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首页> 美国卫生研究院文献>Pharmacy: Journal of Pharmacy Education and Practice >Deprescribing: Practical Ways to Support Person-Centred Evidence-Based Deprescribing
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Deprescribing: Practical Ways to Support Person-Centred Evidence-Based Deprescribing

机译：弃用：支持以人为中心基于证据的弃用的实用方法

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摘要

Deprescribing is complex and multifactorial with multiple approaches described in the literature. Internationally, there are guidelines and tools available to aid clinicians and patients to identify and safely withdraw inappropriate medications, post a shared decision-making medicines optimisation review. The increase in available treatments and use of single disease model guidelines have led to a healthcare system geared towards prescribing, with deprescribing often seen as a separate activity. Deprescribing should be seen as part of prescribing, and is a key element in ensuring patients remain on the most appropriate medications at the correct doses for them. Due to the complex nature of polypharmacy, every patient experience and relationship with medications is unique. The individual’s history must be incorporated into a patient-centred medication review, in order for medicines to remain optimal through changes in circumstance and health. Knowledge of the law and appropriate recording is important to ensure consent is adequately gained and recorded in line with processes followed when initiating a medication. In recent years, with the increase in interested clinicians globally, a number of prominent networks have grown, creating crucial links for both research and sharing of good practice.
机译：使用文献中描述的多种方法，去处方是复杂和多因素的。在国际上，有指南和工具可用于帮助临床医生和患者识别并安全地撤回不合适的药物，并发布共同的决策药物优化审查报告。可用治疗方法的增加和单一疾病模型指南的使用导致了针对处方的医疗保健系统，而处方通常被视为单独的活动。开处方应该被视为开处方的一部分，并且是确保患者以最适合自己的正确剂量服用最合适药物的关键要素。由于多元药房的复杂性质，每位患者的经历和与药物的关系都是独特的。必须将个人的病史纳入以患者为中心的用药审查中，以使药物通过环境和健康的变化而保持最佳状态。法律知识和适当的记录对于确保充分同意并在开始用药时遵循的过程进行记录很重要。近年来，随着全球感兴趣的临床医生的增加，许多著名的网络已经发展壮大，为研究和良好实践的共享建立了至关重要的联系。

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