Volume 21 Issue 6
Jun.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(6): 911-915
HUANG Qian, XU Xin, SHAO Jie, ZHANG Fang, CAI Chengjun, HUANG Jiaoling, LIU Wei, ZHANG Shengbing. Potentially inappropriate medications management strategies for elderly patients with coexisting diseases based on the survey of general practitioners in Pudong New Area[J]. Chinese Journal of General Practice, 2023, 21(6): 911-915. doi: 10.16766/j.cnki.issn.1674-4152.003013
Citation: HUANG Qian, XU Xin, SHAO Jie, ZHANG Fang, CAI Chengjun, HUANG Jiaoling, LIU Wei, ZHANG Shengbing. Potentially inappropriate medications management strategies for elderly patients with coexisting diseases based on the survey of general practitioners in Pudong New Area[J]. Chinese Journal of General Practice, 2023, 21(6): 911-915. doi: 10.16766/j.cnki.issn.1674-4152.003013
shu

Potentially inappropriate medications management strategies for elderly patients with coexisting diseases based on the survey of general practitioners in Pudong New Area

doi: 10.16766/j.cnki.issn.1674-4152.003013
  • 1.

    Weifang Community Health Service Center, Pudong New Area, Shanghai 200122, China

Funds:

 PWRd2021-08

 71904145

 PKJ2019-Y48

  • Received Date: 2022-07-05
    Available Online: 2023-08-26
    Abstract
  •   Objective  To investigate the causes of potentially inappropriate medications (PIM) in elderly patients with coexistent diseases and establish management strategies.  Methods  A field survey questionnaire was designed for 21 items of community PIM project. It is divided into three parts: (1) basic information; (2) subjective rationality evaluation of PIM in 21 coexisting diseases; (3) daily frequency of PIM in 21 coexisting diseases, which was self-assessed by using the Likert 7-point scale. From December 2021 to January 2022, a total of 236 general practitioners in 47 community health service centres in Pudong New Area of Shanghai were surveyed online by using mechanical sampling. SPSS 23.0 was used for statistical analysis, and four quadrant analyses were used to analyse the objective frequency, subjective rationality, subjective frequency and self-evaluation of each item.  Results  The rank sum test showed that the objective frequency of 21 PIM items were significantly different from those of subjective rationality evaluation (all P < 0.01). Linear regression analysis was established using the total score of self-assessment of daily occurrence frequency of 21 PIMs as the dependent variable. Results showed that each factor had no significant effect on the self-assessment of daily occurrence frequency of PIM (all P > 0.05). Four-quadrant analysis indicated that the PIM items related to the use of benzodiazepines and to the use of non-steroidal anti-inflammatory drugs (NSAIDs) generally belonged to the second and third quadrants (doctors paid less attention to them, or the frequency of self-evaluation was higher).  Conclusion  At present, general practitioners still lack the awareness of PIM management and control for elderly patients with coexisting diseases. They should strengthen training and establish a standardised management process.

     

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