药物重复使用计划:文献的叙事审查
Samuel Watts1, John Coutsouvelis1,2, Joanne Wickens1
1Pharmacy Department, Alfred Health, 55 Commercial Road, Melbourne, VIC 3004, Australia.
概括
全球范围内存在安全的药物再利用计划,克服了储存和改等障碍. 澳大利亚可以从实施类似的框架来改变药物再利用的立法和专业实践中获益.
科学领域:
- 制药政策 制药政策
- 公共卫生 公共卫生
- 医疗服务研究 医疗服务研究
背景情况:
- 返回的药物可能保留了安全重复使用的质量.
- 澳大利亚目前缺乏对药物再利用计划的监管指导.
- 国际计划为实施药物再利用提供了洞察力.
研究的目的:
- 审查有关药物再利用计划的国际文献.
- 确定实施策略和潜在的障碍.
- 为澳大利亚关于药物再利用的政策提供信息.
主要方法:
- 使用系统审查和元分析 (PRISMA) 准则的首选报告项目进行叙事审查.
- 在Medline,Scopus和Embase数据库中搜索相关文献.
- 包括2010年以后的英语出版物,补充了灰色文学搜索.
主要成果:
- 包括17个条款;14个禁止重复使用,2个描述了重复使用计划.
- 识别的障碍:储存,改,安全性和有效性问题.
- 成功的国际计划证明了安全有效的药物再利用.
结论:
- 国际药物再利用计划为澳大利亚提供了可行的模式.
- 需要改变立法,监管和专业实践.
- 研究英国和欧洲模式可以为澳大利亚的框架提供信息.
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