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Medicine Shortages: Gaps Between Countries and Global Perspectives.

Angela Acosta1,2, Egdda Patricia Vanegas1,3, Joan Rovira1,4

  • 1ISAGS, South American Institute of Government in Health, UNASUR, Rio de Janeiro, Brazil.

Frontiers in Pharmacology
|August 6, 2019
PubMed
Summary

Medicine shortages are a global concern impacting patient health. This review characterizes recent literature on medicine shortages, their causes, and strategies to improve access and supply chain management.

Keywords:
EuropeNorth AmericaSouth AmericaWestern Asiamedicine accessmedicine shortagesmedicine supplypharmaceutical policy

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Area of Science:

  • Global Health
  • Pharmaceutical Management
  • Health Policy

Background:

  • Medicine shortages have been a persistent issue since the early 20th century.
  • Recent global health policies highlight the critical impact of medicine access.
  • Understanding and managing medicine shortages requires further characterization.

Purpose of the Study:

  • To identify, compare, and characterize recent literature on medicine shortages globally.
  • To describe national approaches and global perspectives on medicine shortages.
  • To explore causes and potential strategies for addressing medicine shortages.

Main Methods:

  • A scoping review of published articles.
  • Narrative synthesis of findings from the literature.
  • Analysis of reported cases and management strategies.

Main Results:

  • A typology of medicine shortages and their causes was proposed.
  • National notification and management approaches were described and classified.
  • Differences between market and supply chain perspectives were identified.

Conclusions:

  • Policy makers need solutions to prevent health impacts from medicine shortages.
  • A glossary for medicine logistics and availability is needed to overcome shortages.
  • Solutions extend beyond research and development to broader strategies.