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波兰平行出口导致的药品短缺——药剂师的观点。

Drug shortages as a result of parallel export in Poland - Pharmacists' opinions.

作者信息

Zaprutko Tomasz, Kopciuch Dorota, Bronisz Maria, Michalak Michał, Kus Krzysztof, Nowakowska Elżbieta

机构信息

Department of Pharmacoeconomics and Social Pharmacy, Poznan University of Medical Sciences, 7 Rokietnicka Street, 60806 Poznań, Poland.

Department of Pharmacoeconomics and Social Pharmacy, Poznan University of Medical Sciences, 7 Rokietnicka Street, 60806 Poznań, Poland.

出版信息

Health Policy. 2020 May;124(5):563-567. doi: 10.1016/j.healthpol.2020.03.003. Epub 2020 Mar 16.

Abstract

INTRODUCTION

Drug shortages are recognized as a global problem. However, studies concerning drug shortages in Europe are scarce. Therefore, the main aim of the study was to conduct an analysis concerning drug shortages in Polish pharmacies and to collect pharmacists' opinions about parallel trade and 'reverse traffic' of medicines.

METHODS

The study was conducted between October 2015 and July 2016 using a specially designed anonymous questionnaire consisting of 10 questions. The tool was delivered to pharmacists. From over 1800 distributed sheets, 435 were included.

RESULTS

According to Polish pharmacists' opinions, shortages are most frequently associated with anticoagulants and antidiabetics and are an increasing problem in Poland. In respondents' opinion, fines for 'reverse traffic' should be high and restrictive and manufacturers should be obliged to build stocks for a certain period.

CONCLUSIONS

Drug shortages concern several groups of medicines, often without generics. Solutions incorporated in Poland and aimed to reduce shortages seem to be ineffective. Reduction of drug shortages should be a priority of all stakeholders, because it is not only a Polish problem, but it is a common European issue.

摘要

引言

药品短缺被认为是一个全球性问题。然而,关于欧洲药品短缺的研究却很少。因此,本研究的主要目的是对波兰药店的药品短缺情况进行分析,并收集药剂师对药品平行贸易和“逆向流通”的看法。

方法

本研究于2015年10月至2016年7月期间进行,使用了一份专门设计的包含10个问题的匿名问卷。该工具发放给了药剂师。在发放的1800多份问卷中,纳入了435份。

结果

根据波兰药剂师的看法,药品短缺最常与抗凝血剂和抗糖尿病药物相关,并且在波兰是一个日益严重的问题。在受访者看来,对“逆向流通”的罚款应该很高且具有限制性,制造商应该有义务在一定时期内储备库存。

结论

药品短缺涉及几类药品,通常没有仿制药。波兰为减少短缺而采取的解决办法似乎无效。减少药品短缺应该是所有利益相关者的优先事项,因为这不仅是波兰的问题,也是整个欧洲的共同问题。

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