Coma Anna, Modamio Pilar, Lastra Cecilia F, Bouvy Marcel L, Mariño Eduardo L
Department of Pharmacy and Pharmaceutical Technology, Faculty of Pharmacy, University of Barcelona, Barcelona, Spain.
Pharm World Sci. 2008 Jun;30(3):272-7. doi: 10.1007/s11096-007-9177-0. Epub 2007 Nov 16.
To monitor the amount of unused drugs and the cost to the public health system. Setting A random sample of community pharmacies in Barcelona, Spain. Method The drugs were collected from 38 community pharmacies over a period of 7 consecutive working days (excluding Sundays). A questionnaire was designed to evaluate each returned medicine. The resulting data were analyzed and evaluated.
The number of drugs collected at the pharmacy, the characteristics of the clients and the reasons why they returned the drugs, and finally the economic value of the drugs returned and the cost to the public health system.
A total of 227 clients (54.6% women, 64 +/- 20 years-old) returned 1,176 packages to the pharmacy. The number of packages collected in one return ranged from 1 to 121. The number of packages collected per pharmacy ranged from 0 to 188. In more than half of the cases (52.4%) the patients returned their drug in person and in 32.2% of the cases a relative returned it on their behalf. The main reason (28.2%) why drugs were returned was the expiry date. In 24.9% of the cases the patient's condition had improved and there was no further need for the drug. In 20.8% the patient had died. The estimated total cost of the collected drugs was euro8,539.9. Over 75% of this amount (euro6,463.9) had been paid by the public health system.
This study confirms the importance of analyzing the return of unwanted medicines to reduce unnecessary health expenditure. It also highlights the inadequacies of the Spanish health system in the areas of prescription, dispensing and use of medicines. Establishing strategies to reduce the wastage of unused medicines is necessary.
监测未使用药物的数量以及公共卫生系统的成本。地点：西班牙巴塞罗那的社区药房随机样本。方法：在连续7个工作日（不包括周日）内从38家社区药房收集药物。设计了一份问卷来评估每一种退回的药物。对所得数据进行分析和评估。
药房收集的药物数量、客户特征以及他们退回药物的原因，最后是退回药物的经济价值以及公共卫生系统的成本。
共有227名客户（54.6%为女性，年龄64±20岁）向药房退回了1176包药物。一次退回的包裹数量从1到121不等。每家药房收集的包裹数量从0到188不等。在超过一半的案例（52.4%）中，患者亲自退回药物，在32.2%的案例中，亲属代其退回。药物被退回的主要原因（28.2%）是过期。在24.9%的案例中，患者病情好转，不再需要药物。在20.8%的案例中，患者已死亡。所收集药物的估计总成本为8539.9欧元。其中超过75%（6463.9欧元）由公共卫生系统支付。
本研究证实了分析不需要的药物退回情况对于减少不必要的医疗支出的重要性。它还凸显了西班牙卫生系统在药品处方、调配和使用方面的不足。制定减少未使用药物浪费的策略是必要的。
