{"id":11172,"date":"2023-08-07T14:17:30","date_gmt":"2023-08-07T14:17:30","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?page_id=11172"},"modified":"2023-10-06T09:24:07","modified_gmt":"2023-10-06T09:24:07","slug":"case-study-overprescribing","status":"publish","type":"page","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/our-work\/greener-general-practices\/case-study-overprescribing\/","title":{"rendered":"Studium przypadku: Nadmierne przepisywanie"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"11172\" class=\"elementor elementor-11172\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-4f75bf1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4f75bf1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-dc5b586\" data-id=\"dc5b586\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d8617a0 elementor-widget elementor-widget-heading\" data-id=\"d8617a0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Przepisywanie<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bbca563 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"bbca563\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-1fce5ea elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1fce5ea\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wide\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5c1901f\" data-id=\"5c1901f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-58ff034 elementor-widget elementor-widget-heading\" data-id=\"58ff034\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Czy wiesz, \u017ce leki przyczyniaj\u0105 si\u0119 do 60% \u015bladu w\u0119glowego podstawowej opieki zdrowotnej?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-inner-section elementor-element elementor-element-33c2c85 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"33c2c85\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-c09554a\" data-id=\"c09554a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3a1a3b1 elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"3a1a3b1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-heart\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tJe\u015bli to mo\u017cliwe, zach\u0119caj do profilaktyki, np. leczenie stanu przedcukrzycowego poprzez zmian\u0119 stylu \u017cycia\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-cae38db\" data-id=\"cae38db\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-41344cb elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"41344cb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-hand-holding-medical\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tWsp\u00f3\u0142pracuj z pacjentami, aptekami i domami opieki, aby ograniczy\u0107 nadmierne zamawianie lek\u00f3w\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-inner-section elementor-element elementor-element-d0927cb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d0927cb\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-317172d\" data-id=\"317172d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-13e5e6f elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"13e5e6f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-comment-medical\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tPrzynajmniej raz w roku przeprowadzaj ustrukturyzowane przegl\u0105dy lek\u00f3w\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-ca556f2\" data-id=\"ca556f2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7038d90 elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"7038d90\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-leaf\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tW stosownych przypadkach nale\u017cy rozwa\u017cy\u0107 ekologiczne przepisywanie lek\u00f3w przez spo\u0142ecze\u0144stwo\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-b7dd4f7\" data-id=\"b7dd4f7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-77e55c9 elementor-widget elementor-widget-image\" data-id=\"77e55c9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-scaled.jpeg?fit=800%2C534&amp;ssl=1\" class=\"attachment-large size-large wp-image-11551\" alt=\"\" srcset=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-scaled.jpeg?w=2560&amp;ssl=1 2560w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-scaled.jpeg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-scaled.jpeg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-scaled.jpeg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-scaled.jpeg?resize=1536%2C1024&amp;ssl=1 1536w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-scaled.jpeg?resize=2048%2C1365&amp;ssl=1 2048w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-scaled.jpeg?