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合理用药与具有成本效益的药物治疗:巴基斯坦面临的挑战与机遇

Rational Prescription and Cost-Effective Medication: Challenges and Opportunities in Pakistan.

作者信息

Aslam Fahmida, Khan Faiz Ullah, Yue Yang

机构信息

International Food and Drug Policy Law and Research Centre, School of Business Administration; Shenyang Pharmaceutical University, China.

Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy Xi'an Jiaotong University, Xi'an, China.

出版信息

Innov Pharm. 2020 Oct 22;11(4). doi: 10.24926/iip.v11i4.1613. eCollection 2020.

DOI:10.24926/iip.v11i4.1613
PMID:34007642
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8127104/
Abstract

Pakistan is one of the countries with the highest number of medications filled per prescription due to overly prescribed antibiotics and injectable drugs. This is due to a lack of ethical practices in prescribing because doctors aresignificantly influenced by lucrative financial incentives of pharmaceutical companies rather than clinical findings. This immoral activity has become significantly amplified over the past few years and continues to be a challenge in Pakistan. Currently, there is no code of ethics for marketing and promotional activities of pharmaceutical companies. This year, authorities have step up and are in the process of creating policies to regulate companies and practitioners. Implementation of these new policies needs vigilance from health officials, strong professional commitment and institutional collaboration. If executed correctly, these polices should create an environment of professionalism within the healthcare sector.

摘要

由于抗生素和注射药物的过度处方,巴基斯坦是每张处方配药量最高的国家之一。这是由于处方过程中缺乏道德规范,因为医生受到制药公司丰厚经济激励的显著影响,而非临床研究结果。在过去几年里,这种不道德行为显著加剧,并且在巴基斯坦仍然是一个挑战。目前,没有针对制药公司营销和推广活动的道德准则。今年,当局已加强行动,正在制定监管公司和从业者的政策。这些新政策的实施需要卫生官员保持警惕、坚定的专业承诺和机构间的合作。如果执行得当,这些政策应能在医疗保健部门营造一个专业的环境。

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本文引用的文献

1
Antimicrobial use by WHO methodology at primary health care centers: a cross sectional study in Punjab, Pakistan.世界卫生组织方法在初级卫生保健中心的抗菌药物使用:巴基斯坦旁遮普邦的一项横断面研究。
BMC Infect Dis. 2018 Sep 29;18(1):492. doi: 10.1186/s12879-018-3407-z.
2
An Incomplete Prescription: President Trump's Plan to Address High Drug Prices.一项不完整的药方:特朗普总统解决高药价问题的计划。
JAMA. 2018 Jun 19;319(23):2373-2374. doi: 10.1001/jama.2018.7424.
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Prescription writing: Generic or brand?处方书写:通用名还是商品名?
Indian J Psychiatry. 2017 Apr-Jun;59(2):133-137. doi: 10.4103/psychiatry.IndianJPsychiatry_222_17.
4
Assessment of WHO/INRUD core drug use indicators in two tertiary care hospitals of Bahawalpur, Punjab, Pakistan.巴基斯坦旁遮普省巴哈瓦尔布尔市两家三级护理医院的世界卫生组织/国际合理用药网络核心药物使用指标评估
J Pharm Policy Pract. 2016 Sep 22;9:27. doi: 10.1186/s40545-016-0076-4. eCollection 2016.
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CORRUPTION IN MEDICAL PRACTICE: WHERE DO WE STAND?医疗行业中的腐败现象:我们处于何种境地?
J Ayub Med Coll Abbottabad. 2015 Jul-Sep;27(3):515-6.
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Prescription patterns of general practitioners in peshawar, pakistan.巴基斯坦白沙瓦的全科医生处方模式。
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Health reform in Pakistan: a call to action.巴基斯坦的医疗改革:行动呼吁。
Lancet. 2013 Jun 29;381(9885):2291-7. doi: 10.1016/S0140-6736(13)60813-2. Epub 2013 May 17.
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The adverse effects of brand-name drug prescribing.品牌药处方的不良反应。
CMAJ. 2012 Mar 20;184(5):616. doi: 10.1503/cmaj.112160. Epub 2012 Feb 27.
10
The training and professional expectations of medical students in Angola, Guinea-Bissau and Mozambique.安哥拉、几内亚比绍和莫桑比克医学生的培训和专业期望。
Hum Resour Health. 2011 Apr 7;9:9. doi: 10.1186/1478-4491-9-9.