| Summary: | 碩士 === 嘉南藥理大學 === 藥學系 === 104 === When the pharmacists in the health care community pharmacies accepted the prescription dispensing, elderly patients over 65 years were potentially prone to inappropriate medication. In order to understand the drugs risk factors and inappropriate of elderly chronic prescription, the study analyzed the community health care drug prescription dispensing behavior of hypertension, hyperglycemia, dyslipidemia patients with physical and mental illness. This research selected the Bureau of National Health Insurance drug claims data files of 65 year or older prescription as materials of this study and conducted the transected retrospective study to analyze and discuss. Based on the AGS 2012 Beers criteria and evaluation criteria for the 2013 STOPP & START Toolkit assessment, the research conducted Logistic regression analysis of polynomials to analyze the elderly potentially inappropriate medication assessment and the associated risk factors.
Based on community health care Bureau of National Health Insurance drug claims data file, there are 11922 prescriptions and 37568 medical files between 2012 to 2015. The number of effectively rendered elderly sheets over the age of 65 prescription are 4889 people of which boys accounted 2248 people (46%) and girls accounted for 2641 people (54%). Based on the age, the 65-74 years old accounted for 2339 people (47.8%) and the 75-84 years old accounted for 1968 people (40.3%), and the higher than 85 years age 582 people (11.9%).
The results of the analysis, potentially inappropriate prescriptions of 65 years or older accounted for 17316 numbers of drugs. Assessment by AGS 2012 Beers criteria, the results of 65 years of age or old were prone to potentially inappropriate medication for 6979 times accounted the ratio (40.3%). The potentially inappropriate medication were 6389 times which accounted the ratio (36.9%) by 2013 STOPP & START Toolkit. The medication may have these drugs : Acetylsalicylic Acid、Alprazolam、Atorvastatin、Quetiapine、Rosuvastatin and Clonazepam.
The results show that in health care community pharmacies, pharmacists need to pay more attention to the relevant risk factors when receiving elderly patients prescription dispensing and provide the drug related problems people may encounter and the possible side effects of drugs, and conduct drug counseling and tracking to increase the safety of the patient medication to enhance pharmacists professional services.
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