Evans N
Wandsworth Primary Care Trust Headquarters, 2nd Floor, Teak Tower, Main Building, Springfield University Hospital, 61 Glenburnie Road, London SW17 7DJ, UK.
Heart. 2004 Jun;90 Suppl 4(Suppl 4):iv26-8; discussion iv39-40. doi: 10.1136/hrt.2004.037598.
Prescribing costs for the prevention of cardiovascular disease are rising nationally, particularly in relation to implementation of the National Service Framework for coronary heart disease. Prescribing effective treatment that is going to benefit the patient's overall management--evidence based medicine--is the key to funding drugs for cardiovascular prevention. It is clear that there is a lot of waste within the system. If the current waste in prescribing can be reduced, it should be possible to fund new developments, not only in cardiovascular disease but also in other therapeutic areas.
全国范围内用于预防心血管疾病的处方费用正在上升,尤其是在冠心病国家服务框架的实施方面。开具对患者整体治疗有益的有效药物——循证医学——是为心血管疾病预防药物提供资金的关键。显然,该系统内存在大量浪费现象。如果能够减少当前处方中的浪费,那么不仅有可能为心血管疾病,也为其他治疗领域的新进展提供资金。