본문 바로가기
HOME> 저널/프로시딩 > 저널/프로시딩 검색상세

저널/프로시딩 상세정보

권호별목차 / 소장처보기

H : 소장처정보

T : 목차정보

Journal of the American Geriatrics Society 43건

  1. [해외논문]   Nurse and Medical Provider Perspectives on Antibiotic Stewardship in Nursing Homes   SCI SCIE SSCI

    Scales, Kezia (School of Nursing, Duke University, Durham, North Carolina ) , Zimmerman, Sheryl (Cecil G. Sheps Center for Health Services Research, University of North Carolina‐Chapel Hill, Chapel Hill, North Carolina ) , Reed, David (Cecil G. Sheps Center for Health Services Research, University of North Carolina‐Chapel Hill, Chapel Hill, North Carolina ) , Beeber, Anna Song (Cecil G. Sheps Center for Health Services Research, University of North Carolina‐Chapel Hill, Chapel Hill, North Carolina ) , Kistler, Christine E. (Cecil G. Sheps Center for Health Services Research, University of North Carolina‐Chapel Hill, Chapel Hill, North Carolina ) , Preisser, John S. (Gillings School of Global Public Health, University of North Carolina‐Chapel Hill, Chapel Hill, North Carolina ) , Weiner, Bryan J. (Gillings School of Global Public Health, University of North Carolina‐Chapel Hill, Chapel Hill, North Carolina ) , Ward, Kimberly (Cecil G. Sheps Center for Health Services Research, University of North Carolina‐Chapel Hill, Chapel Hill, North Carolina ) , Fann, Amy (Liberty Healthcare Corporation of North Caro) , Sloane, Philip D.
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 165 - 171 , 2017 , 0002-8614 ,

    초록

    Objectives To examine perspectives on antibiotic use and antibiotic stewardship of nurses and medical providers in nursing homes (NHs). Design Cross‐sectional survey. Setting NHs in North Carolina (N = 31). Participants Nursing staff (n = 182) and medical providers (n = 50). Measurements Respondents completed a self‐administered questionnaire about their perspectives on antibiotic use in their NH, the influence of residents and families on antibiotic prescribing decisions, and readiness to improve antibiotic stewardship. Open‐ended questions on barriers to antibiotic stewardship were also asked. Linear mixed modeling was used to analyze differences between respondent groups and to test for associations with individual and organizational characteristics. Results All respondents supported reducing antibiotic use, although medical providers’ support was significantly stronger ( P = .005). When asked about their perception of residents’ and family members’ preference for antibiotic use in the case of suspected infection and the influence of that preference on antibiotic‐prescribing decisions, respondents indicated that residents and families favor antibiotic use and influence prescribing decisions. Nurses reported a stronger perception than medical providers that families prefer antibiotics ( P = .04) and influence prescribing decisions ( P = .02). All respondents reported commitment and efficacy to change practices (mean 4.0–4.1 for nurses and 3.6–3.9 for medical providers on a 5‐point scale). Four significant associations related to organizational and individual characteristics were found: directors of nursing and specialist nurses reported greater self‐efficacy for changing practice than other nurses ( P = .003), medical providers with a subspecialty (e.g., geriatrics) reported greater self‐efficacy ( P = .007) and commitment to change ( P = .001) than those without a subspecialty, and medical providers specializing in hospice and palliative care rated family influence ( P = .006) higher than those with other subspecialties. Conclusion Nursing staff and medical providers share a commitment to reducing unnecessary antibiotic use. Antibiotic stewardship interventions should foster cooperation and build competency to implement alternative management approaches and to educate residents and families. Nurse leaders and medical providers with long‐term care training may be especially effective champions for antibiotic stewardship.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  2. [해외논문]   A Dyadic Perspective on Engagement in Advance Care Planning   SCI SCIE SSCI

    Fried, Terri (Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Connecticut ) , Zenoni, Maria (Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Connecticut ) , Iannone, Lynne (Program on Aging, Yale School of Medicine, New Haven, Connecticut)
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 172 - 178 , 2017 , 0002-8614 ,

