加纳农村地区基本药物的使用情况。
Use of essential drugs in rural Ghana.
作者信息
Hogerzeil H V
出版信息
Int J Health Serv. 1986;16(3):425-40. doi: 10.2190/LLHV-Y1FV-BKJG-4XTL.
In this article, a drug utilization study in 15 district hospitals and 2 health centers in Ghana is described. Use of 94 essential drugs was measured over 2.5 million treatment episodes during 1981-1982. It was found that much less is spent on drugs in health centers than in hospitals, expressed in cost per 10,000 treatment episodes. In hospitals with Ghanaian doctors, about twice as much is spent on drugs as in hospitals with expatriate doctors. Particular therapeutic groups and drugs for which larger quantities are used are also analyzed. Possible reasons for and consequences of these differences are discussed. The results of this study form the most reliable records currently available on drug utilization in Ghana. They record the actual drug use, that is, the total drug use within existing patterns of prescription and losses. These figures have been used for a consumption-based estimate of drug requirements for 64 church-related district hospitals and health centers.
本文描述了在加纳15家地区医院和2家健康中心开展的一项药物利用研究。在1981 - 1982年期间，对超过250万次治疗过程中94种基本药物的使用情况进行了测量。结果发现，以每10000次治疗过程的花费来计算，健康中心在药物上的支出远低于医院。在有加纳医生的医院，药物支出约为有外籍医生医院的两倍。还对使用量较大的特定治疗组和药物进行了分析。讨论了这些差异的可能原因和后果。这项研究的结果构成了加纳目前关于药物利用的最可靠记录。它们记录了实际的药物使用情况，即在现有的处方模式和损耗范围内的总药物使用量。这些数据已被用于基于消费情况对64家与教会相关的地区医院和健康中心的药物需求进行估算。
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