Emami Farideh, Cheraghali Abdol Majid
School of Pharmacy, Tehran Medical Science, Islamic Azad University, Tehran, I.R. Iran.
Department of Pharmacology, Faculty of Pharmacy, Baqiyatallah University of Medical Sciences, Tehran, I.R. Iran.
Res Pharm Sci. 2022 Apr 18;17(3):274-283. doi: 10.4103/1735-5362.343081. eCollection 2022 Jun.
Continuous evaluation of the policies and interventions could explore their efficacies in improving the accessibility and availability of medicines in the local market. This study explained the health system policies of the Islamic Republic of Iran concerning the impact of the economic sanctions on the local pharmaceutical market and addressed the issue of whether these policies were able to improve patients' access to medicines.
In this study, qualitative and quantitative research methods were used. In the qualitative part, semi-structured interviews with pharmaceutical system experts were used. In the next step, the structural analysis method was used. In the quantitative part, numerical sales data of the selected medicines were extracted and analyzed.
FINDINGS/RESULTS: Reported statistics regarding the presence of the medicines in the market indicates the obvious fluctuations in the numerical sales of medicines in the studied years. This may indicate that the policies implemented are not able to fully compensate for the negative effects of sanctions and improve access to medicine. In addition, according to some experts, policy, and management weaknesses are mainly rooted in unresolved domestic hurdles which have exacerbated the effects of international sanctions on the country's pharmaceutical market.
Effective policy-making in response to economic sanctions can reduce the negative effect of international sanctions and result in drug shortages. Results of this study showed despite efforts made by the Iran health sector to subside the impact of sanctions on the pharmaceutical sector, there is an obvious disruption of the medicine supply chain in the market.
持续评估政策与干预措施能够探究它们在改善当地市场药品可及性和可得性方面的成效。本研究阐释了伊朗伊斯兰共和国关于经济制裁对当地药品市场影响的卫生系统政策，并探讨了这些政策是否能够改善患者获得药品的机会这一问题。
本研究采用了定性和定量研究方法。在定性部分，对药品系统专家进行了半结构化访谈。接下来，使用了结构分析方法。在定量部分，提取并分析了所选药品的销售数据。
报告的有关药品在市场上存在情况的统计数据表明，在研究年份中，药品的销售数字存在明显波动。这可能表明所实施的政策无法完全弥补制裁的负面影响并改善药品的可及性。此外，一些专家认为，政策和管理方面的弱点主要源于未解决的国内障碍，这些障碍加剧了国际制裁对该国药品市场的影响。
针对经济制裁制定有效的政策可以减少国际制裁的负面影响并导致药品短缺。本研究结果表明，尽管伊朗卫生部门努力减轻制裁对制药部门的影响，但市场上药品供应链仍存在明显中断。
