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私人药房作为印度奥迪沙州的医疗保健提供者:对全民医疗覆盖的分析和影响
Anuska Kalita1, Bijetri Bose1, Liana Woskie2,3
1Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA akalita@hsph.harvard.edu bbose@hsph.harvard.edu.
BMJ global health
|October 1, 2023
概括
在印度,私人药房是重要的医疗保健提供者,提供方便的接入和更好的药物可用性. 尽管存在一些监管问题,但与其他提供者相比,患者报告满意度更高,成本更低.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 制药政策 制药政策
- 公共卫生 公共卫生
背景情况:
- 私营部门,特别是药房,在印度的医疗保健服务中发挥着重要作用.
- 关于私人药房作为医疗保健提供者的具体贡献和特征的研究有限.
- 了解药房服务对于在低收入和中等收入国家制定有效的医疗保健政策至关重要.
研究的目的:
- 描述印度的私人药房及其服务.
- 将私人药房与其他门诊护理提供者进行比较.
- 调查患者的人口统计,寻求医疗保健的行为,以及对私人药房的满意度.
主要方法:
- 分析了印度奥迪沙州四项调查的数据:家庭调查 (N=7567),私人药房调查 (N=1021),公共初级保健设施调查 (N=358) 和私人单独提供者调查 (N=684).
主要成果:
- 17%的家庭使用私人药房进行门诊护理.
- 25%的药房没有适当注册;90%提供医疗咨询,26%替代处方药.
- 私人药房提供比公共设施更长的时间和更好的基本药品库存,导致更高的患者满意度和更低的自费支出.
结论:
- 私人药房是印度医疗保健系统的重要组成部分,提供可访问和令人满意的护理.
- 解决监管合规和药物替代是优化药房服务所必需的.
- 将私人药房纳入综合卫生系统的方法是印度实现全民医疗覆盖的关键.
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