Centro de Investigación en Evaluación y Encuestas. Instituto Nacional de Salud Pública. Morelos, México.
Consorcio Mexicano de Hospitales Privados. Ciudad de México, México.
Rev Saude Publica. 2021 Nov 22;55:80. doi: 10.11606/s1518-8787.20210550033110. eCollection 2021.
To identify and quantify potentially inappropriate prescribing (prescripción potencialmente inapropiada, PPI) and other drug prescribing problems in public health care services in a population-based study at the three existing levels of complexity in Mexico.
Descriptive analysis of the Study on Satisfaction of Users of the Social Protection System in Health 2014-2016, prescription and drug supply section, to obtain the prevalence of PPI in older adults (≥ 65 years), based on Beers, STOPP, Prescrire and BSP listings using AM (older adults) prescription indicators, one for each listing.
Most older adults (67%) were prescribed at least one medication, with a mean of 2.7 medications per prescription. The PPI prevalence was 74% according to the BSP criteria, 67% according to the STOPP listing, 59% with the Beer criteria, and 20% with Prescrire. The most frequent PPI prescriptions were NSAIDs, vasodilators and sulfonylureas.
The use of PPIs in AM is high in Mexico. The higher prevalence found in this study may reflect the use of a source with population representativeness. The partial use and adaptations of the criteria make difficult comparing the studies; however, the STOPP criteria are the ones with the highest prevalence, as they cover a greater number of drugs and their use is more common in the first level of care.
在墨西哥现有的三个复杂程度级别上进行基于人群的研究，以确定并量化公共医疗保健服务中潜在不适当处方（prescripción potencialmente inapropiada，PPI）和其他药物处方问题。
对 2014-2016 年社会保护系统卫生服务用户满意度研究的处方和药物供应部分进行描述性分析，以获得老年人（≥65 岁）中 PPI 的流行率，这是基于 Beers、STOPP、Prescrire 和 BSP 清单使用 AM（老年人）处方指标得出的，每个清单一个指标。
大多数老年人（67%）至少开了一种药物，每张处方平均开了 2.7 种药物。根据 BSP 标准，PPI 的流行率为 74%，根据 STOPP 清单为 67%，根据 Beer 标准为 59%，根据 Prescrire 标准为 20%。最常见的 PPI 处方是 NSAIDs、血管扩张剂和磺脲类药物。
在 AM 中使用 PPI 在墨西哥很高。本研究中发现的较高流行率可能反映了使用具有代表性的人群来源。部分使用和对标准的调整使得难以比较研究；然而，STOPP 标准的流行率最高，因为它们涵盖了更多的药物，并且在第一级护理中更常用。
