个人连续性和适当的处方在初级保健中
Marije T Te Winkel1,2, Birgit A Damoiseaux-Volman3,4, Ameen Abu-Hanna3,4
1Amsterdam UMC location Vrije Universiteit Amsterdam, Department of General Practice, Amsterdam, The Netherlands.
Annals of family medicine
|July 24, 2023
概括
在初级保健中,患者与医生的连续性更高,与老年人不适合的处方减少有关. 这表明,加强患者与医生的关系可以提高处方质量和安全性.
科学领域:
- 主要护理医学 医疗保健
- 老年人药理学 老年人药理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患者和医生之间的个人连续性是初级保健的基石.
- 现有的证据将连续性与处方质量联系起来,特别是潜在不适当的处方 (PIP),在初级保健中是有限的.
研究的目的:
- 调查个人连续性和PIP之间的关联,包括潜在不适当的药物 (PIM) 和潜在的处方遗漏 (PPO),在初级保健中老年患者中.
主要方法:
- 一项观察性队列研究利用了48家荷兰家庭诊所 (2013-2018) 中65岁以上的25854名患者的常规数据.
- 使用通常的护理提供者,Bice-Boxerman指数和Herfindahl指数来衡量个人连续性.
- 使用STOPP/START标准 (荷兰版本2) 确定了PIP,并通过多级负双项回归分析了相关性.
主要成果:
- 至少有一种PIM和PPO的患病率很高 (分别为72.2%和74.3%).
- 在所有三种措施中,更高的个人连续性水平与PIP的减少有显著的关联.
- 具体来说,增加的连续性与较少的PIM和PPO相关.
结论:
- 在初级保健中加强个人连续性显然与老年人更合适的处方实践有关.
- 加强患者与医生的关系可能是改善处方质量和减轻不良药物事件的关键策略.
关键词:
不良事件不良事件不良事件慢性疾病是一种慢性疾病.护理的连续性 护理的连续性这是一个令人丧的描述.药物处方 药物处方家庭实践家庭实践老年病的治疗方法为老年人提供医疗服务.没有适当的处方.人的个人连续性.多种药房多种药房可能不合适的药物列表.实践模式,医生主要护理是一级医疗保健.更多相关视频
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