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首页> 美国卫生研究院文献>Current Controlled Trials in Cardiovascular Medicine >A tailored implementation intervention to implement recommendations addressing polypharmacy in multimorbid patients: study protocol of a cluster randomized controlled trial
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A tailored implementation intervention to implement recommendations addressing polypharmacy in multimorbid patients: study protocol of a cluster randomized controlled trial

机译：量身定制的实施干预措施以针对多病患者实施针对多种药物的建议：一项集群随机对照试验的研究方案

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BackgroundMultimorbid patients frequently receive complex medication regimens and are at higher risk for adverse drug reactions and hospitalisations. Managing patients with polypharmacy is demanding, because it requires coordination of multiple prescribers and intensive monitoring. Three evidence-based recommendations addressing polypharmacy in primary care are structured medication counselling, use of medication lists and medication reviews to avoid potentially inappropriate medication (PIM). Although promising to improve patient outcomes, these recommendations are not well implemented in German routine care. Implementation of guidelines is often hindered by specific “determinants of change”. “Tailored” interventions are designed to specifically address previously identified determinants. This study examines a tailored intervention tto implement the aforementioned recommendations into German primary care practices. This study is part of the European Tailored Interventions for Chronic Diseases project, which aims at contributing knowledge about the methods used for tailoring.
机译：背景多病患者经常接受复杂的药物治疗，药物不良反应和住院的风险较高。要求对具有多药房的患者进行管理，因为它需要多个处方者的协调和严格的监控。针对基层医疗中的多药业的三项基于证据的建议是结构化的药物咨询，药物清单的使用和药物审查，以避免潜在的不适当药物治疗（PIM）。尽管有希望改善患者预后，但这些建议在德国的常规护理中并未得到很好的实施。准则的实施通常受到具体的“决定因素”的阻碍。 “量身定制”的干预措施旨在专门解决先前确定的决定因素。本研究研究了量身定制的干预措施，以将上述建议实施到德国的初级保健实践中。这项研究是“欧洲针对慢性病的量身定制干预措施”项目的一部分，该项目旨在提供有关剪裁方法的知识。

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