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Collecting data about drug use by elderly people
1Institute for Social Studies in Medical Care, Hampstead, London, United Kingdom.
Pharmaceutisch Weekblad. Scientific Edition
|April 27, 1990
Summary
This study found significant issues with medication management in elderly patients, including unrecorded prescriptions and knowledge gaps. Improving drug prescribing and utilization is crucial for this population.
Area of Science:
- Geriatric Medicine
- Pharmacology
- Public Health
Background:
- Polypharmacy is common in elderly individuals, increasing risks of adverse drug events.
- Understanding patient and physician perspectives on drug prescribing is vital for safe medication use.
Purpose of the Study:
- To investigate drug utilization and prescribing practices among elderly individuals in England.
- To identify discrepancies in medication knowledge and reporting between patients and physicians.
- To assess the quality of drug prescribing and labeling for the elderly population.
Main Methods:
- A random sample of 805 individuals aged 65+ were interviewed in their homes.
- Pharmacological and pharmaceutical assessments were conducted.
- Information was cross-referenced with general practitioners, with patient consent.
Main Results:
- Inappropriate prescribing and labeling were identified by experts.
- Over one-third of elderly patients were taking prescribed medications unknown to their physician.
- Despite discrepancies, both patients and physicians believed over 80% of medications were taken appropriately.
Conclusions:
- Significant gaps exist in physician awareness of all medications prescribed to elderly patients.
- Expert review highlighted issues in prescribing and labeling practices.
- Further research and interventions are needed to optimize drug utilization and prescribing for older adults.