{"id":10676,"date":"2019-06-06T18:13:40","date_gmt":"2019-06-06T11:13:40","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=10676"},"modified":"2019-06-08T18:15:52","modified_gmt":"2019-06-08T11:15:52","slug":"du-lieu-cho-thay-muc-do-ke-don-opioid-dat-muc-giam-manh-nhat-trong-nam-qua","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/du-lieu-cho-thay-muc-do-ke-don-opioid-dat-muc-giam-manh-nhat-trong-nam-qua\/","title":{"rendered":"D\u1eef li\u1ec7u cho th\u1ea5y m\u1ee9c \u0111\u1ed9 k\u00ea \u0111\u01a1n opioid \u0111\u1ea1t m\u1ee9c gi\u1ea3m m\u1ea1nh nh\u1ea5t trong n\u0103m qua"},"content":{"rendered":"<h2>N\u0103m qua, k\u00ea \u0111\u01a1n opioid gi\u1ea3m 17% t\u1ea1i Hoa K\u1ef3 trong khi vi\u1ec7c ti\u00eau th\u1ee5 thu\u1ed1c n\u00f3i chung t\u1ea1i n\u01b0\u1edbc n\u00e0y t\u0103ng l\u00ean.<\/h2>\n<p>Gi\u1ea3m k\u00ea \u0111\u01a1n opioid trong m\u1ed9t n\u0103m qua l\u00e0 m\u1ee9c gi\u1ea3m m\u1ea1nh nh\u1ea5t ch\u01b0a t\u1eebng \u0111\u01b0\u1ee3c ghi nh\u1eadn t\u1ea1i th\u1ecb tr\u01b0\u1eddng n\u00e0y, theo Vi\u1ec7n Khoa h\u1ecdc D\u1eef li\u1ec7u con ng\u01b0\u1eddi (Institute for Human Data-IQVIA).<\/p>\n<p>T\u1eeb n\u0103m 1992 \u0111\u1ebfn n\u0103m 2011, m\u1ee9c \u0111\u1ed9 ti\u00eau th\u1ee5 opioid \u0111\u1ec1u t\u0103ng cho \u0111\u1ebfn khi \u0111\u1ea1t ng\u01b0\u1ee1ng cao nh\u1ea5t, theo nghi\u00ean c\u1ee9u s\u1eed d\u1ee5ng v\u00e0 ti\u00eau th\u1ee5 thu\u1ed1c t\u1ea1i M\u1ef9: \u0110\u00e1nh gi\u00e1 n\u0103m 2018 v\u00e0 t\u1ea7m nh\u00ecn \u0111\u1ebfn n\u0103m 2023 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi IQVIA.<\/p>\n<p>T\u1eeb n\u0103m 2011, t\u1ea1i qu\u1ed1c gia n\u00e0y, m\u1ed9t lo\u1ea1t c\u00e1c quy \u0111\u1ecbnh \u0111\u00e3 \u0111\u01b0\u1ee3c ban h\u00e0nh nh\u1eb1m h\u1ea1n ch\u1ebf k\u00ea \u0111\u01a1n opioid, k\u1ebft h\u1ee3p v\u1edbi ki\u1ec3m so\u00e1t nhi\u1ec1u h\u01a1n v\u1ec1 chi tr\u1ea3 b\u1ea3o hi\u1ec3m y t\u1ebf v\u00e0 ch\u1eb7t ch\u1ebd h\u01a1n trong h\u01b0\u1edbng d\u1eabn k\u00ea \u0111\u01a1n l\u00e2m s\u00e0ng, \u0111\u00e3 d\u1eabn \u0111\u1ebfn s\u1ef1 gi\u1ea3m \u0111\u00e1ng k\u1ec3 h\u00e0ng n\u0103m v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng opioid \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n.<\/p>\n<p>N\u0103m 2012 \u0111\u1ebfn 2016, m\u1ee9c gi\u1ea3m trung b\u00ecnh m\u1ed7i n\u0103m l\u00e0 4%. Ti\u1ebfp theo \u0111\u00f3, s\u1ef1 s\u1ee5t gi\u1ea3m m\u1ea1nh nh\u1ea5t v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng opioid k\u00ea \u0111\u01a1n \u0111\u01b0\u1ee3c ghi nh\u1eadn 12% trong n\u0103m 2017 v\u00e0 17% trong n\u0103m 2018.