    초록

    Objectives To understand the perspectives of both patients and the person who would make medical decisions for them if they were unable (surrogates) on their participation in advance care planning (ACP). Design Qualitative cross‐sectional study. Setting Community. Participants Thirty‐one veterans age 55 years and older and their surrogates. Measurements In interviews conducted with both the veteran and surrogate, they were asked to discuss their participation in four ACP activities: communication about life‐sustaining treatment, communication about views on quality of life, completion of a living will, and appointment of a healthcare proxy. They were asked about barriers to and facilitators of ACP engagement. When they did not agree about engagement, they each provided their perspective on what they believed had or had not occurred. Results Many of the same barriers to and facilitators of engagement were discussed by both patients and surrogates. These included difficulty thinking about dying, differences in values, and experiences with others that demonstrated the ability of ACP to decrease burden or avoid conflict. Reasons for disagreements in perceptions about whether communication had occurred included surrogates’ need for more detailed information, surrogates’ lack of readiness to hear what the patient was saying, and surrogates’ reliance on what they know about the patient. For some dyads, participation in the study prompted additional communication, resulting in a better shared understanding of ACP engagement. Conclusion Surrogates can both impede and facilitate engagement in ACP, and they can hold different perceptions from patients regarding this engagement. Efforts to promote ACP may be most successful if they assess and address both patients’ and surrogates’ attitudes and help to facilitate clear communication between them.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  3. [해외논문]   Factors Influencing Transitions Between Frailty States in Elderly Adults: The Progetto Veneto Anziani Longitudinal Study   SCI SCIE SSCI

    Trevisan, Caterina (Geriatrics Division, Department of Medicine, University of Padova, Padova, Italy) , Veronese, Nicola (Geriatrics Division, Department of Medicine, University of Padova, Padova, Italy) , Maggi, Stefania (Aging Branch, Institute of Neuroscience, National Research Council, Padova, Italy) , Baggio, Giovannella (Internal Medicine Division, Azienda Ospedaliera, Padova, Italy) , Toffanello, Elena Debora (Geriatrics Division, Department of Medicine, University of Padova, Padova, Italy) , Zambon, Sabina (Aging Branch, Institute of Neuroscience, National Research Council, Padova, Italy) , Sartori, Leonardo (Clinica Medica I, Department of Medicine, University of Padova, Padova, Italy) , Musacchio, Estella (Internal Medicine Division, Azienda Ospedaliera, Padova, Italy) , Perissinotto, Egle (Biostatistics, Epidemiology and Public Health Unit, Department of Car) , Crepaldi, Gaetano , Manzato, Enzo , Sergi, Giuseppe
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 179 - 184 , 2017 , 0002-8614 ,

    초록

    Objectives To investigate frailty state transitions in a cohort of older Italian adults to identify factors exacerbating or improving frailty conditions. Design Population‐based longitudinal study with mean follow‐up of 4.4 years. Setting Community. Participants Individuals enrolled in the Progetto Veneto Anziani (Pro.V.A.) (N = 2,925; n = 1,179 male, n = 1,746 female; mean age 74.4 ± 7.3). Measurements Frailty was identified at baseline and follow‐up based on the presence of at least three Fried criteria; prefrailty was defined as the presence of one or two Fried criteria. Anthropometric, socioeconomic, and clinical characteristics were assessed at baseline in a personal interview and clinical examination using validated scales and medical history. Results During the study period, 1,114 (38.1%) subjects retained their baseline frailty status, 1,066 (36.4%) had a transition in frailty status, and the remainder of the sample died. Older age, female sex, obesity, cardiovascular disease, osteoarthritis, smoking, loss of vision, low levels of self‐sufficiency and physical performance, cognitive impairment, hypovitaminosis D, hyperuricemia, and polypharmacy were associated with increasing frailty and greater mortality. Conversely, overweight, low to moderate drinking, high educational level, and living alone were associated with decreasing frailty. Conclusions Frailty was confirmed as a dynamic syndrome, with socioeconomic and clinical factors that could be targets of preventive actions influencing transitions to better or worse frailty status.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  4. [해외논문]   Management of Atrial Fibrillation in Elderly Adults   SCI SCIE SSCI

    Desai, Yaanik (School of Medicine, Emory University, Atlanta, Georgia ) , El‐ (Cardiology Division, School of Medicine, Emory University, Atlanta, Georgia ) , Chami, Mikhael F. (Cardiology Division, School of Medicine, Emory University, Atlanta, Georgia ) , Leon, Angel R. (Cardiology Division, School of Medicine, Emory University, Atlanta, Georgia) , Merchant, Faisal M.
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 185 - 193 , 2017 , 0002-8614 ,

