[生态处方,医疗保健专业人员的新主要技能]
Frédéric Bounoure1, Salomé Dupray2, Julien Wils3
1Laboratoire de pharmacie galénique, Inserm 1239, UNIROUEN, NORDIC, Normandie université, Rouen, France; GHT Rouen Cœur-de-Seine, CHU de Rouen, hôpital Asselin Hédelin d'Yvetot, Rouen, France; OMEDIT de Normandie, Caen, France.
Annales pharmaceutiques francaises
|October 11, 2025
概括
生态处方策略可以显著减少药物的碳足迹. 优先考虑干燥口服形式和粉末吸入器可以降低温室气体排放,促进环保的医疗保健实践.
科学领域:
- 环境科学 环境科学
- 制药科学 制药科学
- 公共卫生 公共卫生
背景情况:
- 医疗保健对国家碳排放做出了重大贡献,其中制药产品是主要来源.
- 药物每年排放9.1万二氧化碳,这凸显了可持续实践的必要性.
研究的目的:
- 为环境可持续的药物使用定义生态处方原则.
- 确定减少制药品碳足迹的策略,而不会影响患者的护理.
主要方法:
- 对现有的建议和文献审查进行分析.
- 对Ecovamed®药物碳足迹数据库进行文献分析和检查.
- 研究集中在使用标准化每日定义剂量 (DDD) 作为功能单位的9种常见药物类别.
主要成果:
- 提出了五个生态处方原则,包括偏好口服干燥形式和粉末吸入器.
- 切换到口服干燥形式可以减少排放量2到130倍;避免压力吸入器可以减少排放量10到20倍.
- 优先考虑使用较低活性成分剂量或组合疗法以及更简单的剂量表的药物,可以进一步减少29-37%的环境影响.
结论:
- 生态处方为医疗保健专业人员提供简单,经济高效的方法来减少制药碳排放.
- 这些原则被整合到一个更广泛的适当护理方法中,代表了向可持续医疗实践的重大转变.
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