{"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\/ro\/our-work\/greener-general-practices\/case-study-overprescribing\/","title":{"rendered":"Studiu de caz: supraprescriere"},"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\">Suprascrierea<\/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\">\u0218tia\u021bi c\u0103 medicamentele contribuie cu 60% din amprenta de carbon a asisten\u021bei primare?<\/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\t\u00cencuraja\u021bi \u00eengrijirea preventiv\u0103 acolo unde este posibil, de ex. tratarea pre-diabetului prin modific\u0103ri ale stilului de via\u021b\u0103\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\tLucra\u021bi cu pacien\u021bii, farmaciile \u0219i casele de \u00eengrijire pentru a reduce comanda excesiv\u0103 de medicamente\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\tEfectua\u021bi revizuiri structurate ale medicamentelor cel pu\u021bin o dat\u0103 pe an\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\tLua\u021bi \u00een considerare prescrierea social\u0103 ecologic\u0103, acolo unde este cazul\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>Medicamentele contribuie cu 60% din amprenta de carbon a asisten\u021bei medicale primare, totu\u0219i \u0219tim c\u0103 medicamentele adesea nu sunt luate conform prescrip\u021biei, sunt risipite sau pot d\u0103una pacien\u021bilor.<\/p>\n<p>NICE estimeaz\u0103 c\u0103 \u00eentre o treime \u0219i jum\u0103tate dintre medicamentele pentru afec\u021biuni pe termen lung nu sunt luate a\u0219a cum este prescris \u0219i se estimeaz\u0103 c\u0103 daunele medicamentelor sunt responsabile pentru peste 180 000 de zile de pat de spital pe an. Aproximativ 1 din 5 intern\u0103ri \u00een spital la persoanele de peste 65 de ani \u0219i aproximativ 6,51 TP3T din totalul intern\u0103rilor \u00een spital sunt cauzate de efectele adverse ale medicamentelor. Cu c\u00e2t o persoan\u0103 ia mai multe medicamente, cu at\u00e2t exist\u0103 mai multe \u0219anse ca unul sau mai multe dintre aceste medicamente s\u0103 aib\u0103 un efect nedorit sau d\u0103un\u0103tor.<\/p>\n<p><strong>Medicii generali de familie \u0219i personalul clinic responsabil cu prescrierea medicamentelor pot ajuta la reducerea prescrierii excesive prin luarea urm\u0103toarelor ac\u021biuni:<\/strong><\/p>\n<ul>\n<li>Efectua\u021bi revizuiri structurate ale medicamentelor cel pu\u021bin o dat\u0103 pe an.<\/li>\n<li>Acorda\u021bi prioritate pacien\u021bilor care prezint\u0103 cel mai mare risc de afectare a medicamentelor, inclusiv pacien\u021bii v\u00e2rstnici sau fragili, cei care iau mai mult de 10 medicamente \u0219i pacien\u021bii cu medicamente cu risc ridicat, cum ar fi opiacee, gabapentinoide, hipnotice, anticolinergice.<\/li>\n<li>Utiliza\u021bi instrumentele disponibile pentru a ajuta la identificarea deprescrip\u021biei adecvate, cum ar fi instrumentul IMPACT \u0219i algoritmii de deprescriere pentru PresQIPP \u0219i scorul de sarcin\u0103 anticolinergic\u0103.<\/li>\n<li>Lua\u021bi \u00een considerare furnizarea unei re\u021bete mai scurte la ini\u021bierea unui nou medicament pentru a evita risipa dac\u0103 nu este tolerat\u0103 de pacient.<br>Educa\u021bi pacien\u021bii cu privire la comandarea medicamentelor pentru a v\u0103 asigura c\u0103 sunt comandate numai atunci c\u00e2nd este necesar \u0219i pentru a reduce riscul de stocare.<\/li>\n<li>Lucra\u021bi \u00een colaborare cu farmaciile comunitare \u0219i casele de \u00eengrijire pentru a reduce comanda excesiv\u0103 de medicamente.<\/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>\u00cen LLR am lansat \u00een mod regulat ini\u021biative pentru a ob\u021bine o reducere a cantit\u0103\u021bii de medicamente risipite. ICS se angajeaz\u0103 s\u0103 prescrie o prescrip\u021bie durabil\u0103 printr-o echip\u0103 dedicat\u0103 de optimizare a medicamentelor Polypharmacy pentru a implementa recomand\u0103rile din cadrul National Overprescribing Review 2021. Progresul p\u00e2n\u0103 \u00een prezent include sprijinirea asisten\u021bei medicale primare cu instrumente \u0219i resurse pentru realizarea SMR, inclusiv identificarea \u0219i prioritizarea pacien\u021bilor cu polifarmacie.