    초록

    Driven in large part by the aging of the population and the increasing prevalence of cardiovascular comorbidities associated with atrial fibrillation (AF), there is a burgeoning epidemic of AF in elderly adults. Although there is a large body of literature to guide management of people with AF, elderly adults with AF are frequently underrepresented in clinical trials. This review provides a contemporary update on management of elderly adults with AF with a particular focus on the two main clinical challenges that AF poses: stroke risk reduction and control of symptoms. The evidence to support novel AF treatment strategies in elderly adults is reviewed, including novel oral anticoagulants and left atrial appendage closure for stroke risk reduction and catheter ablation for control of symptoms.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  5. [해외논문]   Midlife Cognitive Ability, Education, and Tooth Loss in Older Danes   SCI SCIE SSCI

    Bachkati, Kristine Harrsen (Section of Social Medicine, Department of Public Health, University of Copenhagen, Copenhagen, Denmark) , Mortensen, Erik Lykke (Danish Aging Research Center, University of Southern Denmark, Odense, Denmark) , Brønnum‐ (Section of Social Medicine, Department of Public Health, University of Copenhagen, Copenhagen, Denmark) , Hansen, Henrik (Department of Odontology, University of Copenhagen, Copenhagen, Denmark) , Holm‐ , Pedersen, Poul
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 194 - 199 , 2017 , 0002-8614 ,

    초록

    Objective To examine the possible influence of cognitive ability and education at age 50 or 60 on number of teeth at age 70. Setting Community‐dwelling population in Copenhagen, Denmark. Participants Men and women born in 1914 (N = 302). Measurements Cognitive ability was assessed using the Wechsler Adult Intelligence Scale at age 50 or 60. A global cognitive ability measure was used as a continuous measure and according to tertile. Information on education was gathered using a questionnaire at age 50 or 60. A clinical oral examination took place at age 70, and oral health was measured according to number of teeth ( Results Logistic regression analyses revealed that greater cognitive ability and educational attainment had a protective effect against risk of tooth loss. The associations were significant and persisted after adjusting for confounders and a two‐way interaction between cognitive ability and education. Conclusion Higher education level and cognitive ability measured at age 50 or 60 were associated with having more teeth at age 70. Whether these findings are due to the interaction of these factors with oral health, related socioeconomic factors, or other factors remains to be studied.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  6. [해외논문]   Long‐Term Hormone Replacement Therapy Is Associated with Low Coronary Artery Calcium Levels in a Cohort of Older Women: The Age, Gene/Environment Susceptibility—Reykjavik Study   SCI SCIE SSCI

    Gudmundsson, Adalsteinn (Landspitali University Hospital, Reykjavik, Iceland) , Aspelund, Thor (University of Iceland, Reykjavik, Iceland) , Sigurdsson, Gunnar (Landspitali University Hospital, Reykjavik, Iceland) , Harris, Tamara (Intramural Research Program, National Institute on Aging, Bethesda, Maryland ) , Launer, Lenore J. (Intramural Research Program, National Institute on Aging, Bethesda, Maryland ) , Gudnason, Vilmundur (University of Iceland, Reykjavik, Iceland) , Jonsson, Helgi (Landspitali University Hospital, Reykjavik, Iceland)
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 200 - 206 , 2017 , 0002-8614 ,

    초록

    Objectives To assess the relationship between hormone replacement therapy (HRT) and coronary artery calcium (CAC). Design Cross‐sectional. Setting Established population‐based cohort in Reykjavik, Iceland. Participants Women (mean age 76 ± 5) who had completed questionnaires on HRT use (N = 2,867). Measurements Coronary artery calcium assessed using computed tomography was the outcome variable and was compared between women with history of HRT and those who had never used HRT and analyzed according to age, length of use, and time after menopause that HRT was initiated. Results Eight hundred seventy‐two (30.4%) participants had used HRT, and 312 (10.9%) were current users. After adjustment for age, other late‐life variables, and a propensity score based on midlife data for HRT use as observed in late life, there were significant negative associations between CAC and history and length of HRT use. This association was evident in all age categories. When HRT had been used for longer than 15 years, median CAC level was less than 50% of that observed in never users. The lowest CAC was observed in those who started HRT within 5 years after menopause. The prevalence of coronary events was comparable in both groups. Conclusion A strong association was found between long‐term HRT use and low CAC. The negative association between duration of HRT and CAC was evident in all age groups of older women.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  7. [해외논문]   Team‐Based Interprofessional Competency Training for Dementia Screening and Management   SCI SCIE SSCI