<\/p>\n<p>\u201c Khi cu\u1ed9c th\u1ea3o lu\u1eadn qu\u1ed1c gia v\u1ec1 v\u1ea5n n\u1ea1n opioid \u1edf \u0111\u1ea5t n\u01b0\u1edbc n\u00e0y v\u1eabn \u0111ang ti\u1ebfp t\u1ee5c, ch\u00fang t\u00f4i hy v\u1ecdng s\u1ebd cung c\u1ea5p th\u00f4ng tin v\u00e0 \u0111\u1ec1 xu\u1ea5t t\u1edbi cu\u1ed9c \u0111\u1ed1i tho\u1ea1i b\u1eb1ng c\u00e1c ph\u00e1t hi\u1ec7n quan tr\u1ecdng \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp t\u1edbi trong b\u00e1o c\u00e1o n\u00e0y. L\u1ea5y v\u00ed d\u1ee5, trong khi vi\u1ec7c k\u00ea \u0111\u01a1n opioid ti\u1ebfp t\u1ee5c gi\u1ea3m, ch\u00fang t\u00f4i nh\u1eadn th\u1ea5y nhi\u1ec1u ng\u01b0\u1eddi nh\u1eadn \u0111\u01b0\u1ee3c li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi k\u1ebft h\u1ee3p d\u00f9ng thu\u1ed1c v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p t\u01b0 v\u1ea5n ki\u1ec3m so\u00e1t h\u00e0nh vi (Medication assisted treatment -MAT) cho cai nghi\u1ec7n opioid \u2018\u2019 \u2013 ph\u00e1t bi\u1ec3u c\u1ee7a Murray Aitken, ph\u00f3 ch\u1ee7 t\u1ecbch ki\u00eam gi\u00e1m \u0111\u1ed1c \u0111i\u1ec1u h\u00e0nh Vi\u1ec7n khoa h\u1ecdc d\u1eef li\u1ec7u con ng\u01b0\u1eddi IQVIA.<\/p>\n<p>\u201cNghi\u00ean c\u1ee9u c\u1ee7a ch\u00fang t\u00f4i cho th\u1ea5y li\u1ec7u ph\u00e1p m\u1edbi MAT n\u00e0y \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb<\/p>\n<p>t\u0103ng l\u00ean t\u1edbi 1,2 tri\u1ec7u ng\u01b0\u1eddi v\u00e0o n\u0103m 2018, t\u0103ng g\u1ea7n 300% so v\u1edbi nh\u1eefng ng\u01b0\u1eddi t\u00ecm ki\u1ebfm s\u1ef1 gi\u00fap \u0111\u1ee1 cai nghi\u1ec7n trong n\u0103m 2014\u2033, \u00d4ng \u1ea5y n\u00f3i. \u201c\u0110\u00e2y l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 quan tr\u1ecdng ph\u1ea3n \u00e1nh t\u00e1c \u0111\u1ed9ng c\u1ee7a vi\u1ec7c t\u0103ng t\u00e0i tr\u1ee3 v\u00e0 h\u1ed7 tr\u1ee3 cho c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh cai nghi\u1ec7n.\u201d<\/p>\n<p>C\u00e1c ch\u01b0\u01a1ng tr\u00ecnh gi\u00e1m s\u00e1t k\u00ea \u0111\u01a1n thu\u1ed1c ho\u1ea1t \u0111\u1ed9ng t\u1ea1i 49 ti\u1ec3u bang \u0111ang gi\u1edbi h\u1ea1n k\u00ea \u0111\u01a1n opioid li\u1ec1u cao- y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ebfn qu\u00e1 li\u1ec1u v\u00e0 bi\u1ebfn c\u1ed1 b\u1ea5t l\u1ee3i ph\u1ee5 thu\u1ed9c li\u1ec1u.