药学服务新模式--处方精简(Deprescribing)

Deprescribing:A New Model of Pharmacy Service

"处方精简(Deprescribing)"于2003年由Woodward MC首先提出,是指对可能导致患者损害或患者不再获益的用药,减少该药剂量或停用该药的计划和管理过程;其目标是减少用药负担和损害,同时维持或提高生活质量。多重用药对老年人具有较大的风险,在有效管理和监控下,处方精简是可行和安全的。处方精简流程和步骤包括:评估患者的用药是否有利于目前的适应证;权衡继续用药的获益与害处;制订处方精简的计划并进行沟通;对处方进行精简并进行监控。

The word ＂Deprescribing＂was created by Woodward MC in 2003,which is defined as the planned and supervised process of dose reduction or stopping of medication that may be causing harm or no longer be of benefit. The goal of deprescribing is to reduce medication burden and harm,while maintaining or improving quality of life. Polypharmacy in the elderly carries numerous risks.Deprescribing is feasible and safe when supervised and monitored.All deprescribing algorithms and＂steps＂include： evaluating need for ongoing indication of each medication,weighing benefit and harm of continuing,developing and communicating a plan for deprescribing,and carrying out deprescribing actions and monitoring.