Russo Eleonora, Cannas Clara, Rivetti Maria Susanna, Villa Carla, Rebesco Barbara
Section of Medicinal and Cosmetic Chemistry, Department of Pharmacy, University of Genova, 16132 Genova, Italy.
Drug Policy Department, A.Li.Sa, 16121 Genova, Italy.
Healthcare (Basel). 2021 Oct 22;9(11):1425. doi: 10.3390/healthcare9111425.
This work focuses on the clinical-organizational model implemented in an Italian region (Liguria) to streamline the access procedures to galenic cannabis preparations. The competent local health care authority that takes care of tracing a virtuous path to obtain common, uniform and shared protocols and ensure high standards of care is A.Li.Sa. (Azienda Ligure Sanitaria), a public organization with the function of coordination, direction and governance of the health care in the regional hospitals and health facilities. To this purpose, different working groups and a board meeting have been set up with the main role to define and develop technical standards to be applied to the prescription, preparation and dispensing of pharmaceutical forms based on therapeutic cannabis. In particular, the galenic preparations provided by the Italian Ministry of Health, described in detail in the regional standard operating protocols, are described and discussed. Moreover, the most significant data monitored from 2018 to 2020 and collected by hospitals and the evaluation of those derived from local pharmacies and health facilities are presented, discussed and compared in regards to their adherence and coherence with the Italian Institute of Health (ISS) data.
这项工作聚焦于意大利利古里亚大区实施的临床组织模式，以简化药用大麻制剂的获取程序。负责探寻一条良性路径以获得通用、统一且共享的协议并确保高标准医疗服务的当地主管卫生当局是利古里亚卫生局（Azienda Ligure Sanitaria），这是一个具有协调、指导和管理该地区医院及卫生机构医疗保健功能的公共组织。为此，已成立了不同的工作组和董事会会议，其主要职责是定义和制定适用于基于治疗性大麻的药物剂型的处方、制备和配药的技术标准。特别是，对意大利卫生部提供的药用制剂进行了描述和讨论，这些制剂在地区标准操作协议中有详细说明。此外，还展示、讨论并比较了2018年至2020年期间医院监测到的最重要数据以及从当地药房和卫生机构收集的数据，并分析了它们与意大利卫生研究院（ISS）数据的一致性。
