率为 9.4%。48%的 GP 声称了解 FORTA 清单,54.5%的 GP 知道 FORTA App。32.5%的 GP 定期使用其中之一,27%的 GP 至少每周使用一次。

结论

应答的 GP 对 FORTA 清单及其 App 的了解和使用情况超出了预期,因为这两种工具出现的时间有限。尽管应答率较低,但这些结果初步表明,这两种工具在德国得到了成功传播,突出了其有用性、可实施性和可教授性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c49/8270821/1b2c9cf8e97e/41999_2020_311_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c49/8270821/e27b74d0c70b/41999_2020_311_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c49/8270821/d97d2ce8a6fb/41999_2020_311_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c49/8270821/1b2c9cf8e97e/41999_2020_311_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c49/8270821/e27b74d0c70b/41999_2020_311_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c49/8270821/d97d2ce8a6fb/41999_2020_311_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c49/8270821/1b2c9cf8e97e/41999_2020_311_Fig3_HTML.jpg

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2
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American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults.
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A systematic review and novel classification of listing tools to improve medication in older people.一种系统评价和新型分类方法,用于改善老年人的药物治疗。
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