老年药学服务的特点和思考  

The characteristics and reflections on geriatric pharmacy services

作　　者：朱愿超[1] 金鹏飞[1] Zhu Yuanchao;Jin Pengfei(Department of Pharmacy,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing Key Laboratory of Assessment of Clinical Drugs Risk and Individual Application(Beijing Hospital),Beijing 100730,China)

机构地区：[1]北京医院药学部、国家老年医学中心、中国医学科学院老年医学研究院、北京市药物临床风险与个体化应用评价重点实验室(北京医院),北京100730

出　　处：《中华老年医学杂志》2025年第2期117-121,共5页Chinese Journal of Geriatrics

基　　金：中央高水平医院临床科研业务费(BJ-2022-173);药物不良反应杂志《2024年药物安全研究项目》(ADR2024MS09)。

摘　　要：老年药学对提高老年人合理用药水平、促进健康长寿起到重要作用。老年药学服务是老年药学的重要组成部分,对于促进老年人群的合理用药具有重要意义。本文介绍了老年药学服务的概念和目标,从药动学改变、药效学改变、多病共存和多重用药引发药物不良反应、用药安全意识和用药依从性差4个方面分析了老年药学服务的特殊性。阐述了老年药学服务的主要内容,包括基础服务、优化服务和增强服务3个方面。同时,介绍了老年药学健康发展的主要策略,包括扩大老年药学服务的覆盖范围、扩充能提供老年药学服务的药师队伍、增强全国范围内适老化改革等,以期为我国老年药学服务的发展提供参考。Geriatric pharmacy plays a critical role in enhancing the rational use of medications among the elderly,thereby contributing to their health and longevity.Geriatric pharmacy services are a vital component of this field,significantly promoting appropriate medication use within the elderly population.This article introduces the concept and objectives of geriatric pharmacy services,analyzing their unique characteristics from four key perspectives:pharmacokinetic and pharmacodynamic changes,multimorbidity and polypharmacy leading to adverse drug reactions,medication safety awareness,and challenges related to medication adherence.Additionally,the article discusses the primary components of geriatric pharmacy services,including foundational,optimization,and enhanced services.Furthermore,it presents strategies for the effective development of geriatric pharmacy,such as expanding the coverage of these services,increasing the workforce capable of delivering them,and promoting national age-friendly reforms,with the aim of providing reference points for the advancement of geriatric pharmacy services in China.

关 键 词：药学服务 门诊医疗 老年药学 

分 类 号：R969.3[医药卫生—药理学]