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为非机构养老的老年人开具苯二氮䓬类药物。

Prescribing benzodiazepines for noninstitutionalized elderly.

作者信息

Thomson M, Smith W A

机构信息

British Columbia Ministry of Health's Research and Evaluation Branch.

出版信息

Can Fam Physician. 1995 May;41:792-8.

PMID:7756916
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2146615/
Abstract

OBJECTIVE

To describe benzodiazepine prescribing for elderly people living in the community in British Columbia, and to compare such prescribing with an indicator of current guidelines.

DESIGN

Descriptive analysis of pharmacy billing data.

SETTING

Province of British Columbia.

PARTICIPANTS

All elderly persons (age 65 and older) dispensed benzodiazepines by community pharmacies in British Columbia during 1990.

MAIN OUTCOME MEASURE

Potentially inappropriate prescriptions were defined by a maximum 2-month limit of 20 diazepam equivalents daily, as determined by the BC Drug Usage Review Program in consultation with experts in the field. Physicians' rates of potentially inappropriate prescribing were determined per 100 benzodiazepine prescriptions written.

RESULTS

Almost 24% of elderly people in British Columbia were prescribed benzodiazepines at least once during 1990. Of these, 17.1% were given potentially inappropriate prescriptions. Physicians who prescribed benzodiazepines most frequently had the highest rates of potentially inappropriate prescriptions.

CONCLUSION

Prescribing practice does not correspond with our indicator of current guidelines.

摘要

目的

描述不列颠哥伦比亚省社区老年人群苯二氮䓬类药物的处方情况,并将此类处方与当前指南指标进行比较。

设计

药房计费数据的描述性分析。

地点

不列颠哥伦比亚省。

参与者

1990年期间在不列颠哥伦比亚省社区药房领取苯二氮䓬类药物的所有老年人(65岁及以上)。

主要观察指标

由不列颠哥伦比亚省药物使用审查计划与该领域专家协商确定,每日最大剂量为20地西泮等效剂量、最长使用期限为2个月的处方被定义为潜在不适当处方。根据开具的每100张苯二氮䓬类药物处方确定医生潜在不适当处方的比例。

结果

1990年期间,不列颠哥伦比亚省近24%的老年人至少有一次开具苯二氮䓬类药物的处方。其中,17.1%的处方为潜在不适当处方。开具苯二氮䓬类药物最频繁的医生,其潜在不适当处方的比例最高。

结论

处方行为与我们当前指南的指标不符。

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本文引用的文献

1
Drug usage review. Part one: designing the BC Pharmacare program.药物使用审查。第一部分:设计卑诗省药物护理计划。
Can Pharm J. 1981 Nov;114(11):421-3.
2
The effects of non-prescribing of anxiolytics in general practice. I. Controlled evaluation of psychiatric and social outcome.全科医疗中不使用抗焦虑药的效果。I. 精神和社会结局的对照评估。
Br J Psychiatry. 1984 Jun;144:593-602. doi: 10.1192/bjp.144.6.593.
3
Improving benzodiazepine prescribing in family practice through review and education.通过审查和教育改善家庭医疗中苯二氮䓬类药物的处方开具情况。
Can Med Assoc J. 1981 Jan 15;124(2):147-53.
4
The relationship between physician characteristics and prescribing appropriateness.医生特征与处方适宜性之间的关系。
Med Care. 1972 Jan-Feb;10(1):17-28. doi: 10.1097/00005650-197201000-00003.
5
The effect of a doctor's personal characteristics and working circumstances on the prescribing of psychotropic drugs.
Med Care. 1974 Apr;12(4):351-7. doi: 10.1097/00005650-197404000-00006.
6
Management of drug therapy in the elderly.老年人药物治疗的管理
N Engl J Med. 1989 Aug 3;321(5):303-9. doi: 10.1056/NEJM198908033210507.
7
The Saskatchewan program for rational drug therapy: effects on utilization of mood-modifying drugs.萨斯喀彻温省合理药物治疗项目:对情绪调节药物使用的影响。
DICP. 1990 Sep;24(9):878-82. doi: 10.1177/106002809002400917.
8
The long and the short of sleeping pills.安眠药的利弊
N Engl J Med. 1991 Jun 13;324(24):1735-7. doi: 10.1056/NEJM199106133242410.
9
Psychotropic drug use among women.女性使用精神药物的情况。
Can Med Assoc J. 1976 Oct 23;115(8):760-3.