Polypharmacy and older people - the GP perspective
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Polypharmacy and older people - the GP perspective. / Vass, M; Hendriksen, C.
I: Zeitschrift fur Gerontologie und Geriatrie, Bind 38 Suppl 1, 2005, s. I14-7.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Polypharmacy and older people - the GP perspective
AU - Vass, M
AU - Hendriksen, C
N1 - Keywords: Aged; Aged, 80 and over; Family Practice; Germany; Health Services for the Aged; Humans; Physician's Practice Patterns; Physician-Patient Relations; Polypharmacy; Practice Guidelines as Topic; Primary Prevention; Risk Assessment; Risk Factors
PY - 2005
Y1 - 2005
N2 - It is well known that problems with compliance rise exponentially when more that 4 drugs are prescribed. The rising use of prescription medicine forces the GP to balance the benefit of evidence group-based appropriate drug use against the problems arising when medication is given to older people and to consider different approaches when evaluating evidence of risk and benefit for the individual. Old people are facing a considerable risk of adverse drug reactions and recent initiatives, including the Continuous Medical Educational Efforts Programme, address issues of inappropriate prescribing practices. The authors recommend and present tools enabling the GP to focus on 'the core prescribing situation'. The logistics to optimise medication including compliance, the use of modern IT and better collaboration and communication between primary and secondary care are in focus. Since medication review is recommended at every encounter, and time consuming comprehensive follow-up will be demanded, 'polypharmacy consultations' surely will be built into GP contracts in the future. The authors state that a number of pharmacological regimens for older people are outperformed by non-pharmacological treatment alternatives involving competent individualised counselling and public provision of easy (transportation) possibilities for joining centres offering staff and equipment for physical and social activity (including basal aids for hearing and sight).
AB - It is well known that problems with compliance rise exponentially when more that 4 drugs are prescribed. The rising use of prescription medicine forces the GP to balance the benefit of evidence group-based appropriate drug use against the problems arising when medication is given to older people and to consider different approaches when evaluating evidence of risk and benefit for the individual. Old people are facing a considerable risk of adverse drug reactions and recent initiatives, including the Continuous Medical Educational Efforts Programme, address issues of inappropriate prescribing practices. The authors recommend and present tools enabling the GP to focus on 'the core prescribing situation'. The logistics to optimise medication including compliance, the use of modern IT and better collaboration and communication between primary and secondary care are in focus. Since medication review is recommended at every encounter, and time consuming comprehensive follow-up will be demanded, 'polypharmacy consultations' surely will be built into GP contracts in the future. The authors state that a number of pharmacological regimens for older people are outperformed by non-pharmacological treatment alternatives involving competent individualised counselling and public provision of easy (transportation) possibilities for joining centres offering staff and equipment for physical and social activity (including basal aids for hearing and sight).
U2 - 10.1007/s00391-005-1104-1
DO - 10.1007/s00391-005-1104-1
M3 - Journal article
C2 - 16189730
VL - 38 Suppl 1
SP - I14-7
JO - Zeitschrift fuer Gerontologie und Geriatrie
JF - Zeitschrift fuer Gerontologie und Geriatrie
SN - 0948-6704
ER -
ID: 9723080