2015 NICE指南：医疗体系优化

相关新闻：NICE新指南建议优化医疗体系

Getting the most from medicines for both patients and the NHS is becoming increasingly important as more people are taking more medicines. Medicines prevent, treat or manage many illnesses or conditions and are the most common intervention in healthcare. However, it has been estimated that between 30% and 50% of medicines prescribed for long-term conditions are not taken as intended (World Health Organization 2003). This issue is worsened by the growing number of people with long-term conditions. In 2012, the Department of Health published a report Long term conditions compendium of information: third edition (2012), which suggested that about 15 million people in England now have a long-term condition and the number of long-term conditions a person may have also increases with age: 14% of people aged under 40 years and 58% of people aged 60 years and over report having at least one long-term condition. The report defines a long-term condition as ‘a condition that cannot, at present, be cured but is controlled by medication and/or other treatment/therapies’. When one or more non-curable long-term conditions are diagnosed, this is termed ‘multimorbidity’. The number of people with multimorbidity in 2008 was 1.9 million, but this is expected to rise to 2.9 million by 2018. Twenty-five per cent of people aged over 60 years report having 2 or more long-term conditions.