Wirtz Veronika J, Dreser Anahí, Heredia-Pi Ileana
Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
Salud Publica Mex. 2013 May-Jun;55(3):329-36.
Unlike many other Latin American countries Mexico has no coherent and explicit national pharmaceutical policy (NPP). Other national challenges are: high out-of-pocket expenditure on medicines despite the implementation of universal health care coverage through Seguro Popular, high prices of medicines in the private sector in comparison to other countries when adjusted for income level, and the lack of clear strategies to improve safety and efficiency in the use of medicines, in particular interventions aimed at private physicians, pharmacies and consumers. The aim of this paper is to describe the challenges and opportunities to (1) consolidate the processes of formulating, implementing and evaluating NPP, and (2) define the policy content with regard to access and use of medicines.
与许多其他拉丁美洲国家不同,墨西哥没有连贯且明确的国家药品政策(NPP)。其他国家层面的挑战包括:尽管通过大众保险(Seguro Popular)实施了全民医保覆盖,但药品的自付费用仍然很高;与其他国家相比,经收入水平调整后,私营部门药品价格偏高;缺乏明确的战略来提高药品使用的安全性和效率,特别是针对私人医生、药店和消费者的干预措施。本文的目的是描述在以下方面的挑战和机遇:(1)巩固制定、实施和评估国家药品政策的过程;(2)确定有关药品获取和使用的政策内容。