综述解读

多家医疗机构就诊与老年门诊患者用药负担的关联

来源:Cureus · PMID 42965255 · DOI 10.7759/cureus.117252 · 来源:IMA 知识库《文献层·文献监控卡片》2026-11-03 期 · 全文级(file_id dGdXdaLpSURA,实际下载核验 387,231 B) · 全文已获取并通过三重归属校验

时间标签:数据日期 2026-11-03 · 生成时间 2026-11-03 05:30(Asia/Shanghai)| 检索窗口 PubMed edat 2026/10/31 – 2026/11/03 | 情报发生日期 2026-11-03

研究问题

We hypothesized that consulting multiple healthcare facilities would be associated with an increased number of prescribed medications among older adults.;By clarifying this relationship, we aimed to identify a simple indicator that may help healthcare professionals recognize patients at increased risk of medication-related problems and facilitate targeted pharmacist-led medication review and interprofessional care coordination.;We hypothesized that consultation with a greater number of healthcare facilities would be associated with a higher medication burden.

方法

However, despite the widespread recognition that fragmented healthcare may contribute to polypharmacy, quantitative evidence demonstrating the relationship between the number of healthcare facilities consulted and medication burden remains limited.;Materials and methods This retrospective observational study was conducted at Tohoku Medical and Pharmaceutical University Hospital, Japan.;Because advancing age is closely associated with multimorbidity and polypharmacy, an additional analysis was performed to determine whether age influenced the observed association.

核心结论

Overall, these findings demonstrate that consulting multiple healthcare facilities was independently associated with a greater medication burden among older outpatients.;Our findings are consistent with these observations and further suggest that the number of healthcare facilities consulted may serve as a practical indicator of patients at increased risk of excessive medication use.;Conclusions Consulting multiple healthcare facilities was significantly associated with increased medication burden among older outpatients.

局限

However, despite the widespread recognition that fragmented healthcare may contribute to polypharmacy, quantitative evidence demonstrating the relationship between the number of healthcare facilities consulted and medication burden remains limited.;Second, because the analysis was cross-sectional, causal relationships between fragmented healthcare utilization and medication burden cannot be established.

对本项目的价值

参考价值:属「衰老机制与老年临床」方向;其他衰老相关栏目可用作本项目文献库与综述素材。 | 价值分 1.9/5(★★☆☆☆)

全文来源

PubMed PMC JATS(正文 12,351 字符,题名指纹 1.00,已过 DOI 逐字 + 题名指纹 + 正文长度三重归属校验)

原文题录

  • 中文题名:多家医疗机构就诊与老年门诊患者用药负担的关联
  • 英文标题:Association Between Consulting Multiple Healthcare Facilities and Medication Burden Among Older Outpatients.
  • 期刊与标识:Cureus · PMID 42965255 · DOI 10.7759/cureus.117252 · PMC PMC13722514 · EDAT 2026-10-31

C 级证据分级:C 级(预印本 / 观点评论,非原始研究)

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