Shaw S M, Opit L J
Br Med J. 1976 Feb 28;1(6008):505-7. doi: 10.1136/bmj.1.6008.505.
Medication for 127 randomly selected patients aged over 70 in a large group practice was examined in relation to the available supervision for this treatment. About half the patients were on long-term treatment, mainly drugs associated with heart disease, depression, or anxiety. Nineteen had had no recorded contact with the family doctor for six months or longer, and examination by nurse surveillance suggested that three might be suffering from drug toxicity. It was concluded that reliance on self-referral by elderly patients was unsafe.
在一个大型综合诊所中,对127名随机挑选的70岁以上患者的药物治疗情况与该治疗可获得的监管进行了检查。约一半患者正在接受长期治疗,主要是与心脏病、抑郁症或焦虑症相关的药物。19名患者已有六个月或更长时间未与家庭医生有过记录在案的接触,而护士监测检查表明,有三名患者可能正在遭受药物毒性反应。得出的结论是,依赖老年患者自我转诊是不安全的。