    Tan, Zaldy S. (Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, Los Angeles, California ) , Damron‐ (University of California, Los Angeles, Los Angeles, California ) , Rodriguez, JoAnn (University of California, Los Angeles, Los Angeles, California ) , Cadogan, Mary (Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, Los Angeles, California ) , Gans, Daphna (Health Services Advisory Group, Glendale, California ) , Price, Rachel M. (Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, Los Angeles, California ) , Merkin, Sharon S. (Division of Geriatrics, Department of Medicine, David Geffen School of Medicine, Los Angeles, California ) , Jennings, Lee (Los Angeles County—Olive View—University of California, Los Angeles Medical Center, Sylmar, California ) , Schickedanz, Heather (Western University of Health Sciences , Pomona, California ) , Shimomura, Sam (California Association of Long Term Care Medicine, Los Angeles, California ) , Osterweil, Dan (Division of Geriatric Medicine and Palliative Care, School of Medicine, New York University, New York, New York) , Chodosh, Joshua
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 207 - 211 , 2017 , 0002-8614 ,

    초록

    As many as 50% of people satisfying diagnostic criteria for dementia are undiagnosed. A team‐based training program for dementia screening and management was developed targeting four professions (medicine, nursing, pharmacy, social work) whose scope of practice involves dementia care. An interprofessional group of 10 faculty members was trained to facilitate four interactive competency stations on dementia screening, differential diagnoses, dementia management and team care planning, and screening for and managing caregiver stress. Registrants were organized into teams of five members, with at least one member of each profession per team. The teams rotated through all stations, completing assigned tasks through interprofessional collaboration. A total of 117 professionals (51 physicians, 11 nurses, 20 pharmacists, 24 social workers, 11 others) successfully completed the program. Change scores showed significant improvements in overall competence in dementia assessment and intervention (very low = 1; very high = 5; average change 1.12, P P P

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  8. [해외논문]   Reductions in Medication‐Related Hospitalizations in Older Adults with Medication Management by Hospital and Community Pharmacists: A Quasi‐Experimental Study   SCI SCIE SSCI

    Pellegrin, Karen L. (Continuing Education and Strategic Planning, Center for Rural Health Science, Daniel K. Inouye College of Pharmacy, University of Hawaii, Hilo, Hawaii ) , Krenk, Les (Hawaii Community Pharmacist Association, Lihue, Hawaii ) , Oakes, Sheena Jolson (Maui Clinic Pharmacy, Kahului, Hawaii ) , Ciarleglio, Anita (Daniel K. Inouye College of Pharmacy, University of Hawaii, Hilo, Hawaii ) , Lynn, Joanne (Center for Elder Care and Advanced Illness, Altarum Institute, Washington, District of Columbia ) , McInnis, Terry (Blue Thorn Inc., Cary, North Carolina ) , Bairos, Alistair W. (Kona Community Hospital, Hawaii Health Systems Corporation, Kealakekua, Hawaii ) , Gomez, Lara (Department of Clinical Education, Daniel K. Inouye College of Pharmacy, University of Hawaii, Hilo, Hawaii ) , McCrary, Mercedes Benitez (U.S. Public Health Service, Center for Medicare and Medicaid Innovation, Baltimore, Maryland ) , Hanlon, Alexandra L. (Department of Biostatistics, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania ) , Miyamura, Jill (Hawaii Health Information Corporation, Honolulu, Hawaii)
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 212 - 219 , 2017 , 0002-8614 ,

    초록

    Objectives To evaluate the association between a system of medication management services provided by specially trained hospital and community pharmacists (Pharm2Pharm) and rates and costs of medication‐related hospitalization in older adults. Design Quasi‐experimental interrupted time series design comparing intervention and nonintervention hospitals using a mixed‐effects analysis that modeled the intervention as a time‐dependent variable. Setting Sequential implementation of Pharm2Pharm at six general nonfederal acute care hospitals in Hawaii with more than 50 beds in 2013 and 2014. All five other such hospitals served as a contemporaneous comparison group. Participants Adult inpatients who met criteria for being at risk for medication problems (N = 2,083), 62% of whom were aged 65 or older. Intervention A state‐wide system of medication management services provided by specially trained hospital and community pharmacists serving high‐risk individuals from hospitalization through transition to home and for up to 1 year after discharge. Measurements Medication‐related hospitalization rate per 1,000 admissions of individuals aged 65 and older, adjusted for case mix; estimate of costs of hospitalizations and actual costs of pharmacist services. Results The predicted, case mix–adjusted medication‐related hospitalization rate of individuals aged 65 and older was 36.5% lower in the Pharm2Pharm hospitals after implementation than in the nonintervention hospitals ( P = .01). The estimated annualized cost of avoided admissions was $6.6 million. The annual cost of the pharmacist services for all Pharm2Pharm participants was $ 1.8 million. Conclusion The Pharm2Pharm model was associated with an estimated 36% reduction in the medication‐related hospitalization rate for older adults and a 2.6:1 return on investment, highlighting the value of pharmacists as drug therapy experts in geriatric care.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  9. [해외논문]   My Sister Ra Died a Hero   SCI SCIE SSCI

