减少静脉化疗药物浪费与节约成本策略研究进 展  

Research Advances in Reducing Intravenous Chemotherapy Drug Waste and Cost-savingStrategies

作　　者：刘慧 邹林珂 闫峻峰[1,2] LIU Hui;ZOU Linke;YAN Junfeng(Department of Pharmacy,Sichuan Academy of Medical Sciences,Sichuan Provincial People's Hospital,Affiliated Hospital of University of Electronic Science and Technology of China,Chengdu 610072,China;Sichuan Key Laboratory of Personalized Drug Therapy,School of Medicine,University of Electronic Science and Technology of China,Chengdu 610072,China)

机构地区：[1]四川省医学科学院·四川省人民医院药学部/电子科技大学附属医院,成都610072 [2]四川省医学科学院·四川省人民医院/电子科技大学医学院个体化药物治疗四川省重点实验室,成都610072

出　　处：《医药导报》2023年第3期390-395,共6页Herald of Medicine

基　　金：国家重点研发计划(2020YFC2005506);四川省科技厅重点研发计划(2019YFS0514);个体化药物治疗四川省重点实验室开放课题(2021YB10)。

摘　　要：随着对肿瘤及其治疗的认识越来越完善,抗肿瘤静脉化学治疗(化疗)药物的使用数量和成本均上升到一定高度,这对患者家庭和医疗保险体系都是巨大的压力。静脉化疗药物使用后剩余在药瓶中的药物总量也会随使用总量的增加而增加,这将导致大量药物浪费。一个相对简单的减少药物浪费的策略可显著降低浪费对药物成本的影响,并可大幅度节省成本。由于减少浪费既不限制特定药物的使用,也不影响医疗质量,在国外已经成为一项极具吸引力的成本节约策略。因此,为减少我国静脉化疗药物浪费,减轻患者负担,节约医疗资源,该文从造成化疗药物浪费的原因入手,从多个角度分析并提出短期、可行的策略。As the understanding of tumors and the treatment became more refined,the quantity and cost of antineoplastic intravenous chemotherapy drugs rised to a certain level,which became a tremendous strain on the patient's family and the health insurance system.The amount of intravenous chemotherapy drugs left in the vial after use also increased with the amount used,leading to a significant amount of drug waste.A relatively simple strategy to reduce drug waste might significantly reduce its impact on drug costs and result in substantial cost savings.Because the waste reduction strategy would neither limit the use of specific drugs nor reduce the quality of care,it had become an attractive cost-saving strategy abroad.Therefore,to reduce the waste of intravenous chemotherapy drugs in China,to decrease the burden on patients,and to save healthcare resources,this paper analyzed the causes of chemotherapy drug waste and proposed short-term and feasible strategies from multiple perspectives.

关 键 词：静脉化疗药物 药物浪费 剩余量 成本节约 

分 类 号：R95[医药卫生—药学]