在巴西获得抗逆转录病毒药物
1Fogarty International AIDS Training Programme, School of Public Health, University of California, Berkeley, CA, USA. jgalvao@uclink.berkeley.edu
Lancet (London, England)
|December 14, 2002
概括
巴西提供免费的艾滋病毒/艾滋病治疗,在药物采购和分销方面面临挑战. 从这一通用获取政策中吸取的教训为全球卫生战略提供了洞察力.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 制药管理 制药管理
背景情况:
- 自1996年以来,巴西卫生部一直为艾滋病毒/艾滋病感染者提供免费的全方位抗逆转录病毒治疗 (ARV).
- 该政策的实施遇到了重大的政治,金融和后勤障碍.
研究的目的:
- 调查巴西ARV治疗政策的历史背景和演变.
- 分析巴西ARV的药物分销物流和政府采购策略.
主要方法:
- 历史性的政策分析.
- 检查药物获取和分销系统.
- 审查政府战略和国际争端.
主要成果:
- 巴西在国内生产许多ARV,同时进口昂贵的药物.
- 该政策的成功受到高药物采购成本的挑战,导致与制药公司的价格和专利纠纷.
结论:
- 巴西的ARV接入政策,尽管取得了成功,但仍面临着药物成本的持续威胁.
- 巴西的经验为全球实施普遍的艾滋病毒/艾滋病治疗提供了宝贵的教训.
关键词:
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