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Related Experiment Videos

Can Managed Care Manage Polypharmacy?

Richard G Stefanacci1, Taha Khan2

  • 1The Access Group, 400 Connell Drive, Berkeley Heights, NJ 07922, USA; Thomas Jefferson University, College of Population Health, 901 Walnut Street, Philadelphia, PA 19107, USA.

Clinics in Geriatric Medicine
|April 3, 2017
PubMed
Summary

Polypharmacy, the use of multiple medications, can be inappropriate and lead to more harm than benefit. Understanding its causes and consequences is crucial for patient safety and effective healthcare.

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Area of Science:

  • Gerontology
  • Clinical Pharmacology
  • Health Services Research

Background:

  • Polypharmacy is defined as the inappropriate use of multiple medications.
  • It arises from various factors, including guideline overuse, poor prescriber coordination, managing side effects, care transitions, and patient self-management.
  • This practice poses risks that often outweigh therapeutic benefits.

Purpose of the Study:

  • To define polypharmacy and elucidate its common causes.
  • To highlight the negative consequences of polypharmacy on patient outcomes.
  • To underscore the importance of addressing polypharmacy in clinical practice.

Main Methods:

  • This study is a review and synthesis of existing literature on polypharmacy.
  • It analyzes the multifactorial nature of polypharmacy and its clinical implications.
Keywords:
Accountable Care Organizations (ACO)AdherenceBeers criteriaGeriatricsManaged careMedicare Advantage Plans (MA-PD)Polypharmacy

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  • No new data were collected; the focus is on conceptual understanding.

    • Main Results:

    • Polypharmacy results from complex interactions between healthcare systems, prescribers, and patients.
    • The costs of polypharmacy include financial burdens, unrealized health benefits, and adverse clinical events.
    • These adverse effects can significantly impact patient well-being and quality of life.

    Conclusions:

    • Polypharmacy presents a significant challenge in healthcare, often leading to detrimental patient outcomes.
    • Addressing the root causes of polypharmacy is essential for improving medication safety and efficacy.
    • Further research and improved care coordination are needed to mitigate the risks associated with polypharmacy.