Hortal Carmona Joaquín, Aguilar Cruz Iván, Parrilla Ruiz Francisco
Unidad de Urgencias y Hospitalización Polivalente, Hospital de Alta Resolución de Guadix, Guadix, Granada, España.
Unidad de Urgencias y Hospitalización Polivalente, Hospital de Alta Resolución de Guadix, Guadix, Granada, España.
Med Clin (Barc). 2015 Apr 20;144(8):362-9. doi: 10.1016/j.medcli.2014.02.026. Epub 2014 Apr 29.
The therapeutic structure of health systems relies heavily on medical prescription, which generates a marked tendency to add drugs to a patient's medical history. There is an absence of incentives for professionals to reassess prescriptions and withdraw those with a negative or neutral risk/benefit. This can create a deviation of medical resources to the maintenance of useless or even harmful treatments. Deprescribing, a process of thoughtful medication withdrawal that complements moderate prescribing, is aimed to stop this unfair deviation of resources towards non-beneficial, if not maleficent, prescription.
卫生系统的治疗结构严重依赖药物处方，这导致了一种明显的倾向，即往患者病历中添加药物。缺乏激励措施促使专业人员重新评估处方并停用那些风险/收益为负面或中性的药物。这可能导致医疗资源偏离到维持无用甚至有害的治疗上。减药是一种经过深思熟虑的停药过程，它是适度开药的补充，旨在阻止资源不公平地偏向无益甚至有害的处方。
