实施跨部门协作药物审查,以减少住院老年患者可能不适当的药物使用:混合方法研究协议
Aravinda Kumar1, Rajesh Kumar Konduru1, Saranya Rajaram2
1Department of Pharmacology, Pondicherry Institute of Medical Sciences, Ganapathichettikulam, Puducherry, IN.
JMIR research protocols
|June 12, 2025
概括
这项研究评估了协作药物审查 (CMR) 以减少老年印度患者的不适当处方. 它探讨了实施可行性,成本和有效性,旨在改善患者护理和降低医疗保健费用.
科学领域:
- 老年医学 老年医学
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多药在印度老年人群中是一个重大问题,导致不良健康结果和增加成本.
- 可能不合适的药物 (PIMs) 需要识别和干预策略.
- 协作药物审查 (CMR) 提供了一个以团队为基础的方法来优化药物使用.
研究的目的:
- 评估实施部门间协作药物评估 (CMR) 的可行性,以减少印度住院老年患者的PIM.
- 从医疗保健提供者的角度识别CMR实施的促进者和障碍.
- 确定部门间CMR的成本和有效性.
主要方法:
- 一项采用多中心混合方法方法的五阶段研究.
- 范围审查,SOP开发和CMR团队的培训.
- 与280名老年患者进行的准实验性研究,使用MAI和STOPP/START标准,以及定性访谈和重点小组.
主要成果:
- 该研究协议已获得资金和伦理审批.
- 第一阶段和第二阶段已经完成;随后的阶段正在进行中,预计将于2025年8月完成.
- 最终的数据分析和稿件提交预计将于2025年12月完成.
结论:
- 这项研究将为印度医疗保健环境中CMR的实施和有效性提供关键的见解.
- 了解促进者,障碍和成本对于成功采用CMR至关重要.
- 预计跨专业的CMR将加强护理协调,改善治疗结果,并降低多病症老年患者的成本.
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