薬剤の環境への影響に関する患者の好みと態度: 離散選択実験
Milad Sadreghaemy1, Daphne Philbert1, Eibert R Heerdink1,2
1Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands.
British journal of clinical pharmacology
|August 20, 2025
まとめ
薬に対する患者の好みは 環境への影響,使いやすさ,コストに影響されます. これらの要因を理解することは 持続可能な薬剤のケアを促進し 薬の廃棄を減らすための鍵です
科学分野:
- 医薬品科学
- 環境 健康
- 健康 経済
背景:
- 医薬品は ライフサイクルを通して 重要な地球環境の足跡を持っています
- 薬の特性に対する患者の好みを理解することは,持続可能な薬剤の実践を促進し,廃棄物を減らすための介入の開発に不可欠です.
研究 の 目的:
- 薬の環境への影響に対する患者の好みや態度を調査する.
- 薬に関する患者の意思決定における環境問題と使いやすさとコストの相互作用を分析する.
主な方法:
- 離散選択実験 (DCE) を用いた横断調査は,オランダの慢性的な薬剤使用者に実施された.
- 薬の属性に基づいて,患者の異なる好みのグループを特定するために,潜在的クラス分析を使用した.
主要な成果:
- 環境に配慮した (55.7%),コストに配慮した (20.1%),無関心な (16.4%) およびエコ懐疑的な (7.8%) 患者グループが特定されました.
- 環境の持続可能性に対する態度はグループごとに異なっており,エコに焦点を当てたグループとエコ懐疑的なグループは高いスコアを示しています.
- 薬の環境への影響に関する自己評価は,全体的に低い.
結論:
- 環境の持続可能性は 薬に対する患者の好みに影響を与える重要な要因であるが,かなりの異質性がある.
- 環境に優しい医薬品の提供を推進し 患者さまの様々な優先順位に対応するために 適した戦略が必要である.
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