关键词: 老年人, 处方, 多重用药, 立场声明, 解读

Abstract: The elderly has higher demand of health care than other populations，but prescribing in older people is rather complex.As they have ageing organs and declined functions with pharmacokinetic and pharmacodynamic changes and tend to be multimorbid，polypharmacy is very common among the aged.Therefore，how to promote the rational drug use in the context of growing global ageing is a urgent problem to be solved.In August 2018，the Australia and New Zealand Society of Geriatric Medicine（ANZSGM） issued a position statement of prescribing in older people，which indicated many aspects of challenges of prescribing in older people and the adverse outcome of irrational prescription，explained the medical ethics involved and put forward the strategies of improving prescription quality.In light of the important reference value of the position statement to the problem of rational drug use in China，this article illustrates some ideas to improve the prescription in older people combined with domestic situation based on the conclusion of key points from the original text.

Key words: Aged, Prescriptions, Polypharmacy, Position statement, Interpretation