Vincent Jose, Anish Thekkumkara Surendran
Department of Community Medicine, Amala Institute of Medical Sciences, Thrissur, Kerala, India.
Department of Community Medicine, Nodal Officer, Kerala One Health Centre for Nipah Research and Resilience, Kozhikode, Kerala, India.
Front Pharmacol. 2025 Jul 25;16:1568696. doi: 10.3389/fphar.2025.1568696. eCollection 2025.
The and medicines at households are often disposed of improperly, which has harmful environmental impacts. Health hazards like antimicrobial resistance can occur. A home/household-based medicine reverse logistics system can avoid improper disposal of medicine waste, and it can recover any remaining value from end-of-use medicines.
We did a scoping review to identify the key facilitators that help the initiation and establishment of a Medicine Reverse Logistics (MRL) system for the collection of unused medicines from households. Google Scholar and PubMed were the databases searched. A qualitative synthesis of included studies was performed. Themes and subthemes were identified. The keywords used were medicines, drugs, reverse logistics, homes, houses, and households.
The awareness level of the various stakeholders, the sharing of responsibilities among stakeholders, incentives to stakeholders, political will and legal framework, and the utilization of logistics managerial capabilities of pharmaceutical companies were identified as key facilitators.
家庭中的药品常常被不当处置，这对环境产生有害影响。可能会出现如抗菌药物耐药性等健康危害。基于家庭的药品逆向物流系统可以避免药品废弃物的不当处置，并且能够从使用过的药品中回收任何剩余价值。
我们进行了一项范围综述，以确定有助于启动和建立药品逆向物流（MRL）系统以从家庭收集未使用药品的关键促进因素。检索了谷歌学术和PubMed数据库。对纳入研究进行了定性综合。确定了主题和子主题。使用的关键词有药品、药物、逆向物流、家庭、住户。
各利益相关者的意识水平、利益相关者之间的责任分担、对利益相关者的激励、政治意愿和法律框架以及制药公司物流管理能力的利用被确定为关键促进因素。
