罗德岛州一项医疗保健点药物检查计划的成本分析
Javier A Cepeda1, Erin Thompson2, Merci Ujeneza2
1Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Drug and alcohol dependence
|November 24, 2023
概括
实施富里埃变换红外光谱 (FTIR) 等先进的药物检查技术对于社区减少危害服务是可行的. 这项试点研究评估了FTIR的成本,发现它是减少过量风险的可行选择.
科学领域:
- 公共卫生 公共卫生
- 减少伤害 减少伤害
- 分析化学 分析化学
背景情况:
- 药物检查是一种减少危害的策略,旨在向社区提供有关药物供应的信息.
- 芬太尼试验条广泛使用,但社区组织正在考虑使用更先进的技术,如富里埃变换红外光谱 (FTIR) 等.
- FTIR提供非破坏性的多种物质检测,并快速传达结果,但其社区实施成本尚不清楚.
研究的目的:
- 评估使用FTIR光谱的试点药物检查服务的实施成本.
- 在社区环境中使用FTIR检查每种药物的成本.
- 为扩大先进药物检查服务的资源分配提供信息.
主要方法:
- 在罗德岛 (2023年1月至2023年5月) 的试点药物检查服务上进行了成本分析.
- 该服务包括FTIR光谱仪,芬太尼试卷和确认测试.
- 微成本方法用于计算总成本和测试药物成本.
主要成果:
- 在101个药物样本中,53%的测试结果为芬太尼,39%为可卡因,9%为甲基胺和13%为克西拉阳性.
- 试点期间的总成本为71,044美元,每个药物的检查成本为474.4美元.
- 敏感性分析预计,如果包括专业培训费用,则成本更高 (每次测试为78,058美元至83,058美元或544美元至593美元).
结论:
- 该研究表明,在社区环境中实施FTIR光谱检查药物检查的可行性.
- 调查结果提供了有关扩大药物检查服务所需资源的重要数据.
- 这种方法可以通过提高药物供应意识,大大有助于降低过量使用风险.
相关概念视频
Health Information Technology and Healthcare Information System
846
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
846
Drug Concentrations: Measurements
377
Drug concentration is the quantity of a drug present in a biological sample. Measuring drug amounts in biological samples allows the clinician to understand how a drug is absorbed, distributed, metabolized, and excreted. Samples can be obtained through invasive or non-invasive methods. Invasive techniques involve surgical or parenteral interventions to gather blood, cerebrospinal fluid, or tissue biopsy. Conversely, non-invasive approaches provide samples like urine, feces, and saliva.
Plasma...
Plasma...
377
Drug Dosage Regimen: Overview
3.6K
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
3.6K
Rational Dosage Regimen: Maintenance Dose and Loading Dose
4.1K
A rational dosage regimen considers a drug's pharmacokinetics, including its absorption, distribution, metabolism, and elimination from the body. By understanding these factors, the appropriate dosage can be determined, and the dosing schedule can be designed to achieve and maintain the desired therapeutic effect while minimizing adverse effects.
In most cases, drugs are administered repetitively or infused continuously to maintain a steady-state concentration in the body. At a steady...
In most cases, drugs are administered repetitively or infused continuously to maintain a steady-state concentration in the body. At a steady...
4.1K
Pharmacovigilance
857
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
857


