阿曼苏丹卡布斯大学医院药房中患者退回药品的价值及类型
Value and types of medicines returned by patients to sultan qaboos university hospital pharmacy, oman.
作者信息
Al-Siyabi Khalid, Al-Riyami Kassim
机构信息
Pharmacy Department, Sultan Qaboos University Hospital P. O. Box 35, Al-Khod 123, Sultanate of Oman;
出版信息
Sultan Qaboos Univ Med J. 2007 Aug;7(2):109-15.
OBJECTIVES
Frequent physician visits, improper therapeutic adherence and treatment modification after hospitalisation could result in unused medicine accumulating at home. This study aims to examine the value and types of medicines returned by patients at a tertiary care unit in Oman.
METHOD
All medicines voluntarily returned to Sultan Qaboos University Hospital main pharmacy between February and June 2003 were reviewed. The cost of these medicines and potential cost saving, if some were returned to the hospital distribution cycle, were computed. A method of determining by physical observation whether they can be recycled was developed based on institutional-based guidelines and criteria.
RESULTS
Three hundred and eighty one patients returned their medicines (69% female). The patients returned a total of 1071 drugs (mean per patient 3.1 per month) corresponding to a total cost of Omani Rials (OR) 20,140 (mean per patient OR 10.6) (1 OR = 2.58 US dollar). Potential cost saving was OR 5,550 (mean per patient OR 2.9). Medicines of the cardiovascular group were returned in greatest number (24%) while anti-infective drugs had the highest share of the total cost (61%).
CONCLUSION
The study identified values and types of medicines returned by patients at tertiary care unit in Oman. Medications used for cardiovascular and infectious diseases appeared as the most frequent and the most expensive returned medicines. It suggests that health care providers in Oman should devise health education programmes to improve proper utilization of medicine.
目的
频繁就医、治疗依从性差以及住院后治疗方案的调整可能导致家中积压未使用的药品。本研究旨在调查阿曼一家三级医疗机构中患者退回药品的价值和种类。
方法
对2003年2月至6月期间自愿退回苏丹卡布斯大学医院主药房的所有药品进行审查。计算这些药品的成本以及如果部分药品退回医院分发循环可能节省的成本。根据机构指南和标准制定了一种通过实物观察确定药品是否可回收的方法。
结果
381名患者退回了他们的药品（女性占比69%）。患者共退回1071种药品（平均每位患者每月3.1种）, 总成本为阿曼里亚尔（OR）20140（平均每位患者OR 10.6）（1 OR = 2.58美元）。潜在成本节省为OR 5550（平均每位患者OR 2.9）。心血管类药品退回数量最多（24%），而抗感染药物占总成本的比例最高（61%）。
结论
该研究确定了阿曼三级医疗机构中患者退回药品的价值和种类。用于心血管疾病和传染病的药物似乎是退回最频繁且最昂贵的药品。这表明阿曼的医疗保健提供者应制定健康教育计划，以改善药品的合理使用。
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