未使用的药物回收计划:系统审查
Leong Seng Wang1,2, Zoriah Aziz3,4, Ee Syuen Wang5
1Department of Pharmacology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Journal of pharmaceutical policy and practice
|September 11, 2024
概括
有效的药物回收计划需要可访问的收集点,明确的所有权和支持性立法. 这些要素对于成功的制药废物管理和环境保护至关重要.
科学领域:
- 环境健康 环境健康
- 公共卫生政策 公共卫生政策
- 制药管理 制药管理
背景情况:
- 不适当地处置未使用的药物会给环境带来风险,并导致大量的医疗保健费用.
- 药品回收计划对于管理制药废物至关重要,但它们的有效性在全球范围内各不相同.
- 这项研究系统地审查了国际药物回收计划,以确定需要改进的领域.
研究的目的:
- 系统地审查各个国家的现有药物回收计划.
- 确定有助于这些计划成功或失败的关键因素.
- 为提高药品回收倡议的有效性提供建议.
主要方法:
- 在多个数据库中进行了全面的文献搜索,包括Medline,EMBASE,CINAHL,Web of Science,Scopus和谷歌学者.
- 搜索涵盖了从数据库创建到2023年6月的时间段.
- 该审查综合了27项研究的结果,详细介绍了15个国家的药物回收计划.
主要成果:
- 计划的结构各不相同,从本地,非医疗机构的倡议 (例如,美国) 到国家,医疗机构的模式.
- 收集的药物的成本范围很广 (7,416美元~1,118,020美元),包括神经系统,心血管和食道药物在内的常见类别.
- 收回计划的立法框架存在于美国,大多数欧洲国家和墨西哥,但在西班牙,奥地利,澳大利亚和新西兰没有,尽管计划仍然由政府或行业管理.
结论:
- 结构良好的回收计划的特点是可访问的收集点和定期的时间表.
- 清晰的计划所有权和定义财务责任的立法对于积极的结果至关重要.
- 提高计划的可访问性,所有权的明确性和立法支持可以改善制药废物管理.
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