Abstract
Quality of care is complicated, especially in the elderly. For a start we need drugs with evidence for the benefits and risks in the elderly, this is currently not always the case. Thereafter we need to use the drugs in an evidence based way, which may be difficult in the complex health care system. To achieve maximum benefit for the patient (outcome) and society (health-economy) a well planned process is needed. This includes; identification, prevention and resolving of the patients drug-related problems decisions and selection of treatment, communication and decisions together with the patient, risk minimisation, and communication within health care. Several of these aspects are presented in this chapter.
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CEBM (2008) Centre for Evidence Based Medicine. www.cebm.utoronto.ca/resources/cds.htm#be. Cited 30 Dec 2008
Donobedian A (2003) An introduction to quality assurance in health care. Oxford University Press, New York
Eriksson T, Henricson K, Arrhenius K, Höglund P, Stenberg P (1999) Perceived problems of pharmacotherapy. A problem detection study among physicians and nurses at a Swedish university hospital. Pharm World Sci 21: 190–193
GRADE (2004) Working Group. Grading quality of evidence and strength of recommendations. BMJ 328: 1490–1497
ICH (1993) Harmonised Tripartite Guideline (E7). Studies in support of special populations: Geriatrics. http://www.ich.org/LOB/media/MEDIA483.pdf. Cited 30 Dec 2008
ICH (2008) The International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use. www.ich.org. Cited 30 Dec 2008
Leapfrog Group (2004) New guide for hospitals on computerised physician order entery (CPOE) gives hospitals much needed resource http://www.leapfroggroup.org/news/leapfrog_news/97902.Cited 30 Dec 2008
Marriott RG, Neil W, Waddingham S (2006) Antipsychotic medication for elderly people with schizophrenia. Cochrane Database of Systematic Reviews, Issue 1. Art. No.: CD005580. DOI:10.1002/14651858.CD005580
Midlöv P, Bondesson Å, Eriksson T, Nerbrand C, Höglund P (2006) Effects of educational outreach visits on prescribing of benzodiazepines and antipsychotic drugs to elderly patients in primary health care in southern Sweden. Family Practice 23: 60–64
O’Brien MA, Rogers S, Jamtvedt G, Oxman AD, Odgaard-Jensen J, Kristoffersen DT, Forsetlund L, Bainbridge D, Freemantle N, Davis DA, Haynes RB, Harvey EL (2007) Educational outreach visits: effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews Issue 4. Art. No.CD000409. DOI10.1002/14651858.CD000409.pub2
Pearce KA, Furberg CD, Psaty BM, Kirk J (1998) Cost-minimization and the number needed to treat in uncomplicated hypertension. Am J Hypertens11: 618–629
National centre for priority setting in health care (2008) Resolving health cares difficult choices-Survey of priority setting in sweden and an analysis of principles and guidelines on priorities in health care http://e.lio.se/prioriteringscentrum/Engelskversion/Engelska%20rapporter%20hela/2008.2.pdf. Cited 30 Dec 2008
Rivetti D, Jefferson T, Thomas R, Rudin M, Rivetti A, Di Pietrantonj C, Demicheli V (2006) Vaccines for preventing influenza in the elderly. Cochrane Database of Systematic Reviews Issue 3. Art. No CD004876. DOI 10.1002/14651858.CD004876.pub2
SBU (2003) The swedish council of on technology assessment in health care (SBU). Geriatric care and treatment. A systematic compilation of existing scientific literature. http://www.sbu.se/upload/Publikationer/Content1/2/Geriatric_Care/Geriatric_Care%20_Treatment.pdf. Cited 30 Dec 2008
Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS (1996) Evidence based medicine: what it is and what it isn’t. BMJ 312: 71–72
Shepherd J, Blauw GJ, Murphy MB, Bollen EL, Buckley BM, Cobbe SM, Ford I (2002) Prospective study of pravastatin in the elderly at risk (PROSPER). Lancet 360: 1623–1630
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Midlöv, P., Eriksson, T., Kragh, A. (2009). Quality of Care in the Elderly. In: Drug-related problems in the elderly. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-2446-6_3
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DOI: https://doi.org/10.1007/978-90-481-2446-6_3
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