    Hazzard, William R. (J. Paul Sticht Center on Aging, School of Medicine, Wake Forest University, Winston‐Salem, North Carolina)
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 220 - 221 , 2017 , 0002-8614 ,

    초록

    Objectives To evaluate the association between a system of medication management services provided by specially trained hospital and community pharmacists (Pharm2Pharm) and rates and costs of medication‐related hospitalization in older adults. Design Quasi‐experimental interrupted time series design comparing intervention and nonintervention hospitals using a mixed‐effects analysis that modeled the intervention as a time‐dependent variable. Setting Sequential implementation of Pharm2Pharm at six general nonfederal acute care hospitals in Hawaii with more than 50 beds in 2013 and 2014. All five other such hospitals served as a contemporaneous comparison group. Participants Adult inpatients who met criteria for being at risk for medication problems (N = 2,083), 62% of whom were aged 65 or older. Intervention A state‐wide system of medication management services provided by specially trained hospital and community pharmacists serving high‐risk individuals from hospitalization through transition to home and for up to 1 year after discharge. Measurements Medication‐related hospitalization rate per 1,000 admissions of individuals aged 65 and older, adjusted for case mix; estimate of costs of hospitalizations and actual costs of pharmacist services. Results The predicted, case mix–adjusted medication‐related hospitalization rate of individuals aged 65 and older was 36.5% lower in the Pharm2Pharm hospitals after implementation than in the nonintervention hospitals ( P = .01). The estimated annualized cost of avoided admissions was $6.6 million. The annual cost of the pharmacist services for all Pharm2Pharm participants was $ 1.8 million. Conclusion The Pharm2Pharm model was associated with an estimated 36% reduction in the medication‐related hospitalization rate for older adults and a 2.6:1 return on investment, highlighting the value of pharmacists as drug therapy experts in geriatric care.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  10. [해외논문]   Our Hidden Patients   SCI SCIE SSCI

    Donix, Markus (Department of Psychiatry, University Hospital Carl Gustav Carus, Technische Universität, Dresden, Germany)
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 221 - 221 , 2017 , 0002-8614 ,

    초록

    Objectives To evaluate the association between a system of medication management services provided by specially trained hospital and community pharmacists (Pharm2Pharm) and rates and costs of medication‐related hospitalization in older adults. Design Quasi‐experimental interrupted time series design comparing intervention and nonintervention hospitals using a mixed‐effects analysis that modeled the intervention as a time‐dependent variable. Setting Sequential implementation of Pharm2Pharm at six general nonfederal acute care hospitals in Hawaii with more than 50 beds in 2013 and 2014. All five other such hospitals served as a contemporaneous comparison group. Participants Adult inpatients who met criteria for being at risk for medication problems (N = 2,083), 62% of whom were aged 65 or older. Intervention A state‐wide system of medication management services provided by specially trained hospital and community pharmacists serving high‐risk individuals from hospitalization through transition to home and for up to 1 year after discharge. Measurements Medication‐related hospitalization rate per 1,000 admissions of individuals aged 65 and older, adjusted for case mix; estimate of costs of hospitalizations and actual costs of pharmacist services. Results The predicted, case mix–adjusted medication‐related hospitalization rate of individuals aged 65 and older was 36.5% lower in the Pharm2Pharm hospitals after implementation than in the nonintervention hospitals ( P = .01). The estimated annualized cost of avoided admissions was $6.6 million. The annual cost of the pharmacist services for all Pharm2Pharm participants was $ 1.8 million. Conclusion The Pharm2Pharm model was associated with an estimated 36% reduction in the medication‐related hospitalization rate for older adults and a 2.6:1 return on investment, highlighting the value of pharmacists as drug therapy experts in geriatric care.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지

논문관련 이미지