Abstract:

Active implementation of patient-centered polypharmacy management for older adults with multimorbidity can help to identify and correct the medication errors that patients may have, avoid the occurrence of potential medication errors, reduce and control the development of drug-related diseases, improve the clinical treatment effect, and delay the disease progression, thereby facilitating the achievement of targets for disease control, and improvement of quality of life of patients. In the light of problems of polypharmacy in Chinese elderly patients with multimorbidity, we summarized relevant interventions including strengthening top-level design of management, building multidisciplinary teams, innovating medication management technologies, and meeting patients'needs of drug information, providing a reference for medication management of these patients. We found that problems of polypharmacy in Chinese elderly patients are serious, and actively exploring multiple approaches to polypharmacy management based on medication features of these patients may be a key breakthrough for addressing the problems.

Key words: Elderly, Multimorbidity, Medication management, Analysis and comment

摘要：

积极落实以老年慢性病共病患者为中心的多重用药管理策略，能够识别和纠正老年慢性病共病患者的用药差错，避免潜在用药错误的发生，减少并控制药源性疾病的发生与发展，进而有助于提高疾病临床治疗效果，延缓疾病发展进程，从而有利于疾病控制达标，提高老年慢性病共病患者的生活质量。本研究针对老年慢性病共病患者存在的多重用药问题，从强化顶层设计、组建老年多学科团队、革新患者药物管理产品技术、满足患者对药物信息的需求等方面对干预措施进行总结，旨在为今后我国老年慢性病共病患者的用药管理提供参考。本研究发现，老年慢性病共病患者多重用药问题突出。基于老年人的用药特点，积极探索多途径的多重用药管理策略是目前改善老年慢性病共病患者多重用药问题的重要突破点。

关键词: 老年人, 慢性病共病, 用药管理, 分析与评论