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-scaled.jpeg?resize=150%2C100&amp;ssl=1 150w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-scaled.jpeg?resize=750%2C500&amp;ssl=1 750w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-scaled.jpeg?w=1600&amp;ssl=1 1600w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-scaled.jpeg?w=2400&amp;ssl=1 2400w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-c61283e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c61283e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wide\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a5e6f3c\" data-id=\"a5e6f3c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0e0130f elementor-widget elementor-widget-image\" data-id=\"0e0130f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_276803150-scaled.jpeg?fit=800%2C534&amp;ssl=1\" class=\"attachment-large size-large wp-image-11495\" alt=\"\" srcset=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_276803150-scaled.jpeg?w=2560&amp;ssl=1 2560w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_276803150-scaled.jpeg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_276803150-scaled.jpeg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_276803150-scaled.jpeg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_276803150-scaled.jpeg?resize=1536%2C1024&amp;ssl=1 1536w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_276803150-scaled.jpeg?resize=2048%2C1365&amp;ssl=1 2048w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_276803150-scaled.jpeg?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_276803150-scaled.jpeg?resize=150%2C100&amp;ssl=1 150w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_276803150-scaled.jpeg?resize=750%2C500&amp;ssl=1 750w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_276803150-scaled.jpeg?w=1600&amp;ssl=1 1600w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_276803150-scaled.jpeg?w=2400&amp;ssl=1 2400w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a228ac3 elementor-widget elementor-widget-spacer\" data-id=\"a228ac3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c44cd1d elementor-widget elementor-widget-image\" data-id=\"c44cd1d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"622\" src=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2022\/06\/pharmacy.jpg?fit=800%2C622&amp;ssl=1\" class=\"attachment-large size-large wp-image-725\" alt=\"A member of pharmacy staff reaching for medicines on a shelf.\" srcset=\"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2022\/06\/pharmacy.jpg?w=900&amp;ssl=1 900w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2022\/06\/pharmacy.jpg?resize=300%2C233&amp;ssl=1 300w, https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2022\/06\/pharmacy.jpg?resize=768%2C597&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-e21be23\" data-id=\"e21be23\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-969801f elementor-widget elementor-widget-text-editor\" data-id=\"969801f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Leki przyczyniaj\u0105 si\u0119 do 60% \u015bladu w\u0119glowego podstawowej opieki zdrowotnej, cho\u0107 wiemy, \u017ce leki cz\u0119sto nie s\u0105 przyjmowane zgodnie z zaleceniami, s\u0105 marnowane lub mog\u0105 wyrz\u0105dzi\u0107 szkod\u0119 pacjentom.<\/p>\n<p>NICE szacuje, \u017ce od jednej trzeciej do po\u0142owy lek\u00f3w stosowanych w leczeniu chor\u00f3b przewlek\u0142ych nie jest przyjmowanych zgodnie z zaleceniami, a szacuje si\u0119, \u017ce szkody spowodowane przez leki s\u0105 przyczyn\u0105 ponad 180 000 dni hospitalizacji rocznie. Oko\u0142o 1 na 5 przyj\u0119\u0107 do szpitala os\u00f3b powy\u017cej 65. roku \u017cycia i oko\u0142o 6,5% wszystkich przyj\u0119\u0107 do szpitala jest spowodowanych niekorzystnym dzia\u0142aniem lek\u00f3w. Im wi\u0119cej lek\u00f3w przyjmuje dana osoba, tym wi\u0119ksze jest ryzyko, \u017ce jeden lub wi\u0119cej z tych lek\u00f3w b\u0119dzie mia\u0142o niepo\u017c\u0105dane lub szkodliwe dzia\u0142anie.<\/p>\n<p><strong>Lekarze pierwszego kontaktu i personel kliniczny odpowiedzialny za przepisywanie lek\u00f3w mog\u0105 pom\u00f3c w ograniczeniu nadmiernego przepisywania lek\u00f3w, podejmuj\u0105c nast\u0119puj\u0105ce dzia\u0142ania:<\/strong><\/p>\n<ul>\n<li>Przynajmniej raz w roku przeprowadzaj ustrukturyzowane przegl\u0105dy lek\u00f3w.