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• W2042716211 abstract "Drug-related illness (DRI) is a common problem in the elderly. Misuse of medications and inappropriate prescribing account for over half of all hospital admissions for DRI and both are potentially preventable. Physicians are the gatekeepers to prescription medication access and, in this role, they have the opportunity to prevent exposure to unnecessary and inappropriate medication and influence the use of medications by their elderly patients. Effective interventions to improve physician prescribing have been identified but they are costly to introduce, they require ongoing maintenance to maintain their effectiveness, they do not address the problems created by multiple prescribers or the challenges of keeping up-to-date on the growing number of new drugs that enter the market each year. Computer-based drug information networks and expert decision-making support systems are proposed as one means of providing (1) an accurate record for the prescribing physicians of drugs currently dispensed to their elderly patients, (2) a review of problems in existing and new prescriptions, and (3) an expert resource to select drug treatment. Canada is in an ideal situation to pioneer the development of these systems, but to do so, policies need to be put in place to address three problems. First, there is inadequate information available about the risks and benefits of drugs in the elderly because older sicker adults are often excluded in clinical trials of drug-effectiveness. Requirements for drug approval need to be amended so that sufficient evaluation of the risks and benefits of new drugs are carried out in the elderly. Second, computerization in the health care sector is central to the development of electronic decision-support systems in health care delivery. Future policy needs to be directed to the development of an effective infrastructure to facilitate the transition to an integrated computerized health sector. Third, the ethical and legal issues related to the access of prescription data through electronic networks need to be identified and clear guidelines for use of this new technology need to be developed. This paper will review the problem of drug-related illness in the elderly, its consequences in terms of avoidable morbidity, and the contribution of physician prescribing to its occurrence. This will be followed by a review of interventions that have proven to be effective in improving physician prescribing as well as the barriers to adopting research into practice. Solutions to overcome these problems will then be outlined and the changes in policy needed to facilitate change will be identified." @default.
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• W2042716211 date "1997-01-01" @default.
• W2042716211 modified "2023-09-24" @default.
• W2042716211 title "Medication Use in the Seniors Population: Optimization of Physician Prescribing as a Means of Preventing Drug-Related Illness" @default.
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• W2042716211 doi "https://doi.org/10.2307/3551546" @default.
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