未使用的药物:绘制整个荷兰医疗保健系统的影响
Rou Qing Chen1, Elisabeth M Smale1,2, Patricia M L A van den Bemt3
1Department of Pharmacy, Pharmacology and Toxicology, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands.
The journal of climate change and health
|February 6, 2026
概括
未使用的药物导致环境污染,并在荷兰医疗保健系统中造成重大经济损失. 减少药物浪费对于可持续性和公共健康至关重要.
科学领域:
- 环境科学 环境科学
- 卫生经济学 卫生经济学
- 制药政策 制药政策
背景情况:
- 未使用的药物会给环境带来风险,增加医疗保健支出.
- 评估药物废弃物对于可持续实践和实现环境目标至关重要.
研究的目的:
- 量化荷兰医疗保健系统中未使用的药物.
- 确定药物废弃物的相关碳足迹和经济影响.
主要方法:
- 荷兰社区,门诊和医院药房的横截面研究.
- 在两周内收集未使用的药物,以定义每日剂量 (DDD) 计量.
- 使用荷兰零售价格计算基于废物的碳排放和经济损失.
主要成果:
- 在所有医疗机构中发现大量未使用的药物.
- 产品数量从每100个发行订单中47个DDD (门诊药房) 到每100个被占用床位中245个DDD (三级护理).
- 记录了大量的碳排放和经济损失,在医院环境中数据更高.
结论:
- 药物废弃物是医疗保健中普遍存在的问题,导致环境污染和经济效率低下.
- 实施尽量减少未使用药物的战略对于环境保护和医疗保健的经济可持续性至关重要.
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