Maiti Rituparna, Bhatia Vikas, Padhy Biswa Mohan, Hota Debasish
Department of Pharmacology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Department of Community & Family Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Indian J Community Med. 2015 Oct-Dec;40(4):223-32. doi: 10.4103/0970-0218.164382.
The concept of defining essential medicines and establishing a list of them was aimed to improve the availability of affordable medicines for the world's poor. Access to essential medicines is a major determinant of health outcomes. Several countries have made substantial progress towards increasing access to essential medicines, but access to essential medicines in developing countries like India is not adequate. In this review we have tried to present the Indian scenario in respect to availability and accessibility of essential medicines over last one decade. To enhance the credibility of Indian healthcare system, procurement and delivery systems of essential medicines have to be strengthened through government commitment, careful selection, adequate public sector financing, efficient distribution systems, control on taxes and duties, and inculcating a culture of rational use of medicines in current and future prescribers.
定义基本药物并建立其清单的概念旨在提高全球贫困人口获得平价药物的机会。获得基本药物是健康结果的主要决定因素。一些国家在增加基本药物可及性方面取得了重大进展，但像印度这样的发展中国家，基本药物的可及性仍不足。在本综述中，我们试图呈现过去十年印度基本药物的可获得性和可及性情况。为提高印度医疗保健系统的可信度，必须通过政府承诺、谨慎选择、充足的公共部门资金、高效的配送系统、控制税费以及在当前和未来的开方者中灌输合理用药文化，来加强基本药物的采购和配送系统。