<\/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\">Face\u021bi clic aici pentru resurse de supraprescriere<\/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 Supraprescrierea \/ Deprescrierea resurselor<\/p><p><a href=\"https:\/\/www.areaprescribingcommitteeleicesterleicestershirerutland.nhs.uk\/guidelines\/category\/polypharmacy-deprescribing\/\">Supraprescriere\/Deprescriere \u2013 Comitetul de prescrip\u021bie din zona Leicester, Leicestershire \u0219i Rutland (areaprescribingcommitteeleicesterleicestershirerutland.nhs.uk)<\/a><\/p><p>(Pentru PrescQIPP, cabinetul dumneavoastr\u0103 sau farmacistul PCN ar trebui s\u0103 aib\u0103 detalii de conectare pentru aceasta)<\/p><p>Pliant \u201eComand\u0103 doar ceea ce ai nevoie\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 v27.7 - 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\/ro\/our-work\/greener-general-practices\/case-study-overprescribing\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\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? Encourage preventative care where possible eg. treating pre-diabetes through lifestyle changes Work with patients, pharmacies [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/our-work\/greener-general-practices\/case-study-overprescribing\/\" \/>\n<meta property=\"og:site_name\" content=\"LLR ICB\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NHSLLR\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-06T09:24:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-1024x683.jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@NHS_LLR\" \/>\n<meta name=\"twitter:label1\" content=\"Timp estimat pentru citire\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/our-work\\\/greener-general-practices\\\/case-study-overprescribing\\\/\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/our-work\\\/greener-general-practices\\\/case-study-overprescribing\\\/\",\"name\":\"Case Study: Overprescribing - LLR ICB\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/our-work\\\/greener-general-practices\\\/case-study-overprescribing\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/our-work\\\/greener-general-practices\\\/case-study-overprescribing\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/wp-content\\\/uploads\\\/2023\\\/08\\\/AdobeStock_329374994-1024x683.jpeg\",\"datePublished\":\"2023-08-07T14:17:30+00:00\",\"dateModified\":\"2023-10-06T09:24:07+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/our-work\\\/greener-general-practices\\\/case-study-overprescribing\\\/#breadcrumb\"},\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/our-work\\\/greener-general-practices\\\/case-study-overprescribing\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"ro-RO\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/our-work\\\/greener-general-practices\\\/case-study-overprescribing\\\/#primaryimage\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/wp-content\\\/uploads\\\/2023\\\/08\\\/AdobeStock_329374994-1024x683.jpeg\",\"contentUrl\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/wp-content\\\/uploads\\\/2023\\\/08\\\/AdobeStock_329374994-1024x683.jpeg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/our-work\\\/greener-general-practices\\\/case-study-overprescribing\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Our Work\",\"item\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/our-work\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Greener General Practices\",\"item\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/our-work\\\/greener-general-practices\\\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Case Study: Overprescribing\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#website\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/\",\"name\":\"LLR ICB\",\"description\":\"LLR Integrated Care Board\",\"publisher\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"ro-RO\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#organization\",\"name\":\"LLR ICB\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ro-RO\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/i0.wp.com\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/wp-content\\\/uploads\\\/2022\\\/06\\\/New-Project-4.jpg?fit=452%2C93&ssl=1\",\"contentUrl\":\"https:\\\/\\\/i0.wp.com\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/wp-content\\\/uploads\\\/2022\\\/06\\\/New-Project-4.jpg?fit=452%2C93&ssl=1\",\"width\":452,\"height\":93,\"caption\":\"LLR ICB\"},\"image\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/NHSLLR\",\"https:\\\/\\\/x.com\\\/NHS_LLR\",\"https:\\\/\\\/www.instagram.com\\\/nhsllr\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Studiu de caz: Prescriere excesiv\u0103 - LLR