<\/p>\n<p>Theo nghi\u00ean c\u1ee9u c\u1ee7a IQVIA, m\u1ee9c \u0111\u1ed9 ti\u00eau th\u1ee5 opioid c\u0169ng nh\u01b0 \u00e1p d\u1ee5ng li\u1ec7u ph\u00e1p m\u1edbi MAT so s\u00e1nh gi\u1eefa c\u00e1c bang c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t. Arkansas, Oklahoma v\u00e0 Kansas l\u00e0 3 bang c\u00f3 s\u1ed1 l\u01b0\u1ee3ng opioid \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n trong li\u1ec7u ph\u00e1p MAT cao nh\u1ea5t. T\u1ea5t c\u1ea3 c\u00e1c bang New England, opioid \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n \u00edt h\u01a1n m\u1ee9c trung b\u00ecnh chung nh\u01b0ng li\u1ec7u ph\u00e1p MAT l\u1ea1i \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb cao h\u01a1n.<\/p>\n<p>C\u0169ng trong n\u0103m 2018, vi\u1ec7c ti\u00eau th\u1ee5 thu\u1ed1c n\u00f3i chung t\u1ea1i Hoa K\u1ef3 t\u0103ng l\u00ean. 5,8 t\u1ef7 \u0111\u01a1n thu\u1ed1c \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e1t, t\u0103ng 2,7% so v\u1edbi n\u0103m 2017. Theo IQVIA, trong n\u0103m n\u00e0y h\u01a1n hai ph\u1ea7n ba t\u1ed5ng s\u1ed1 \u0111\u01a1n thu\u1ed1c \u0111\u01b0\u1ee3c k\u00ea \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh m\u00e3n t\u00ednh v\u00e0 xu h\u01b0\u1edbng cho th\u1ea5y ng\u00e0y c\u00e0ng c\u00f3 nhi\u1ec1u \u0111\u01a1n thu\u1ed1c \u0111\u01b0\u1ee3c k\u00ea cho li\u1ec7u tr\u00ecnh 90 ng\u00e0y \u0111i\u1ec1u tr\u1ecb. Nghi\u00ean c\u1ee9u ghi nh\u1eadn t\u1ea1i qu\u1ea7n th\u1ec3 d\u00e2n s\u1ed1 gi\u00e0 c\u00f9ng v\u1edbi vi\u1ec7c m\u1edf r\u1ed9ng tri\u1ec3n khai h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p, k\u1ebft qu\u1ea3 cho th\u1ea5y s\u1ed1 \u0111\u01a1n thu\u1ed1c \u0111i\u1ec1u tr\u1ecb huy\u1ebft \u00e1p \u0111\u01b0\u1ee3c k\u00ea t\u0103ng 48 tri\u1ec7u \u0111\u01a1n \u2013 m\u1ee9c t\u0103ng l\u1edbn nh\u1ea5t \u0111\u01b0\u1ee3c ghi nh\u1eadn v\u1ec1 ti\u00eau th\u1ee5 thu\u1ed1c. T\u1eadp trung c\u1ea3i thi\u1ec7n tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh c\u0169ng g\u00f3p ph\u1ea7n d\u1eabn t\u1edbi c\u00e1c \u0111\u01a1n thu\u1ed1c k\u00ea 90 ng\u00e0y \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u00ecnh tr\u1ea1ng m\u1ea1n t\u00ednh \u0111\u01b0\u1ee3c mua nhi\u1ec1u h\u01a1n.<\/p>\n<p>Nghi\u00ean c\u1ee9u c\u0169ng t\u00ecm th\u1ea5y s\u1ef1 gia t\u0103ng chi ph\u00ed chi tr\u1ea3 cho \u0111\u01a1n thu\u1ed1c. N\u0103m 2018, chi ph\u00ed chi tr\u1ea3 t\u0103ng 4,5% trong s\u1ed1 c\u00e1c kho\u1ea3n chi\u1ebft kh\u1ea5u v\u00e0 gi\u1ea3m gi\u00e1 ngo\u00e0i h\u00f3a \u0111\u01a1n \u0111\u1ed3ng th\u1eddi t\u0103ng 5,7% chi ph\u00ed chi tr\u1ea3 tr\u00ean h\u00f3a \u0111\u01a1n. Chi\u1ebft kh\u1ea5u c\u0169ng nh\u01b0 c\u00e1c