Drug disposal deserts: An assessment of receptacle availability in Kentucky community pharmacies.
Drug disposal deserts: An assessment of receptacle availability in Kentucky community pharmacies.
复制标题
药物处置荒漠：对肯塔基州社区药房容器可用性的评估。
DOI：
10.1111/jrh.12786
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发表时间：
2024
期刊：
影响因子：
--
通讯作者：
Freeman,PatriciaR
中科院分区：
文献类型：
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作者：
Miracle,DustinK;Smith,Noah;Slavova,Svetla;Stinson,LauraK;Roberts,MonicaF;Rock,Peter;Walsh,SharonL;Freeman,PatriciaR
本研究的目的是描述肯塔基州社区药店药物处置容器的县级可用性，并显示安装的容器与阿片类止痛剂/受控物质分配率之间的关系，尽可能按城乡分类进行分层。方法利用2020年肯塔基州所有时间表处方药电子报告计划的数据和美国药品执法局的处置容器数据，对县一级的药物处置容器数量与阿片类止痛剂/受控物质分发率进行比较。采用Logistic回归模型和负二项回归模型，分析城乡两县之间≥-1处置容器的分布差异，并比较城乡两县每发放一次剂量的处置容器的比率。与农村相比，城市县拥有至少一个容器的几率更高(OR 2.60，95%CI：1.15，5.92)。城市县每百万剂量OAS处置容器的估计比率为0.47(95%CI：0.36，0.61)，农村县为0.32(95%CI：0.25，0.42)，估计比率为1.45(95%CI：1.01，2.10)。结论社区药房的县级处置容器可获得性与OAS/受控物质发放数量之间存在不匹配，导致农村地区的OAS/受控物质发放数量低于城市县。今后必须作出努力，增加社区药房，特别是农村社区的便携容器的使用情况。
PurposeThe purpose of this study was to describe the county‐level availability of drug disposal receptacles in Kentucky community pharmacies and show the relationship between installed receptacles and opioid analgesic (OA)/controlled substance dispensing rates, stratifying where possible by urban‐rural classification.MethodsUsing 2020 data from the Kentucky All Schedule Prescription Electronic Reporting program and disposal receptacle data from the US Drug Enforcement Agency, county‐level comparisons were made between number of receptacles and OA/controlled substance dispensing rates. Logistic and negative binomial regression models were used to assess for differences between rural/urban county designation and odds of ≥1 disposal receptacle and compare the rates of receptacles per dispensed OA dose in rural/urban counties.FindingsWhile rural counties saw higher OA and controlled substance dispensing rates, the majority (55.6%) of disposal receptacles were in urban locations. The odds of having at least 1 receptacle were higher in urban counties (OR 2.60, 95% CI: 1.15, 5.92) compared to rural. The estimated rate of disposal receptacles per million dispensed OA doses was found to be 0.47 (95% CI: 0.36, 0.61) in urban counties compared to 0.32 (95% CI: 0.25, 0.42) in rural counties, with an estimated rate ratio of 1.45 (95% CI: 1.01, 2.10).ConclusionsA mismatch between the availability of county‐level disposal receptacles in community pharmacies and the volume of dispensed OAs/controlled substances exists, resulting in fewer receptacles per dispensed OA in rural counties compared to urban counties. Future efforts are necessary to increase access to convenient disposal receptacles located in community pharmacies, particularly in rural communities.