TUESDAY, Nov. 29 (HealthDay News) -- Nearly 40 percent of
American seniors who receive medical care from a home health agency
take at least one prescription drug that is potentially unsafe or
ineffective for them, according to a new study.
That rate is nearly three times higher than for seniors who get
their prescriptions when visiting a medical office, said study
leader Dr. Yuhua Bao, an assistant professor of public health at
Weill Cornell Medical College, and colleagues.
The researchers also found that home health care patients aged
65 and older take an average of 11 medications and that this use of
multiple drugs is a strong indicator of the presence of potentially
inappropriate medications.
For the study, the researchers analyzed data from more than
3,100 home health care patients aged 65 and older who were included
in the 2007 National Home and Hospice Care Survey and found that 38
percent of those patients took at least one potentially
inappropriate medication.
Patients taking 15 or more medications were five to six times
more likely to be prescribed potentially inappropriate medications
than those taking seven or fewer drugs. Of the patients taking at
least one potentially inappropriate medication, 21 percent took 15
or more medications.
"Elderly patients receiving home health care are usually prescribed medications by a variety of physicians, and it's a great challenge for home health care nurses to deal with prescriptions from many sources," Bao said in a medical college news release.
However, she said home health care also offers a potential
solution.
"Having a medical professional enter an elderly patient's home is an opportunity to do a proper medication review and reconciliation," Bao explained.
The study was released online in advance of publication in an
upcoming print issue of the
Journal of General Internal Medicine.
More information
The AGS Foundation for Health in Aging offers advice about the
safe use of medicines at home.