<\/li>\n<li>Nale\u017cy traktowa\u0107 priorytetowo pacjent\u00f3w obarczonych najwy\u017cszym ryzykiem szkodliwego dzia\u0142ania lek\u00f3w, w tym pacjent\u00f3w w podesz\u0142ym wieku lub os\u0142abionych, pacjent\u00f3w przyjmuj\u0105cych wi\u0119cej ni\u017c 10 lek\u00f3w oraz pacjent\u00f3w przyjmuj\u0105cych leki wysokiego ryzyka, takie jak opiaty, gabapentynoidy, leki nasenne i antycholinergiczne.<\/li>\n<li>Skorzystaj z dost\u0119pnych narz\u0119dzi, aby pom\u00f3c w identyfikacji odpowiedniego depreskrypcji, np. narz\u0119dzia IMPACT i algorytm\u00f3w depreskrypcji w skali PresQIPP i wska\u017anika obci\u0105\u017cenia antycholinergicznego.<\/li>\n<li>Rozwa\u017c wypisanie kr\u00f3tszej recepty podczas rozpoczynania stosowania nowego leku, aby unikn\u0105\u0107 marnowania leku, je\u015bli pacjent nie toleruje go.<br>Edukuj pacjent\u00f3w w zakresie zamawiania lek\u00f3w, aby mie\u0107 pewno\u015b\u0107, \u017ce s\u0105 one zamawiane tylko w razie potrzeby i zmniejszy\u0107 ryzyko gromadzenia zapas\u00f3w.<\/li>\n<li>Wsp\u00f3\u0142pracuj z lokalnymi aptekami i domami opieki, aby ograniczy\u0107 nadmierne zamawianie lek\u00f3w.<\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b54ade8 elementor-widget elementor-widget-text-editor\" data-id=\"b54ade8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\u00a0<\/p><p>W LLR regularnie realizujemy inicjatywy maj\u0105ce na celu zmniejszenie ilo\u015bci marnowanych lek\u00f3w. ICS anga\u017cuje si\u0119 w zr\u00f3wnowa\u017cone przepisywanie lek\u00f3w za po\u015brednictwem dedykowanego zespo\u0142u ds. optymalizacji lek\u00f3w stosowanych w polipragmazji, aby wdro\u017cy\u0107 zalecenia zawarte w krajowym przegl\u0105dzie przepisywania lek\u00f3w z 2021 r. Dotychczasowy post\u0119p obejmuje wspieranie podstawowej opieki zdrowotnej narz\u0119dziami i zasobami umo\u017cliwiaj\u0105cymi podejmowanie dzia\u0142a\u0144 SMR, w tym identyfikacj\u0119 i ustalanie priorytet\u00f3w pacjent\u00f3w z polipragmazj\u0105.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-bc46eea elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bc46eea\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bc45014\" data-id=\"bc45014\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9ba628d elementor-widget elementor-widget-toggle\" data-id=\"9ba628d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1631\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1631\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-info-circle\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-info-circle\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Kliknij tutaj, aby przepisa\u0107 zasoby<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1631\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1631\"><p>LLR APC Nadmierne przepisywanie \/ ograniczanie zasob\u00f3w<\/p><p><a href=\"https:\/\/www.areaprescribingcommitteeleicesterleicestershirerutland.nhs.uk\/guidelines\/category\/polypharmacy-deprescribing\/\">Nadmierne przepisywanie\/ zaprzestanie przepisywania leku \u2013 Komitet ds. przepisywania lek\u00f3w w Leicester, Leicestershire i Rutland (areaprescribingcommitteeleicesterleicestershirerutland.nhs.uk)<\/a><\/p><p>(W przypadku PrescQIPP Twoja praktyka lub farmaceuta PCN powinien mie\u0107 w tym celu dane logowania)<\/p><p>Ulotka \u201eZamawiaj tylko to, czego potrzebujesz\u201d. <a href=\"https:\/\/www.communitypharmacy.scot.nhs.uk\/documents\/nhs_boards\/fife\/Pharmacy%2520Waste\/Medicines_Waste_Leaflet.pdf\">https:\/\/www.communitypharmacy.scot.nhs.uk\/documents\/nhs_boards\/fife\/Pharmacy%20Waste\/Medicines_Waste_Leaflet.pdf<\/a><span class=\"Apple-converted-space\">\u00a0<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Overprescribing Did you know that medication contributes 60% of the carbon footprint of primary care? Encourage preventative care where possible eg. treating pre-diabetes through lifestyle changes Work with patients, pharmacies [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":7957,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","footnotes":""},"class_list":["post-11172","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Case Study: Overprescribing - LLR ICB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/our-work\/greener-general-practices\/case-study-overprescribing\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Case Study: Overprescribing - LLR ICB\" \/>\n<meta property=\"og:description\" content=\"Overprescribing Did you know that medication contributes 60% of the carbon footprint of primary care? 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