Discipline of Pharmaceutical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban.
S Afr Fam Pract (2004). 2021 Jan 12;63(1):e1-e3. doi: 10.4102/safp.v63i1.5145.
The essential medicines concept is recognised as an instrument to improve medicines access and to promote cost-effective use of health resources. South Africa adopted the concept and implemented the Standard Treatment Guidelines and Essential Medicines List (STGs/EML) in 1996 when the National Drug Policy for South Africa was launched. The STGs/EML was meant to address the inequities in medicines access and use and to ensure a standard of care to all citizens, yet these inequities still exist. The implementation of the new National Health Insurance (NHI) scheme is envisaged to relieve this healthcare inequity. The STGs/EML still forms the basis of care in the public sector, but a critique of implementing this tool and lessons that can be applied from this implementation for NHI are lacking. This piece addresses these shortfalls and highlights questions surrounding the implementation of the STGs/EML.
基本药物概念被认为是改善药物可及性和促进卫生资源成本效益利用的手段。1996 年，南非推出国家药物政策时，采用了这一概念并实施了标准治疗指南和基本药物清单（STGs/EML）。STGs/EML 的目的是解决药物可及性和使用方面的不平等问题，并确保所有公民都能得到标准的医疗服务，但这些不平等仍然存在。预计新的国家健康保险（NHI）计划的实施将缓解这种医疗保健不平等。STGs/EML 仍然是公共部门护理的基础，但在实施这一工具方面的批评意见以及可以从这一实施中为 NHI 吸取的经验教训都缺乏。本文旨在解决这些不足，并强调围绕 STGs/EML 实施的问题。
