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Defining pharmaceutical systems strengthening: concepts to enable measurement
This study defines pharmaceutical systems and their strengthening for better measurement. It proposes a holistic framework with seven critical components for assessing progress in improving access to medicines and health outcomes.
Area of Science:
- Health Systems Strengthening
- Pharmaceutical Policy and Management
Background:
- Existing tools for assessing pharmaceutical systems have a narrow focus, limiting the evaluation of interventions.
- There is a lack of a conceptualized definition for pharmaceutical systems and their strengthening, hindering measurement of progress.
Purpose of the Study:
- To define pharmaceutical systems and pharmaceutical systems strengthening (PSS).
- To propose a framework for measuring PSS by identifying critical components.
Main Methods:
- Comprehensive literature review on pharmaceutical systems definitions, frameworks, and assessment tools.
- Consultation with pharmaceutical experts to refine concepts.
Main Results:
- A proposed definition of a pharmaceutical system encompassing structures, people, resources, processes, and their interactions.
- A proposed definition of PSS as a process for coordinated, sustainable improvements.
- Identification of seven critical components for measuring PSS: products/services, policy/governance, regulatory systems, R&D/manufacturing/trade, financing, human resources, and information.
Conclusions:
- The proposed holistic definitions provide clarity on pharmaceutical systems and PSS.
- The identified components offer a practical starting point for measuring PSS progress and enhancing health outcomes.
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