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

doi:10.1001/archinte.162.15.1670

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Vol. 162 No. 15, August 12, 2002

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Improving the Quality of Medication Use in Elderly Patients

A Not-So-Simple Prescription

Arch Intern Med. 2002;162:1670-1672.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The best way to get rid of a problem is to hold it up to the brightlight and look at it from all sides.
—Andy Rooney

THE QUALITY of medication prescribing and use in older personshas been a recurring issue of substantial concern for policymakers,regulators, health care researchers, and the public. Althoughthere have been numerous efforts to measure the extent of theproblem and to identify areas in greatest need of change, constructingmeaningful quality indicators relevant to drug therapy in elderlypatients has continued to be a challenge.¹ In 1991, Beers etal² published explicit criteria for determining inappropriatemedication use in the institutionalized elderly patient population,which were updated and expanded in 1997.³ The Beers criteriahave been widely used by regulators as a drug utilization reviewtool.⁴ They have also been used in numerous studies^5-6 thatexamine patterns of potentially inappropriate prescribing . . . [Full Text of this Article]

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