巴基斯坦俾路支省部分基本药物的可及性、价格和可负担性评估。
Evaluation of Availability, Prices, and Affordability of Selected Essential Medicines in Balochistan, Pakistan.
机构信息
Department of Pharmacy Practice, University of Balochistan, Quetta, Pakistan.
Balochistan Institute of Nephrology Urology Quetta BINUQ, Quetta, Pakistan.
出版信息
Int J Public Health. 2022 Jul 6;67:1604375. doi: 10.3389/ijph.2022.1604375. eCollection 2022.
The study aimed to evaluate the availability, prices, and affordability of selected essential medicines in Balochistan, Pakistan. Cross-sectional research was conducted in several cities of Balochistan, Pakistan, using the World Health Organization/Health Action International methodology to assess the availability and cost of 50 originator brand (OB) and lowest priced generic (LPG) drugs. The medicine costs were compared to international reference prices (IRPs) to calculate the median price ratio. The daily wage of the lowest paid unskilled government employee was used to determine affordability. The mean availability was low for OBs (9.8%) and fairly high (49.4%) for LPGs. The OBs and LPGs' mean availability in the private sector were fairly high, 51.8% and 42.6%, respectively. It was surprising to see that Balochistan's public sector has only 24.3% of the National Essential Medicine List when the medicines on this list are supposed to be adequately available. The standard treatment cost with OBs is steep, exceeding the minimum daily wage. Treatment with LPG medications seems affordable. Furthermore, essential LPG medicines are economical when used solely for medication therapy.
本研究旨在评估巴基斯坦俾路支省部分基本药物的可及性、价格和可负担性。采用世界卫生组织/国际健康行动组织方法，在巴基斯坦俾路支省多个城市开展了横断面研究，评估 50 种原研品牌（OB）和最低定价仿制药（LPG）的可及性和成本。将药品价格与国际参考价格（IRP）进行比较，计算中位数价格比。使用最低薪非熟练政府雇员的日工资来确定可负担性。OB 的平均可及性较低（9.8%），而 LPG 的平均可及性较高（49.4%）。令人惊讶的是，当国家基本药物清单上的药物应该充分可及时，俾路支省的公共部门只拥有该清单上 24.3%的药品。使用 OB 的标准治疗费用很高，超过了最低工资。使用 LPG 药物治疗似乎可以负担得起。此外，仅用于药物治疗时，基本的 LPG 药物具有经济性。
Zotero 插件