Kiernan P J, Isaacs J B
J R Soc Med. 1981 Mar;74(3):196-200. doi: 10.1177/014107688107400307.
This paper outlines the use of both prescribed and non-prescribed medication by the elderly in the community. The study examined a number of factors related to medication including compliance, the types of drugs taken, the manner in which drugs were stored and disposed of, and the advice that patients received. The findings revealed a lack of coordination of responsibility in the management of patients' medicines leading to inappropriate drug use, posing a potential risk to the patient. It is against this background that we propose that the role of the general practice pharmacist should be extended within a structured health care programme; pharmacists should be encouraged to keep total medication records on patients of 65 and over.
本文概述了社区中老年人使用处方药和非处方药的情况。该研究调查了与药物治疗相关的多个因素,包括依从性、所服用药物的类型、药物的储存和处置方式,以及患者所接受的建议。研究结果显示,在患者用药管理方面缺乏责任协调,导致用药不当,给患者带来潜在风险。正是在这样的背景下,我们建议在结构化医疗保健计划中扩大全科药剂师的职责范围;应鼓励药剂师为65岁及以上的患者保存完整的用药记录。