Tobar Federico
Centro de Estudios en Gestión y Economía de la Salud, Facultad de Ciencias Económicas, Universidad de Buenos Aires, Argentina.
Salud Publica Mex. 2008;50 Suppl 4:S463-9. doi: 10.1590/s0036-36342008001000007.
Drug supply strategies have not been widely included in Latin American health reform programs. National efforts, when they have included such strategies, have focused on supporting drug availability for inpatient treatment and, in some cases, for ambulatory treatment of low prevalence and high-cost diseases. Nevertheless, some innovative drug supply programs for primary health care have been implemented in many countries. This article reviews and systematizes recent experiences with the supply of drugs in Latin American countries. Firstly, this article analyzes four phases of the cycle for managing drugs: selection, procurement, distribution, and use, and; secondly, it identifies lessons learned and some characteristics of efficient drug supply systems. Conclusions emphasize experiences which have not only achieved supply at low costs, but also have increased the productivity, efficiency, and effectiveness of primary health care, improved prescriptions, and strengthened the network.
药品供应策略尚未广泛纳入拉丁美洲的卫生改革计划。各国在实施此类策略时,重点一直是支持住院治疗的药品供应,在某些情况下,还包括支持低流行率和高成本疾病的门诊治疗。然而,许多国家已经实施了一些针对初级卫生保健的创新药品供应计划。本文回顾并系统整理了拉丁美洲国家近期药品供应的经验。首先,本文分析了药品管理周期的四个阶段:选择、采购、分发和使用;其次,确定了经验教训以及高效药品供应系统的一些特点。结论强调了那些不仅实现了低成本供应,还提高了初级卫生保健的生产力、效率和效果、改善了处方并加强了网络的经验。