Schmidt I, Claesson C B, Westerholm B, Svarstad B L
Apoteket AB, Stockholm, Sweden.
Soc Sci Med. 1998 Oct;47(7):961-71. doi: 10.1016/s0277-9536(98)00169-5.
Appropriateness of drug use is an important indicator of the quality of care in nursing homes. In this study, we analyzed the influence of resident characteristics and selected organizational factors on the appropriateness of psychotropic drug use in 33 Swedish nursing homes. Specific criteria based on published guidelines and recommendations were developed to measure appropriateness. Residents diagnosed with a psychiatric disorder and younger residents had more deviations from the criteria; however, resident mix did not explain variations in appropriateness of drug use at the facility level. Facilities with better nurse staffing and drug intervention teams had fewer deviations from the criteria, but only 15-20% of the variation in drug prescribing was explained by these predictors.
药物使用的合理性是养老院护理质量的一个重要指标。在本研究中，我们分析了33家瑞典养老院中居民特征和选定的组织因素对精神药物使用合理性的影响。基于已发表的指南和建议制定了具体标准来衡量合理性。被诊断患有精神疾病的居民和年轻居民与标准的偏差更大；然而，居民构成并不能解释机构层面药物使用合理性的差异。护士配备更好且有药物干预团队的机构与标准的偏差较少，但这些预测因素仅解释了15%至20%的药物处方差异。
