通过使用STOPPFrail在养老院的老年人的药剂师领导下降处方的成本避免
Eoin Hurley1, Stephen Byrne2, Elaine Walsh3
1Pharmaceutical Care Research Group, University College Cork, Cork, Ireland. eoin.hurley@ucc.ie.
International journal of clinical pharmacy
|July 5, 2024
概括
在药剂师领导下,在脆弱的老年人中使用STOPPFrail工具来停止处方,大大降低了药物的危害,并节省了医疗保健成本. 这种干预可以大幅节省成本,改善患者的治疗结果和系统效率.
科学领域:
- 老年医学 老年医学
- 药物经济学 药物经济学
- 临床药房 临床药房
背景情况:
- 脆弱的老年人经常接受不适当的药物,导致药物不良反应和增加医疗保健成本.
- 老年人处方的查工具在脆弱的成年人与有限的预期寿命 (STOPPFrail) 标准旨在减轻这些问题.
- STOPPFrail干预措施的经济成果尚未得到充分证实.
研究的目的:
- 评估与药剂师领导的STOPPFrail在脆弱,老年养老院居民的实施相关的成本避免.
- 量化减少这种脆弱人群中可能不合适的药物的经济效益.
主要方法:
- 药剂师使用STOPPFrail标准识别出可能不合适的药物.
- 一个多学科小组评价了药物不良事件的概率,如果药物不被处方.
- 计算了净成本效益和成本效益比,包括从处方药物中节省的成本,避免不良药物事件以及医疗保健专业人员的工资.
主要成果:
- 在69名患者中,有176种可能不合适的药物被处方.
- 65%的抑郁症药物具有中等或高概率引起不良药物事件.
- 实现了85909欧元的净成本效益,成本效益比为33.2.2.
结论:
- 药剂师主导的STOPPFrail干预在脆弱的老年养老院居民导致显著的成本避免.
- 这些药剂师主导的干预措施的更广泛采用可以减少不适当的药物使用,防止患者受到伤害,并产生大量的医疗保健节省.
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