노인 다제약물 관리 프로그램의 현황과 과제

• 영문명: Polypharmacy Management Program: Current Status and Emerging Challenges in Older Patients
• 발행기관: 대한임상노인의학회
• 저자명: 신우영(Woo-young Shin) 송정수(Jung Soo Song) 김정하(Jung-ha Kim)
• 간행물 정보: 『대한임상노인의학회지』대한임상노인의학회지 제22권 제2호, 55~60쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2021.12.31

영문 초록

Polypharmacy is a major public health concern globally with aging populations and the increase in the prevalence of multimorbidity. This review provides an overview of polypharmacy and its management programs in older patients and describes the development direction and challenges of polypharmacy management strategies while considering the current situation in Korea. Although polypharmacy is often regarded as the routine use of at least five medications, the definition is more useful in terms of clinical appropriateness rather than the number of medications administered. The goal of polypharmacy management should be to ensure rational prescription based on clinical evidence and appropriate medication use in consideration of the patient’s individual factors. In order for doctors, nurses, and pharmacists to collaborate within a multidisciplinary team to ensure a comprehensive medication review, it would be effective to implement a management model in the form of a systematic program within the healthcare delivery system. Some countries are introducing sustainable polypharmacy management programs and developing standardized polypharmacy guidelines. It is required to conduct further benchmark studies of polypharmacy management programs in other countries that have proven their effectiveness while considering the Korean situation.

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키워드

Elderly Management Polypharmacy