– Mange har en oppfatning av at fastleger generelt ofte er litt mer tilbakeholdne med medikamenter enn sykehusleger. Hvis dette stemmer, er det ikke litt rart at dere fant det motsatte?
However, it is actually not possible to determine with certainty whether the impact goes far more from hospitals to standard practitioners or vice versa, says Haarr.
This review identified important dissimilarities in complete opioid use and material-particular prescribing designs, reflecting varied suffering administration tactics across Scandinavia. Altering use styles counsel evolving prescribing tactics and attainable shifts while in the target team for opioid suffering therapy.
The job will Examine the outcome of the expertise-based mostly education intervention targeted at basic practitioners.
Ifølge Eirik Haarr har funnene flere aspekter som er relevante for både sykehusleger og fastleger, i tillegg til å ha et helsetjenesteperspektiv:
Opioid use declined in Denmark and Sweden—in both one-year user prevalence and volumes of MMEs—while stabilizing in Norway. Norway regularly had a higher and secure prevalence of opioid people. Denmark led in complete amounts of MMEs dispensed, probable on account of a lot more Recurrent morphine and oxycodone use, whereas Norway rated highest in DDDs.
Abstract Qualifications: Raising oxycodone prescribing and its Affiliation with opioid-relevant harms have elevated worries. In Norway, approximately ninety% of opioids are prescribed in primary care, creating Major treatment selections vital that you Over-all opioid publicity. In-hospital use may affect Main treatment practices by means of quite a few mechanisms. This research analyses oxycodone and morphine use in Norwegian hospitals and its association with Most important treatment prescribing from 2010 to 2021, together with a review of tender agreements for these medicines. Solutions: Morphine and oxycodone, accessible in all related formulations, served as opioid proxies to compare covariation in between hospitals as well as their catchment areas. We analyzed 2010-2021 procurement information from hospital pharmacies and first care dispensing info from the Norwegian Prescription Databases for all medical center trusts. Correlations amongst clinic and first treatment morphine-to-oxycodone prescribing check here ratios had been assessed using Pearson's r. Once-a-year tender agreements have been obtained with the national Medical center Procurement Organization. Effects: Hospital oxycodone use enhanced by sixty seven.0% and first care prescribing rose by 86.5%. Morphine use amplified by twelve.six% in hospitals but decreased by 23.
In addition, metric-dependent variation underscores the necessity for employing several complementary metrics to accurately interpret opioid utilization tendencies.
Foruten den sterke økningen i forskrivningen av oksykodon finner de en moderat samvariasjon mellom endringer i forskrivning som skjer på sykehus og de samme endringene i primærhelsetjenesten.
Det ble observert en moderat samvariasjon mellom bruk på sykehus og forskrivning i primærhelsetjenesten. Anbudsavtaler for morfin på sykehus gikk ned med eighty prosent i perioden, mens avtalene for oksykodon forble stabile.
Pasientene blir sammenlignet med seg selv og med opioidbrukere som ikke får adjuvante smertestillende legemidler, forteller Haarr.
Many components, including the escalating usage of opioids between Serious pain sufferers, the rising utilization of powerful opioids in particular, and the soaring amount of overdoses a result of prescription opioids, reveal the prospective commencing of an opioid epidemic in Norway.
Forskerne har analysert utviklingen i bruk av morfin og oksykodon i perioden 2010 til 2021. Samtidig har de undersøkt om endringer i bruken av disse to stoffene i sykehus kan henge sammen med utviklingen i primærhelsetjenesten.
Among the list of undertaking’s main ambitions was to analyze the availability of information compiled by Czech point out establishments and establish their openness and usefulness for study monitoring the usage of psychoactive prescription prescription drugs. We aimed to reply two vital concerns: 1) Do We've got knowledge to watch the usage of psychoactive prescription drugs and their wellness repercussions in the inhabitants?