简化老年护理机构居民的药物治疗方案:药剂师和医生使用结构化的五步药物简化工具
Janet K Sluggett1, Jacquelina Stasinopoulos2, Cyan Sylvester3
1University of South Australia, UniSA Allied Health and Human Performance, Adelaide, South Australia, Australia; Registry of Senior Australians, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
概括
药剂师,全科医生和老年医生可以简化老年护理机构的药物治疗方案. 然而,药剂师在全面的药物审查中并不经常建议简化.
科学领域:
- 老年病的医生 老年病的医生
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物治疗方案的复杂性是居住老年护理设施 (RACF) 的一个问题.
- 药剂师主导的简化策略可以减少这种复杂性.
- 各种卫生专业人员对简化及其在审查期间的建议进行的研究有限.
研究的目的:
- 通过药剂师,全科医生和老年医生发现的药物治疗方案简化机会进行比较.
- 确定药剂师是否建议在RACF中的常规综合药物审查期间进行简化.
主要方法:
- 三个卫生专业小组 (药剂师,全科医生,老年医生) 将MRS GRACE工具应用于83名居民的药物数据.
- 使用弗莱斯的卡帕评估了Interrater协议.
- 对药剂师审查报告进行了审查,以寻求简化建议.
主要成果:
- 超过92%的居民可以简化他们的药物治疗方案.
- 药剂师在53-77%的案件中发现了简化机会 (实质性协议).
- 一般医生发现了75-89%的机会 (中度协议),老年医生发现了41-66%的机会 (公平协议).
- 在以前的药剂师审查报告中没有发现简化建议.
结论:
- 药剂师,全科医生和老年医生可以确定药物治疗方案简化机会,职业之间存在差异.
- 尽管有现有的机会,但药剂师在澳大利亚RACF的综合药物审查中并不经常建议简化.
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