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Stakeholder roles in facilitating access to essential medicines
Mai H Duong1, Rebekah J Moles1, Betty Chaar1
1Faculty of Pharmacy, The University of Sydney, World Hospital Pharmacy Research Consortium (WHoPReC), Australia.
Research in Social & Administrative Pharmacy : RSAP
|May 13, 2018
Summary
Global medicine shortages persist due to supply chain issues. This study reveals that involving hospital pharmacists and wholesaler/distributors in decision-making can improve medicine access and collaboration.
Area of Science:
- Health Systems Research
- Supply Chain Management
- Pharmaceutical Policy
Background:
- Persistent global medicine shortages indicate ongoing problems with access to essential medicines.
- Vulnerabilities in the pharmaceutical supply chain pose risks to health systems and patient safety.
Purpose of the Study:
- To investigate the roles of various stakeholders in facilitating access to essential medicines.
- To understand how different stakeholder functions impact medicine availability and distribution.
Main Methods:
- Conducted in-depth interviews with 47 participants from seven global stakeholder groups.
- Employed a pragmatic Grounded Theory approach with thematic content analysis.
- Utilized Ishikawa fishbone diagrams to visualize decision-making and logistics processes.
Main Results:
- Logistics management and therapeutic decision-making were found to be managed in silos by different stakeholders.
- Hospital pharmacists play a crucial dual role in patient care and supply chain logistics.
- Wholesaler/distributors, vital for managing shortages, were excluded from decision-making and therapeutic selection.
Conclusions:
- Improved and innovative stakeholder engagement strategies are necessary.
- Integrating hospital formulary pharmacists and including wholesaler/distributors in therapeutic selection could enhance collaboration.
- Aligning medicine selection and procurement processes is essential for better outcomes.
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