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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
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Cambios en la lista de medicamentos esenciales de la Organización Mundial de la Salud
1Management Sciences for Health, Boston, MA 02130.
Lancet (London, England)
|September 21, 1991
Resumen
La Organización Mundial de la Salud es la Organización Mundial de la Salud.
Área de la Ciencia:
- Política Farmacéutica y Economía de la Salud
- Investigación de uso de drogas Investigación de uso de drogas.
Sus antecedentes:
- La Lista Modelo de Medicamentos Esenciales de la Organización Mundial de la Salud (OMS) proporciona pautas cruciales para la selección de productos farmacéuticos.
- La lista tiene como objetivo garantizar el acceso a medicamentos seguros y efectivos a nivel mundial.
Objetivo del estudio:
- Analizar la evolución de la Lista Modelo de Medicamentos Esenciales de la OMS desde 1977 hasta 1990.
- Evaluar las razones de los cambios en la composición de la lista a lo largo del tiempo.
Principales métodos:
- Análisis comparativo de seis ediciones de la Lista Modelo de Medicamentos Esenciales de la OMS (1977-1990).
- Cuantificación de las adiciones y supresiones de fármacos.
- Categorización de los nuevos fármacos en función de las entidades o indicaciones clínicas.
Principales resultados:
- El número de medicamentos esenciales aumentó de 205 a 268 entre 1977 y 1990.
- Se agregaron 120 drogas y se eliminaron 57 durante este período.
- Sólo 16 de los fármacos añadidos representaban nuevas entidades clínicas o indicaciones; la mayoría de las adiciones reflejaban cambios en la utilidad percibida del fármaco.
Conclusiones:
- La Lista Modelo de Medicamentos Esenciales de la OMS se ha expandido significativamente, impulsada más por cambios en la percepción de los medicamentos que por la innovación científica.
- A pesar de los cambios, la lista sigue siendo un recurso valioso para los procesos nacionales de selección de medicamentos.
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