Department of Public Health Sciences and Pediatrics- University of Torino, via Santena 5 bis 10126, Torino, Italy.
Hospital Pharmacy, AOU Città della Salute e della Scienza di Torino - Corso Bramante, 88, 10126 TorinoItaly.
Int J Pharm Pract. 2022 Dec 31;30(6):554-558. doi: 10.1093/ijpp/riac056.
In 2017, a new programme was created for recovering and reusing (i) unexpired Class A medicines (i.e. dispensed either by community pharmacies or by hospitals) in hospital settings and (ii) medicines for hospital use only (Class H). The aim of this study was to describe a three-year reuse programme and assess its impact on medicines cost savings.
The setting was AOU Città della salute e della Scienza-in Turin (Italy). All the collected data referred to packages of medicines collected by/assigned to AOU for reuse over the 1 December 2017/1 December 2020 period. Retail prices were used to calculate the financial value of the medication. Costs for the time required for the reuse programme (a working group comprising a pharmacist, an administrative and a warehouse worker) were estimated.
A total of 10 450 boxes were recovered for reuse (corresponding to 52% of donated boxes). The total value was €1 300 000. Class H accounted for 73% (€952 000) of the total value of the recovered medicines, while they represented only 9% of the packages collected by/assigned to AOU. Estimated cost for the reuse programme was €75 806.
Medicine recycling programmes with appropriate checks can be implemented to facilitate reuse of medications in hospital settings. This study provides evidence that a reuse programme reduced drug expenditures, especially regarding the Class H medications. These results contribute to the debate regarding opportunity for recycling and sustainability in medicines management.
2017 年，为了回收和再利用（i）在医院环境中未过期的 A 类药物（即由社区药房或医院分发）和（ii）仅用于医院的药物（H 类），创建了一个新方案。本研究旨在描述一个为期三年的再利用方案，并评估其对节省药物成本的影响。
研究地点为都灵（意大利）的 AOU Città della salute e della Scienza。所有收集的数据均指在 2017 年 12 月 1 日至 2020 年 12 月 1 日期间由 AOU 收集/分配用于再利用的药物包。使用零售价格计算药物的财务价值。估计了再利用计划所需时间（由药剂师、行政和仓库工作人员组成的工作组）的成本。
共回收了 10450 盒用于再利用（占捐赠盒的 52%）。总价值为 130 万欧元。H 类药物占回收药物总价值的 73%（95.2 万欧元），而它们仅占 AOU 收集/分配的药物包的 9%。再利用计划的估计成本为 75806 欧元。
可以实施具有适当检查的药物回收计划，以促进医院环境中药物的再利用。本研究提供了证据表明，再利用计划可以减少药物支出，特别是 H 类药物。这些结果有助于关于药物管理中回收和可持续性的辩论。
