描述,共享决策和老年人:初级保健中的观点
1Department of Health Information Management and Technology, College of Public Health, Imam Abdulrahman Bin Faisal University, 34212, Dammam, Saudi Arabia. sealrawiai@iau.edu.sa.
Journal of pharmaceutical policy and practice
|November 28, 2023
概括
多药性,即使用多种药物,对老年人产生负面影响. 在共享决策 (SDM) 的指导下,可以减少这种负担并改善初级环境中的护理.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 多药性影响许多人,特别是老年人,导致不良结果,如药物不良坚持和增加药物不良反应的风险.
- 处方停止提供了一个潜在的策略来管理多药店,并减少患者治疗负担和成本.
研究的目的:
- 审查初级保健中抑郁症处方的当前情况.
- 探索共享决策 (SDM) 在优化老年人抑郁症描述过程中的应用.
主要方法:
- 文献综述检查多药学,解药指南和共享决策模型.
- 在初级保健中分析抑郁症的障碍.
- 将SDM整合到抑郁症描述中的说明性例子.
主要成果:
- 现有的抑郁症指南有局限性,不适用于所有人.
- 以患者为中心的方法,通过SDM结合偏好和价值观,对于有效的抑郁症至关重要.
- 在初级保健机构中存在障碍,阻碍了抑郁症,需要有针对性的干预措施.
结论:
- 停止处方对于减轻老年人多药房风险至关重要.
- 共享决策是初级保健中以患者为中心的抑郁症治疗的关键框架.
- 克服障碍是必要的,以促进有效的抑郁和改善患者的结果.
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