title: Medication decisions--right and wrong.
abstract: This paper reviews the recent literature on problems associated with prescription drug use in older adults. The authors address four major issues: Why giving patients the wrong drug is so common; how taking the wrong amount is an even larger problem; why good drugs may be wrong for particular patients; and how high out-of-pocket spending and inadequate insurance coverage may disrupt otherwise sound drug regimens. The organizing theme of this review is the right drug for the right patient, taken in the right way at the right price. Despite significant gaps in the research record the evidence leaves no doubt that elderly individuals are at significant risk for inappropriate medication use. The paper concludes with an agenda for future studies: the need to validate standards for geriatric drug use, assess inappropriate drug use at the national level, establish population-based risk factors, and target research to the most significant adverse outcomes.
authors.affiliation: University of Maryland School of Pharmacy, USA.
authors.forename: Bruce
authors.initials: B
authors.lastname: Stuart
authors.forename: Becky
authors.initials: B
authors.lastname: Briesacher
mesh_terms: D000368:Aged; D002986:Clinical Trials as Topic; D003657:Decision Making; D004345:Drug Industry; D004358:Drug Therapy / Q000191:economics / Q000592:standards; D064420:Drug-Related Side Effects and Adverse Reactions; D006302:Health Services Research; D006801:Humans; D008508:Medication Errors; D009656:North America; D010349:Patient Compliance; D012941:Social Responsibility; D014481:United States; D014486:United States Food and Drug Administration