Mishra Shiva Raj, Kandel Nirajan, Subedi Narayan, Khanal Vishnu
Nepal Development Society, Bharatpur, Nepal.
Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Health Serv Res Manag Epidemiol. 2015 Jan 26;2:2333392814566508. doi: 10.1177/2333392814566508. eCollection 2015 Jan-Dec.
Higher price of cardiovascular drugs is one of the reasons for high out-of-pocket expenditure in cardiovascular care. The objective of the study was to determine the price variation in commonly available cardiovascular drugs between public and private hospital pharmacies in Nepal.
A cross-sectional survey was conducted in 3 public and 3 private pharmacies in tertiary-level hospitals in Nepal. The price was recorded for the list of drugs commonly available in those pharmacies. A total of 23 drugs were selected for data collection. The price was recorded based on the payment receipt and price reported by surrogate customers. We defined the price variation as the difference between price of cardiovascular drugs between public hospital and private pharmacy. The price variation was expressed as percentage.
Price of Amlodipine 5 mg was higher by 667% in private pharmacy nearby Tribhuvan University Teaching Hospital (TUTH) compared to that of TUTH pharmacy. Price of Enalapril 5 mg was higher by 14.47% in Manmohan Cardio Thoracic and Vascular Transplant Centre (MCVTC) compared to nearby private pharmacy. We observed that the price of cardiovascular drugs varied significantly between hospital and private retail pharmacies in TUTH ( < .001) and MCVTC ( < .001).
For most of the cardiovascular drugs, the price in private retail pharmacies were significantly higher than in hospital pharmacies. Future steps should be taken to establish and run own pharmacies in hospitals which would reduce the cost of medicine and thereby, increase access to medicine.
心血管药物价格较高是心血管护理自付费用高昂的原因之一。本研究的目的是确定尼泊尔公立医院药房和私立医院药房中常用心血管药物的价格差异。
在尼泊尔三级医院的3家公立医院药房和3家私立药房进行了横断面调查。记录了这些药房中常用药物清单的价格。共选择了23种药物进行数据收集。价格根据付款收据和替代客户报告的价格记录。我们将价格差异定义为公立医院心血管药物价格与私立药房价格之间的差异。价格差异以百分比表示。
与特里布万大学教学医院（TUTH）药房相比，TUTH附近私立药房的氨氯地平5毫克价格高出667%。与附近私立药房相比，曼莫汉心脏胸科和血管移植中心（MCVTC）的依那普利5毫克价格高出14.47%。我们观察到，TUTH（<.001）和MCVTC（<.001）的医院药房和私立零售药房之间心血管药物价格存在显著差异。
对于大多数心血管药物，私立零售药房的价格明显高于医院药房。未来应采取措施在医院建立并运营自己的药房，这将降低药品成本，从而增加药品可及性。
