?????????????????????
????NPO?CIHI?The Canadian Institute for Health Information?????????????????????????????????????????????????????????????13???????????????????????????????????????????????????????
Drug Claims by Seniors: An Analysis Focusing on Potentially Inappropriate Medication Use,2000 to 2006(CIHI?2007.9.13)
http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=reports_dcbs_2007_e
http://secure.cihi.ca/cihiweb/en/downloads/Potentially_Inappropriate_Medications_EN.pdf?
????????????????Beers????Beers criteria?????????????????????????????????????????????????????????????????????????Temazapam????????????????
???Beers???????????????65????????????????????????????????????????1990????3?????????????????????2003????????????????
????????????????????????????????????????????????????????????????????????????????????????????????????
Potentially Inappropriate Medication Use Among Elderly Home Care Patients in Europe?JAMA 2005;293:1348-1358)
??http://jama.ama-assn.org/cgi/content/full/293/11/1348
?????????EU?????????????????
????????????????????
??http://www.d9.dion.ne.jp/~sigma72/Kusuri-Yakugaku3.htm#Anchor26
???????????????????????????????????????????????????????????????????Beers???????17?????????????65???1669??????74.7??????????????2006???????????
?Prevalence of inappropriate medication using Beers criteria in Japanese long-term care facilities
(BMC Geriatrics 2006, 6:1 doi:10.1186/1471-2318-6-1)
??http://www.biomedcentral.com/1471-2318/6/1
??http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1379647
????????356??21.1????????1????????????????????????????????6.3??????????????2.0???????????????????1.9?????????1.5?????????????????1.4????????????
????????Beers???????????????2005????????????????????2005????????????????????????45?????????????7??Beers?????????????????
?????????????????? ?48??????????????
??????????? Vol.44 (2007), No.1 31-34?
??http://www.jstage.jst.go.jp/article/geriatrics/44/1/44_31/_article/-char/ja/
???????????????????????1997???????????CMAJ???????McLeod????McLeod criteria??????????
Defining inappropriate practices in prescribing for elderly people: a national consensus panel?CMAJ. 1997;156:385-391?
??http://www.cmaj.ca/cgi/content/abstract/156/3/385?
?????????????????????????????????????????????????????????????????????????????????????????????????????????
????
Updating the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults?Arch Intern Med. 2003;163:2716-2724?
???http://archinte.ama-assn.org/cgi/content/full/163/22/2716
????????????????????????????
???http://www.d9.dion.ne.jp/~sigma72/Kusuri-Yakugaku3.htm#Anchor24
9?15??1:10??