– 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?
A further vital getting is usually that typical practitioners are responsible for approximately ninety% of opioid prescriptions in Norway.
This examine located big differences in full opioid use and material-precise prescribing designs, reflecting numerous soreness administration techniques throughout Scandinavia. Shifting use patterns recommend evolving prescribing methods and probable shifts in the target team for opioid ache therapy.
The task will Consider the result of a understanding-based training intervention directed at normal practitioners.
Ifølge Eirik Haarr har funnene flere aspekter som er relevante for både sykehusleger og fastleger, i tillegg til å ha et helsetjenesteperspektiv:
In its place, modifications in procurement contracts could Enjoy a task: Through this period, the amount of procurement agreements for morphine in hospitals significantly reduced, whilst the number of agreements for oxycodone amplified.
– Vi sitter på ganske mye registermateriale og skal identifiserer de som bruker opioider speedy. Så vil se om og eventuelt når de startet med adjuvante analgetika og om og det bidrar til mindre bruk av opioider på sikt.
Moreover, metric-dependent variation underscores the need for applying a number of complementary metrics to accurately interpret opioid utilization tendencies.
To achieve our key objective, We are going to concentrate on suffering individuals and their Medical practitioners, as growing opioid use may perhaps take place by the affected individual-medical doctor interaction.
– Jeg har nylig hatt kontakt med to uavhengige anestesiavdelinger som er i en prosess med å skifte til mer morfin og mindre oksykodon. Det at andre faginstanser tenker i samme baner støtter også vår anbefaling.
Fastlegene har den fulle bredde av pasienter – også de pasientene som ikke fikk god nok smertelindring på sykehus. Adult men forskjellene mellom sykehusleger og fastleger kan gå begge veier når det gjelder forskriving, understreker Haarr, som selv er allmennlege ved Byhaugen legesenter i Stavanger to dager i uken.
Final results Healthcare facility oxycodone use improved by 67.0% and primary care prescribing rose by 86.5%. Morphine use improved by twelve.6% in hospitals check here but reduced by 23.two% in Key care. A moderate covariation (Pearson's r = 0.forty eight) involving clinic use and first care prescribing was noticed. Hospital tender agreements for morphine declined by 80%, while All those for oxycodone remained stable. Conclusions Oxycodone use considerably amplified relative to morphine in Norwegian hospitals and primary care. Prescription designs clearly show moderate covariation, suggesting a potential website link involving healthcare facility and first treatment prescribing, though causality remains uncertain. Tender agreements might contribute to prescribing trends in hospitals, with feasible associations in Major care. Importance This review is the 1st to offer quantitative evidence of covariation between in-healthcare facility use and primary treatment opioid prescribing across a countrywide healthcare method. Despite suggestions favoring morphine, oxycodone prescribing continues to rise in Norway, with marked geographical variation. By linking procurement facts, prescription patterns and tender agreements, our results emphasize the need to take into consideration clinic techniques and structural elements when addressing opioid prescribing. These effects give new insights into prospective levers for opioid stewardship across care stages.
Det foreligger ennå ingen info som med sikkerhet kan si risikoen for avhengighet er større for oksykodon enn for andre opioider.
Monitoring opioid prescribing throughout diverse healthcare units is important to knowing inhabitants-degree publicity and informing international health and fitness guidelines.