Investigation of inappropriate medication for long-term care in the elderly residents -case study of the southern institution

• Main Authors: CHU,HSIU-MIN, 朱秀敏
• Other Authors: SHIH, MEI-FEN
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/3n64j7

碩士 === 嘉南藥理大學 === 藥學系 === 104 === The elderly population has been increasing rapidly in these years. Medication safety in this populationhas become very important and urgent issue. Among them, the elderly population in long term care institutions has been neglected due to several reasons, such as social welfare, associated law, and low payments for caring people. This situation brought out some serious problems in the area of medication safety. Among safety issue of medication in the elderly, duplication and inappropriate usage were most common observed. The aims of this study were to explore possible risk factors that causing duplications and inappropriate medications that concern medication safety in long term care institutions. This study was conducted in several elder care and rehabilitation centers and nursing home in southern part of Taiwan.Medication information records were collected following Stopp&Start Criteria (2013). Data was categorized and compared to ATC CODE. Using comparative analysis method (SPSS VER12) to select the matching groups in ATC CODE.The research was conducted extensively the elderly potentially inappropriate medication assessment and the associated risk factors by Logistic regression analysis of polynomials. In this study, long term care institutions Bureau of National Health Insurance drug claims data files, a total of 7115 prescriptions between year 2014 and 2015 were collected. Among these, there were 5046 prescriptions used in age over 65 (age 65-74(22.8%), 75-84 (37.4%), and >85 years (39.9%)), and 2312for men (45.8%) and 2734for women (54.2%). The top 3 types of inappropriate medications were Acetylsalicylic Acid, Antipsychotis, and HMG CoA reductase inhibitors. This study could provide useful information for care of the elderly populations in the usage of medication in the future.