ICB","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/our-work\/greener-general-practices\/case-study-overprescribing\/","og_locale":"ro_RO","og_type":"article","og_title":"Case Study: Overprescribing - LLR ICB","og_description":"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;]","og_url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/our-work\/greener-general-practices\/case-study-overprescribing\/","og_site_name":"LLR ICB","article_publisher":"https:\/\/www.facebook.com\/NHSLLR","article_modified_time":"2023-10-06T09:24:07+00:00","og_image":[{"url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-1024x683.jpeg","type":"","width":"","height":""}],"twitter_card":"summary_large_image","twitter_site":"@NHS_LLR","twitter_misc":{"Timp estimat pentru citire":"3 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/our-work\/greener-general-practices\/case-study-overprescribing\/","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/our-work\/greener-general-practices\/case-study-overprescribing\/","name":"Studiu de caz: Prescriere excesiv\u0103 - LLR ICB","isPartOf":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#website"},"primaryImageOfPage":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/our-work\/greener-general-practices\/case-study-overprescribing\/#primaryimage"},"image":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/our-work\/greener-general-practices\/case-study-overprescribing\/#primaryimage"},"thumbnailUrl":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-1024x683.jpeg","datePublished":"2023-08-07T14:17:30+00:00","dateModified":"2023-10-06T09:24:07+00:00","breadcrumb":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/our-work\/greener-general-practices\/case-study-overprescribing\/#breadcrumb"},"inLanguage":"ro-RO","potentialAction":[{"@type":"ReadAction","target":["https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/our-work\/greener-general-practices\/case-study-overprescribing\/"]}]},{"@type":"ImageObject","inLanguage":"ro-RO","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/our-work\/greener-general-practices\/case-study-overprescribing\/#primaryimage","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-1024x683.jpeg","contentUrl":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/08\/AdobeStock_329374994-1024x683.jpeg"},{"@type":"BreadcrumbList","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/our-work\/greener-general-practices\/case-study-overprescribing\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/"},{"@type":"ListItem","position":2,"name":"Our Work","item":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/our-work\/"},{"@type":"ListItem","position":3,"name":"Greener General Practices","item":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/our-work\/greener-general-practices\/"},{"@type":"ListItem","position":4,"name":"Case Study: Overprescribing"}]},{"@type":"WebSite","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#website","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/","name":"LLR ICB","description":"LLR Integrated Care Board","publisher":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"ro-RO"},{"@type":"Organization","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#organization","name":"LLR ICB","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/","logo":{"@type":"ImageObject","inLanguage":"ro-RO","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#\/schema\/logo\/image\/","url":"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2022\/06\/New-Project-4.jpg?fit=452%2C93&ssl=1","contentUrl":"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2022\/06\/New-Project-4.jpg?fit=452%2C93&ssl=1","width":452,"height":93,"caption":"LLR ICB"},"image":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/NHSLLR","https:\/\/x.com\/NHS_LLR","https:\/\/www.instagram.com\/nhsllr\/"]}]}},"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/pages\/11172","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/comments?post=11172"}],"version-history":[{"count":25,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/pages\/11172\/revisions"}],"predecessor-version":[{"id":12988,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/pages\/11172\/revisions\/12988"}],"up":[{"embeddable":true,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/pages\/7957"}],"wp:attachment":[{"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/wp-json\/wp\/v2\/media?parent=11172"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}