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Télécharger le supplément (250 p.) - KCE

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<strong>KCE</strong> Reports 85 S Médecine à l’acte/médecine au forfait – ANNEXES 39<br />

medicaments non remboursés (en tout ou en partie)<br />

Drugs of limited clinical value : topical NSAIDs (≤2,88 items / 100 PU / yr.) (8)<br />

Low rate of prescribing of topical non – steroidal anti-inflammatory drugs (19)<br />

Prescription of vitamin B-12 injections: 12 week intervals (8)<br />

Prescription of vitamin B-12 injections: blood count in the previous year (8)<br />

Prescription of vitamin B-12 injections: hydrocycobalamin (8)<br />

Rate of hypnosedative and anxiolytic prescribing per patient (11)<br />

Performance indicator : effective delivery of appropriate health care : volume of<br />

prescribing of benzodiazepines – ratio of antidepressants to benzodiazepines<br />

(14)<br />

Number of items per 1000 patients for cough suppressants and nasal<br />

decongestants in past year (18)<br />

Number of items for cough suppressants or nasal decongestants/patient (17)<br />

% of total NIC on compound analgesics: co-codamol 30/500 (codeine phosphate<br />

30 mg and paracetamol 500 mg); paracetamol 500 mg and dihydrocodeine 20<br />

mg (17)<br />

Low rate of prescribing of aspirin in children ( < 12 years) (19)<br />

Drugs of limited clinical value : cerebral and peripheral vasodilatators ( ≤<br />

0,6items/100PU/yr.) (8)<br />

Number of items for peripheral and cerebral vasodilatators /patient (17)<br />

Low rate of prescribing of cerebral and peripheral vasodilatators (19)<br />

% of total NIC on drugs of limited clinical value ( cf British National Formulary<br />

Code) : (17)<br />

antidiarrhoeals<br />

peripheral vasodilatators (excluding thymoxamine)<br />

cerebral vasodilatators<br />

cough preparations (excluding methadone and diamorphine)<br />

systemic and topical nasal decongestants<br />

appetite suppressants<br />

bitters and tonics<br />

topical antirheumatics<br />

anti-infective preparation (excluding mupirocin and<br />

chlorhexidine/neomycin)<br />

antiseptic lozenges (?pastil<strong>le</strong>s) and sprays<br />

topical circulatory preparations<br />

Ratio: low risk NSAID to medium and high risk NSAIDs (11)<br />

Percentage of NSAID items comprised by the practice’s top four NSAIDs in past<br />

year : higher is better (18)<br />

DDDs/STAR-PU for oral NSAIDs (17)<br />

Drug choice within a therapeutic group (as % of re<strong>le</strong>vant BNF section):diclofenac<br />

, ibuprofen, indomethicin, naproxen (>=80%) (8)

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