0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Improving the Quality of Medication Use in Elderly Patients:  A Not-So-Simple Prescription

Jerry H. Gurwitz, MD; Paula Rochon, MD, MPH
Arch Intern Med. 2002;162(15):1670-1672. doi:10.1001/archinte.162.15.1670.
Text Size: A A A
Published online

Extract

THE QUALITY of medication prescribing and use in older persons has been a recurring issue of substantial concern for policymakers, regulators, health care researchers, and the public. Although there have been numerous efforts to measure the extent of the problem and to identify areas in greatest need of change, constructing meaningful quality indicators relevant to drug therapy in elderly patients has continued to be a challenge.1 In 1991, Beers et al2 published explicit criteria for determining inappropriate medication use in the institutionalized elderly patient population, which were updated and expanded in 1997.3 The Beers criteria have been widely used by regulators as a drug utilization review tool.4 They have also been used in numerous studies5,6 that examine patterns of potentially inappropriate prescribing in various US populations and clinical settings. In 1994, Willcox and colleagues7 attracted national attention to the issue with the publication of a study that used the Beers criteria to assess inappropriate drug prescribing for community-dwelling elderly patients, using data from the 1987 National Medical Expenditure Survey. The authors reported that US physicians had prescribed potentially inappropriate medications to nearly a quarter of all elderly patients living in the community. Newspapers nationwide reported the study's findings under headlines such as "Medication Peril for the Elderly" and "Docs Giving Many Seniors Wrong Drugs."

Topics

elderly

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 74

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

The Rational Clinical Examination
Case Resolution

The Rational Clinical Examination
Clinical Scenarios

brightcove.createExperiences();