世界保健機関 (WHO) の必須医薬品リストの変更
1Management Sciences for Health, Boston, MA 02130.
Lancet (London, England)
|September 21, 1991
まとめ
世界保健機関 (WHO)
科学分野:
- 医薬品政策と健康経済 医療経済
- 薬物利用に関する研究 薬物利用に関する研究
背景:
- 世界保健機関 (WHO) の基本薬のモデルリストは,医薬品の選択のための重要なガイドラインを提供します.
- このリストは,世界中で安全で効果的な医薬品へのアクセスを確保することを目的としています.
研究 の 目的:
- 1977年から1990年までのWHOの基本医薬品モデルリストの進化を分析する.
- リストの構成が時間とともに変化する理由を評価する.
主な方法:
- WHOの基本薬のモデルリスト (1977-1990) の6つのエディションの比較分析.
- 薬物添加および削除の定量化.
- 新薬の分類は,臨床的特徴や indikacijuに基づいて行われます.
主要な成果:
- 必須医薬品の数は,1977年から1990年の間に205から268に増加しました.
- この期間中に120の薬物が追加され,57の薬物が削除されました.
- 追加された薬物のうち,新しい臨床的実体または indikaを代表する薬物は16種類のみで,ほとんどの追加は,薬物の有用性に対する認識の変化を反映した.
結論:
- WHOの基本薬のモデルリストは,科学的革新よりも薬物の認識の変化によって大きく拡大しています.
- 変更にもかかわらず,このリストは,国家薬剤選択プロセスにとって貴重なリソースであり続けています.
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