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[Drug compliance in the elderly].

E Uejima1, H Mikami, S Morimoto

  • 1Department of Geriatric Medicine, Osaka University Medical School.

Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
|November 1, 1992
PubMed
Summary

Elderly patients over 70 report better adherence to prescribed medications despite receiving more prescriptions. However, they face higher risks due to polypharmacy and communication gaps with physicians regarding medication management.

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Area of Science:

  • Gerontology
  • Pharmacology
  • Health Services Research

Context:

  • Understanding medication-taking behaviors is crucial for effective patient care, especially in aging populations.
  • Prescription patterns and patient adherence vary significantly across different age demographics.
  • The study addresses the complexities of medication management in elderly outpatients.

Purpose:

  • To investigate the attitudes and self-reported compliance of elderly patients towards prescribed medications.
  • To compare medication adherence across different age groups and identify influencing factors.
  • To highlight unique characteristics of elderly patients in their approach to drug-taking.

Summary:

  • A survey of 626 outpatients and physicians revealed that patients over 70, despite being prescribed more medications (5.1 tablets vs. 2.3 for <40), reported the highest compliance.

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  • Factors influencing compliance included perceived appropriateness of dosage, absence of side effects, and feeling well on medication.
  • Elderly patients often attend multiple facilities without informing all physicians, increasing risks of overdosing and drug interactions. They also receive fewer explanations from doctors.
  • Impact:

    • Findings underscore the need for tailored medication management strategies for the elderly, addressing polypharmacy and communication barriers.
    • Improved physician-patient communication regarding medication is essential, particularly for older adults.
    • This research can inform healthcare providers and policymakers to enhance medication safety and adherence in geriatric populations.