Carlson J E
Department of Internal Medicine, University of Texas Medical Branch at Galveston, USA.
Geriatrics. 1996 Jul;51(7):26-30, 35.
A focused, systematic intervention by the primary care physician can often remedy the problem of polypharmacy in older patients. Such an approach includes medication disclosure, drug identification, side effect recognition, treatment review, and a thoughtful, well-monitored reduction in the numbers and doses of medicines. By developing skillful prescribing habits, the physician can resolve drug side effects, prevent future adverse reactions, reduce pharmacy expenditures, and improve medication compliance. Prudent prescribing is one way to improve quality of life for the older patient.
初级保健医生进行有针对性的、系统的干预通常可以解决老年患者的多重用药问题。这种方法包括药物信息披露、药物识别、副作用识别、治疗审查，以及对药物数量和剂量进行审慎、密切监测的减少。通过养成熟练的处方习惯，医生可以解决药物副作用，预防未来的不良反应，降低药房支出，并提高用药依从性。谨慎开处方是改善老年患者生活质量的一种方式。