h\u00ecnh th\u1ee9c gi\u1ea3m gi\u00e1 kh\u00e1c tr\u00ean s\u1ea3n ph\u1ea9m \u0111\u00e3 gi\u1ea3m chi ti\u00eau h\u00f3a \u0111\u01a1n kho\u1ea3ng 28% xu\u1ed1ng c\u00f2n 344 t\u1ef7 USD. Tuy nhi\u00ean, chi ph\u00ed chi tr\u1ea3 v\u1eabn t\u0103ng trong n\u0103m 2018 m\u1ed9t ph\u1ea7n do s\u1ef1 ra m\u1eaft c\u1ee7a c\u00e1c s\u1ea3n ph\u1ea9m thu\u1ed9c th\u01b0\u01a1ng hi\u1ec7u m\u1edbi c\u00f9ng v\u1edbi s\u1ef1 gia t\u0103ng v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng c\u00e1c m\u1eb7t h\u00e0ng thu\u1ed9c c\u00e1c th\u01b0\u01a1ng hi\u1ec7u hi\u1ec7n t\u1ea1i.<\/p>\n<p>T\u0103ng tr\u01b0\u1edfng c\u1ee7a chi ph\u00ed t\u1ef1 tr\u1ea3 m\u00e0 b\u1ec7nh nh\u00e2n mua thu\u1ed1c theo toa b\u00e1n l\u1ebb \u01b0\u1edbc t\u00ednh kho\u1ea3ng 2 t\u1ef7 USD trong giai \u0111o\u1ea1n 2017-2018. Chi ph\u00ed t\u1ef1 tr\u1ea3 c\u1ee7a b\u1ec7nh nh\u00e2n \u01b0\u1edbc t\u00ednh l\u00e0 61 t\u1ef7 USD trong n\u0103m 2018, t\u0103ng 5 t\u1ef7 USD so v\u1edbi n\u0103m 2014.<\/p>\n<p>Nghi\u00ean c\u1ee9u c\u1ee7a IQVIA bao g\u1ed3m t\u1ea7m nh\u00ecn cho 5 n\u0103m t\u1edbi. T\u1eeb 2018 \u0111\u1ebfn 2023, b\u00e1o c\u00e1o d\u1ef1 \u0111o\u00e1n r\u1eb1ng t\u1ed5ng chi cho d\u01b0\u1ee3c ph\u1ea9m s\u1ebd t\u0103ng v\u1edbi t\u1ed1c \u0111\u1ed9 t\u0103ng tr\u01b0\u1edfng k\u00e9p h\u00e0ng n\u0103m t\u1eeb 3% \u0111\u1ebfn 6% tr\u00ean c\u01a1 s\u1edf gi\u00e1 r\u00f2ng\/thu\u1ea7n v\u00e0 t\u0103ng 4% \u0111\u1ebfn 7% tr\u00ean c\u01a1 s\u1edf gi\u00e1 h\u00f3a \u0111\u01a1n. Gi\u1ea3 thuy\u1ebft c\u01a1 b\u1ea3n c\u0169ng d\u1ef1 b\u00e1o r\u1eb1ng chi ti\u00eau y t\u1ebf \u1edf Hoa K\u1ef3 trong v\u00f2ng 5 n\u0103m t\u1edbi s\u1ebd t\u0103ng t\u1eeb 344 l\u00ean 420 t\u1ef7 USD v\u00e0 s\u1ebd c\u00f3 m\u1ee9c t\u0103ng tr\u01b0\u1edfng g\u1ed9p l\u00e0 76 t\u1ef7 USD so v\u1edbi m\u1ee9c t\u0103ng tr\u01b0\u1edfng r\u00f2ng 84 t\u1ef7 USD v\u00e0o n\u0103m 2023. \u0110\u1ed9ng l\u1ef1c l\u1edbn nh\u1ea5t c\u1ee7a t\u0103ng tr\u01b0\u1edfng chi ti\u00eau d\u01b0\u1ee3c ph\u1ea9m s\u1ebd l\u00e0 s\u1ef1 ra m\u1eaft c\u1ee7a c\u00e1c th\u01b0\u01a1ng hi\u1ec7u m\u1edbi, c\u00e1c nghi\u00ean c\u1ee9u d\u1ef1 \u0111o\u00e1n, c\u00f3 th\u1ec3 \u0111\u00f3ng g\u00f3p t\u1edbi 73 t\u1ef7 USD.