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三级医院门诊药房药品供应不足的影响因素评估:一项观察性研究。

An assessment of the factors contributing to the unavailability of drugs at outpatient pharmacy of tertiary care hospital: an observational study.

作者信息

Bakare Abhishek, Bhargav Aditya

机构信息

Department of Hospital Administration., Datta Meghe Institute of Higher Education and research, Sawangi Meghe, Wardha., Maharashtra, 442001, India.

出版信息

F1000Res. 2024 Oct 14;12:1287. doi: 10.12688/f1000research.139510.2. eCollection 2023.

Abstract

INTRODUCTION

Throughout history and up until the present, there has been a medicine shortage. In the early 1920s, there was a shortage of insulin, which is when drug scarcity first appeared in the records. Drug shortages are now more prevalent globally than they were back then.The goal of this essay is to pinpoint the key components that make up a definition for medication shortages and to pinpoint the circumstances that should be considered when reporting drug shortages in databases. Understanding the factors that led certain organizations to create their own definition of a medicine shortage was crucial for achieving these goals.The pharmaceutical regulatory environment can be connected to several reasons why there are medication shortages, including parallel trading, quality standards, and business choices to halt or reduce manufacturing. The many rules governing medicine shortages have not yet been the subject of a thorough investigation. This protocol's objective is to analyze the pertinent legislative and regulatory frameworks in the European pharmaceutical system that affect medication shortages. The objectives of the study will be the non-availability of drugs at an outpatient pharmacy and to analyze the reason of non-availability of drugs.

METHODS

An observational study will be adopted in this study. It includes a collection of data from the patient coming to the outpatient pharmacy of AVBRH Sawangi (Meghe) Wardha.

EXPECTED RESULT

It can lead to delayed treatment for patients seeking alternative medication. It can also lead to increased healthcare costs if patients seek alternative treatments that are more expensive or require additional medical care. The unavailability of drugs can also lead to frustration and anxiety for patients who need medication to manage their health condition. It can also negatively impact the reputation of the hospital.

摘要

引言

从古至今,药品短缺问题一直存在。20世纪20年代初,胰岛素出现短缺,这是药品短缺首次在记录中出现。如今,全球药品短缺现象比那时更为普遍。本文旨在明确构成药品短缺定义的关键要素,并确定在数据库中报告药品短缺时应考虑的情况。了解促使某些组织制定自身药品短缺定义的因素对于实现这些目标至关重要。药品监管环境与药品短缺的若干原因相关,包括平行贸易、质量标准以及停止或减少生产的商业决策。众多关于药品短缺的规定尚未得到全面研究。本方案的目标是分析欧洲药品体系中影响药品短缺的相关立法和监管框架。该研究的目标将是门诊药房药品缺货情况,并分析药品缺货的原因。

方法

本研究将采用观察性研究。它包括收集前往萨万吉(梅赫)瓦尔达AVBRH门诊药房的患者的数据。

预期结果

这可能导致寻求替代药物的患者治疗延迟。如果患者寻求更昂贵或需要额外医疗护理的替代治疗,还可能导致医疗成本增加。药品缺货也可能给需要药物来控制健康状况的患者带来沮丧和焦虑。这也可能对医院的声誉产生负面影响。

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本文引用的文献

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Drug Shortage: Causes, Impact, and Mitigation Strategies.药品短缺:原因、影响及缓解策略
Front Pharmacol. 2021 Jul 9;12:693426. doi: 10.3389/fphar.2021.693426. eCollection 2021.
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Causes of drug shortages in the legal pharmaceutical framework.合法制药框架下药品短缺的原因。
Regul Toxicol Pharmacol. 2015 Mar;71(2):251-8. doi: 10.1016/j.yrtph.2015.01.005. Epub 2015 Jan 12.
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Drug shortages: a complex health care crisis.药品短缺:复杂的医疗保健危机。
Mayo Clin Proc. 2014 Mar;89(3):361-73. doi: 10.1016/j.mayocp.2013.11.014.
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Why drug shortages are an ethical issue.为何药品短缺是一个伦理问题。
Australas Med J. 2013 Nov 30;6(11):556-9. doi: 10.4066/AMJ.2013.1869.

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