高齡整合性門診藥師介入之成效

The Effectiveness of Integrated Geriatric Clinic in Reducing Polypharmacy Rate

10.6200/TCMJ.2014.11.2.02

鍾慧(Huei Chung)；楊凱翔(Kai-Hsiung Yang)；楊瑛碧(Ying-Pi Yang)

老人整合性門診 ； 藥師 ； 多重用藥 ； integrated geriatric clinic ； pharmacist ； polypharmacy

北市醫學雜誌

11卷2期（2014 / 06 / 01）

129 - 134

繁體中文

目的：臺灣已經進入高齡化的社會，老年人常見多重慢性病共存，以及藥物使用品項多的現象屢見不鮮。方法：本次以某地區醫院整合性門診，民國98年5月至99年12月間資料，分析整合門診改善多重用藥的成效。結果：結果顯示於整合門診就診前，病患服用9種以上藥品的比例為38.4%，第一次就診後下降為23.2%，結案前更下降為18.2%，顯示透過整合門診團隊介入後，有助改善多重用藥的情況。結論：「整合性門診」的建立是為了提供以病人為中心服務模式，而藥師參與其中，提供完整藥事照護的服務，包含評估（assessment）、擬定治療方針（care plan）以及追蹤改善成效（follow-up），可協助醫療團隊為病患用藥安全把關，提升病患照顧品質。

Objectives: Taiwan has become an aging society. Coexisting of multiple chronic diseases and use of multiple drugs are common among the elderly patients. Methods: We collected patient data between May 2009 to December 2010 from an integrated geriatric clinic of a regional hospital. We analyzed the data to evaluate the effectiveness of the integrated geriatric clinic in reducing polypharmacy rate. Results: The result showed that, before visiting the integrated geriatric clinic, the rate of taking more than nine kinds of drugs was 38.4%. After the first visit, the polypharmacy rate dropped to 23.2%. At the end of the research period, the polypharmacy rate dropped to 18.2%. Conclusion: The purpose of the integrated geriatric clinic was to provide a patient-centered service model for the elderly patients. Involvement of pharmacists in assessment, care plan and follow-up of medications for the elderly patients ensures a safer drug use and elevates the quality of care. We concluded that intervention through the integrated geriatric clinic helps reduce the polypharmacy rate among the elderly patients.

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