剂量圆和药物瓶优化的比较,以减少抗癌药物浪费
Tomohiko Harada1,2, Eiseki Usami3, Takuya Aso1
1Department of Pharmacy, Kanagawa Prefectural Ashigarakami Hospital, Ashigarakami-Gun, Kanagawa, Japan.
概括
剂量圆化 (DR) 在日本显著减少抗癌药物浪费和成本,比药物瓶优化 (DVO) 更有效. 这一策略将废弃药物和相关的医疗保健费用降到最低.
科学领域:
- 在瘤学瘤学.
- 药物经济学 药物经济学
- 医疗保健管理的管理
背景情况:
- 注射抗癌药物往往导致药物浪费,因为患者特定的剂量.
- 大量的药物浪费有助于增加医疗保健成本.
- 药物瓶优化 (DVO) 和剂量圆化 (DR) 是减少浪费的潜在解决方案.
研究的目的:
- 评估DVO和DR作为减少抗癌药物浪费的战略.
- 评估DR的可行性,以尽量减少日本的药物浪费和成本.
- 为了比较DVO和DR在减少药物浪费方面的有效性.
主要方法:
- 对接受贝瓦西祖马布,拉穆西鲁马布,格姆奇塔宾或莱沃福利纳特的患者进行了回顾性分析.
- 从电子医疗记录中提取实际的药物量.
- 在DVO和DR场景下计算药物使用情况.
- 药物废弃物减少和成本节约的估计.
主要成果:
- 与DVO相比,剂量圆形化 (DR) 在减少药物浪费方面表现出更高的有效性.
- 在奥加基市立医院观察到凝胺的零废物,并在DR的两个参与机构观察到叶酸盐.
- 不管患者数量或药物管理量,DR的效率更高.
结论:
- 剂量圆形化 (DR) 是一种高效的策略,可以最大限度地减少抗癌药物浪费.
- 由于DR独立于患者数量和药物数量,因此在医疗保健机构中广泛适用.
- 应该在日本推广DR,以减少与毒品相关的成本,提高医疗保健的效率.
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