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斯里兰卡一个农村地区部分公立、初级和二级医疗机构基本药物的可及性：一项现场调查

Availability of essential medicines in selected public, primary and secondary health care institutions of a rural Sri Lankan district: a spot survey.

作者信息

Rathish Devarajan, Premarathna Indika, Jayathilake Thiwanka, Kandegedara Chathurika, Punchihewa Kalani, Ananda Lakmali, Bandara Thejani, Jayasumana Channa, Siribaddana Sisira

机构信息

Department of Pharmacology, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka.

Department of Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka.

出版信息

BMC Health Serv Res. 2017 Jan 5;17(1):11. doi: 10.1186/s12913-016-1969-2.

DOI:10.1186/s12913-016-1969-2
PMID:28056960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5216524/
Abstract

BACKGROUND

Assessment of the availability of essential medicines, in rural areas of countries with free state health care system, is scarce. Dependence on essential medicines among the population in rural sector is considered to be high. Assessing the availability of essential medicines in selected state owned primary and secondary health care institutions of a rural district will help to identify areas where improvement is needed.

METHODS

A descriptive cross sectional study, covering selected five primary and one secondary care institutions of a rural Sri Lankan district, was conducted. The national list of essential medicines, Sri Lanka was used as the check list and the guidelines of the WHO-Health Action International were adapted.

RESULTS

The secondary care institution recorded an overall availability of 71%, whereas the average overall availability of the primary care institutions was 56%. Central dispensaries recorded the lowest availability. Lack of availability of medicines needed for the management of chronic kidney disease, snake bite and poisoning was noted.

CONCLUSIONS

Availability of essential medicines in most of the primary and the secondary care institutions were fairly high. Deficiency in medicines needed for the management of emergencies was noted. A need based annual estimate of medicines based on an essential medicine list is suggested.

摘要

背景

在拥有免费国家医疗体系的国家农村地区，基本药物可及性评估稀缺。农村地区人群对基本药物的依赖程度被认为很高。评估农村地区选定的国有基层和二级医疗机构基本药物的可及性，将有助于确定需要改进的领域。

方法

开展了一项描述性横断面研究，涵盖斯里兰卡一个农村地区选定的五家基层医疗机构和一家二级医疗机构。以斯里兰卡国家基本药物清单作为检查清单，并采用了世界卫生组织-国际卫生行动组织的指南。

结果

二级医疗机构的总体可及率为71%，而基层医疗机构的平均总体可及率为56%。中心药房的可及率最低。注意到用于治疗慢性肾病、蛇咬伤和中毒所需药物的可及性不足。

结论

大多数基层和二级医疗机构基本药物的可及性相当高。注意到用于治疗紧急情况所需药物的不足。建议根据基本药物清单进行基于需求的年度药物估计。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64e2/5216524/48a1235e1013/12913_2016_1969_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64e2/5216524/f3465f69f08b/12913_2016_1969_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64e2/5216524/48a1235e1013/12913_2016_1969_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64e2/5216524/f3465f69f08b/12913_2016_1969_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64e2/5216524/48a1235e1013/12913_2016_1969_Fig2_HTML.jpg

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