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Drug utilization in Panama.

D Lee1

  • 1Department of Pharmacology, Faculty of Medicine, University of Panama.

Journal of Clinical Epidemiology
|January 1, 1991
PubMed
Summary
This summary is machine-generated.

Panama

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Area of Science:

  • Pharmacoeconomics
  • Public Health Policy
  • Drug Utilization Studies

Background:

  • Therapeutic agent availability in Panama includes 50% vitamins, tonics, and fixed-ratio combinations.
  • Many marketed drugs lack proven efficacy and safety, and are not approved in developed nations.
  • Inappropriate prescribing patterns are prevalent in Panamanian hospitals and outpatient settings.

Purpose of the Study:

  • To critically review the availability and use of therapeutic agents in Panama.
  • To assess the impact of regulatory and educational strategies on drug utilization.
  • To identify areas for improvement in national drug and health policy.

Main Methods:

  • Analysis of drug products on the Panamanian market.
  • Review of hospital and outpatient prescribing studies.

Related Experiment Videos

  • Evaluation of interventions implemented by the Panama Social Security Institute (ISSP), including formulary changes and outreach programs.

    • Main Results:

    • 50% of 3800 drug products are non-essential (vitamins, tonics, fixed combinations).
    • Drugs with unproven efficacy/safety are marketed, alongside inappropriate prescribing.
    • ISSP interventions led to withdrawal of dubious drugs and implementation of educational outreach (drug bulletins, workshops, counterdetailing).

    Conclusions:

    • Significant improvements in drug utilization require comprehensive essential drug and health policies in Panama.
    • Interventions by the Panama Social Security Institute demonstrate potential for rational drug use promotion.
    • Continued efforts in drug regulation, education, and policy formulation are crucial for public health in Panama.