Background: Elderly patients with multimorbidity have a high prevalence of polypharmacy. Although negative consequences of polypharmacy have been reported, the definition of polypharmacy and inappropriate polypharmacy have not been established. The purpose of this study was to review the definition of polypharmacy and foreign countries’ interventions aimed at improving the appropriate use of polypharmacy in older people. We searched for relevant studies up to December 2024 using MEDLINE, Cochrane Library, and reports using Google. We also conducted web searches and literature reviews in Australia, the United Kingdom, and global organizations such as the World Health Organization (WHO). We found out that polypharmacy can refer to the prescribing of many drugs (appropriately) or too many drugs (inappropriately). Problematic polypharmacy was defined as ‘the prescribing of multiple [medicines] inappropriately, or where the intended benefit of the [medicines] is not realized’. Also, it is necessary to develop guidance on inappropriate polypharmacy and intervention to improve drug-related problems due to polypharmacy among the elderly.
목차
ABSTRACT 연구방법 1. 자료 검색 2. 정책검토 틀 다약제 사용 정의 1. 노인의 다약제 관련 개념분류 2. 다약제 산출방식 다약제 사용 감소를 위한 정책 1. 다약제 사용 개선 정책 유형 2. 국제기구 및 국가별 다약제 사용 개선 활동 3. 국내 노인 다약제 사용 관리 활동 고찰 결론 이해 상충 References
키워드
Definitionelderlypolypharmacy
저자
이선영 [ Sun Young Lee | 공주대학교 보건행정학과 ]
채정미 [ Jungmi Chae | 건강보험심사평가원 심사평가연구실 ]
윤상헌 [ Sang-Heon Yoon | 건강보험심사평가원 심사평가연구실 ]
김동숙 [ Dong-Sook Kim | 공주대학교 보건행정학과 ]
Corresponding Author