Maughan Daniel L, Lillywhite Rob, Cooke Matthew
Oxford Health NHS Foundation Trust; University of Warwick.
University of Warwick.
BJPsych Bull. 2016 Jun;40(3):132-6. doi: 10.1192/pb.bp.114.049080.
Aims and method This study explores the economic cost and carbon footprint associated with current patterns of prescribing long-term flupentixol decanoate long-acting injections. We conducted an analysis of prescription data from a mental health trust followed by economic and carbon cost projections using local and national data. Results A reduction of £300 000 could be achieved across England by improving prescribing behaviour, which equates to £250 per patient per year and 170 000 kg CO2e. These savings are unlikely to be released as cash from the service, but will lead to higher-value service provision at the same or lower cost. Most of these carbon emissions are attributable to the carbon footprint of the appointment - 88 000 kg CO2e (including energy use and materials used) and the overprescribing of medication - 66 000 kg CO2e. Clinical implications Psychiatrists need to review their prescribing practice of long-acting injections to reduce their impact on the National Health Service financial budget and the environment.
目的与方法 本研究探讨了与当前癸酸氟哌噻吨长效注射剂处方模式相关的经济成本和碳足迹。我们对一家精神健康信托机构的处方数据进行了分析，随后使用当地和国家数据进行了经济和碳成本预测。结果 通过改善处方行为，全英格兰可节省30万英镑，相当于每位患者每年节省250英镑以及减少170000千克二氧化碳当量。这些节省不太可能以现金形式从服务中释放出来，但将以相同或更低的成本提供更高价值的服务。这些碳排放大部分归因于预约的碳足迹——88000千克二氧化碳当量（包括能源使用和材料使用）以及药物过度处方——66000千克二氧化碳当量。临床意义 精神科医生需要审查他们长效注射剂的处方做法，以减少其对国民健康服务财政预算和环境的影响。
