预防处方药滥用的经济有效的干预措施:系统审查
L Yesenia Rodríguez-Tanta1, Amanda Summers1, Fadia T Shaya1
1Department of Practice, Sciences and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD, United States.
Frontiers in public health
|March 19, 2025
概括
对处方药滥用的成本有效干预措施 (PDM) 是有前途的,特别是在与阿片类药物相关的问题上. 然而,目前的战略需要扩展,以涵盖更多类型的药物,并纳入更广泛的社会影响,以全面预防.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 药物经济学 药物经济学
背景情况:
- 处方药滥用 (PDM) 是阿片类药物危机的主要原因之一.
- 阿片类药物,类药物和兴奋剂是参与PDM的关键药物.
- 确定具有成本效益的PDM预防策略对于公共卫生至关重要.
研究的目的:
- 系统地审查最近关于预防处方药滥用干预措施的成本效益研究.
- 综合PDM预防策略的经济价值的发现.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE等) 中进行系统搜索. 从2019年1月开始到2024年6月.
- 包括全面的经济评估 (成本效益和成本效益分析).
- 独立选,数据提取和质量评估由两名审稿人进行,并进行叙事综合.
主要成果:
- 确定了八种PDM的公平到良好的质量干预措施,重点是处方行为,纳洛分发,阿片类药物使用障碍的药物治疗和教育.
- 没有确定的干预措施专门针对二或兴奋剂的滥用.
- 所有评估的干预措施都被发现具有成本效益,特别是在医疗保健方面,尽管方法有所不同.
结论:
- 目前的PDM干预措施具有成本效益,但范围有限,特别是在非阿片类药物处方药方面.
- 需要对二胺和兴奋剂滥用的干预措施进行进一步的研究.
- 评估处方药监测计划 (PDMP) 和纳入社会观点对于未来的PDM预防策略至关重要.
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