<\/p>\n<p>C\u00e1c ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 v\u00e0o th\u1ee9 n\u0103m s\u1ebd \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y v\u00e0 th\u1ea3o lu\u1eadn trong m\u1ed9t h\u1ed9i th\u1ea3o tr\u1ef1c tuy\u1ebfn v\u00e0o ng\u00e0y 14 th\u00e1ng 5 l\u00fac 10 gi\u1edd s\u00e1ng, \u0111\u01b0\u1ee3c t\u1ed5 ch\u1ee9c b\u1edfi IQVIA. Trong h\u1ed9i th\u1ea3o tr\u1ef1c tuy\u1ebfn<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/h2>\n<p>IQVI Institute for Human Data Science Releases 2019 Medicines Report on U.S. drug consumption; U.S. Rx opioid volume declined 17% in 2018 \u2013 largest single-year drop ever recorded [news release]. Danbury, CT and Research Triangle Park, NC; May 9, 2019: IQVIA website. iqvia.com\/newsroom\/2019\/05\/iqvia-institute-for-human-data-science-releases-2019-medicines-report-on-us-drug-consumption-us-rx-o. Accessed May 9, 2019<\/p>\n<p>Ng\u01b0\u1eddi d\u1ecbch: Nguy\u1ec5n Cao Qu\u1ef3nh Anh SVD4_ \u0110\u1ea1i h\u1ecdc D\u01b0\u1ee3c H\u00e0 N\u1ed9i<\/p>\n<p>Ng\u01b0\u1eddi hi\u1ec7u \u0111\u00ednh: Th\u1ea1c s\u0129 D\u01b0\u1ee3c s\u0129 Ph\u1ea1m Th\u1ecb Th\u00f9y An \u2013 Khoa D\u01b0\u1ee3c \u2013 B\u1ec7nh vi\u1ec7n Tai M\u0169i H\u1ecdng TW<\/p>\n<p>Ngu\u1ed3n: Pharmacy Times. Prescription Opioid Volume Data Show Largest Single-Year Decline to Date (09\/05\/2019). Link\u00a0<a href=\"https:\/\/www.pharmacytimes.com\/resource-centers\/reimbursement\/prescription-opioid-volume-data-show-largest-singleyear-decline-to-date\" rel=\"noopener\">https:\/\/www.pharmacytimes.com\/resource-centers\/reimbursement\/prescription-opioid-volume-data-show-largest-singleyear-decline-to-date<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>N\u0103m qua, k\u00ea \u0111\u01a1n opioid gi\u1ea3m 17% t\u1ea1i Hoa K\u1ef3 trong khi vi\u1ec7c ti\u00eau th\u1ee5 thu\u1ed1c n\u00f3i chung t\u1ea1i n\u01b0\u1edbc n\u00e0y t\u0103ng l\u00ean. Gi\u1ea3m k\u00ea \u0111\u01a1n opioid trong m\u1ed9t n\u0103m qua l\u00e0 m\u1ee9c gi\u1ea3m m\u1ea1nh nh\u1ea5t ch\u01b0a t\u1eebng \u0111\u01b0\u1ee3c ghi nh\u1eadn t\u1ea1i th\u1ecb tr\u01b0\u1eddng n\u00e0y, theo Vi\u1ec7n Khoa h\u1ecdc D\u1eef li\u1ec7u con ng\u01b0\u1eddi (Institute for [&#8230;]\n","protected":false},"author":1,"featured_media":5470,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-10676","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/10676","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=10676"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/10676\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/5470"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=10676"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=10676"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=10676"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}