通过重新分配未使用的口服抗癌药物来节省成本和减少浪费:ROAD研究
Elisabeth M Smale1, Bart J F van den Bemt1,2, Eibert R Heerdink3,4,5
1Department of Pharmacy, Radboud University Medical Center, Nijmegen, the Netherlands.
JAMA oncology
|November 16, 2023
概括
重新分配未使用的口服抗癌药物可显著减少68.1%的浪费,并可节省大量成本,提高癌症治疗的可持续性. 这一战略提高了昂贵疗法的财务和生态可行性.
科学领域:
- 在瘤学瘤学.
- 制药科学 制药科学
- 卫生经济学 卫生经济学
背景情况:
- 昂贵的口服抗癌药物往往没有使用,导致大量的财务和生态浪费.
- 需要新的策略来提高癌症治疗的可持续性.
- 如果药物的质量得到保证,重新分配未使用的口服抗癌药物是潜在的解决方案.
研究的目的:
- 为了确定废物减少和净成本节省从重新分配未使用的口服抗癌药物相比标准的处置.
- 评估药物再分配计划的可行性和影响.
主要方法:
- 一项前性单组干预研究 (ROAD研究) 在荷兰4家医院门诊药房进行.
- 接受室温存储的口服抗癌药物的患者有资格;未使用的药物被返回并以质量保证重新分配.
- 数据从2021年2月到2023年2月收集,对患者进行了12个月的随访.
主要成果:
- 在1071名参与者中,171人退回了335个未使用的药物包;228人重新分配,减少了68.1%的浪费.
- 再分配产生了平均每年净成本节省680美元至1591美元的每位参与者.
- 这占药品总成本的2.4%,表明了显著的经济效益.
结论:
- 重新分配未使用的口服抗癌药物是减少浪费和节省成本的有效策略.
- 这种方法可以提高癌症治疗的负担能力和可持续性.
- 质量保证对于药物再分配计划的成功实施至关重要.
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