在意大利获得和使用世卫组织基本药物
Alessandro Petrella1, Filomena Fortinguerra1, Agnese Cangini1
1Italian Medicines Agency, Rome, Italy.
Frontiers in public health
|October 26, 2023
概括
意大利证明了世卫组织基本药物的高可用性和偿还率. 基本药物占国家药物支出和消费的很大一部分,这突出了世卫组织EML.
科学领域:
- 卫生政策 卫生政策
- 药物经济学 药物经济学
- 公共卫生 公共卫生
背景情况:
- 世界卫生组织基本药物清单 (WHO EML) 指导国家卫生政策和资源分配.
- 意大利的医疗保健系统使用世卫组织EML框架来选择药物和制定政策.
研究的目的:
- 分析意大利第22次世卫组织EML中列出的药物的可用性和使用情况.
- 为了比较意大利的药物覆盖与世卫组织EML标准.
主要方法:
- 使用的解剖治疗化学 (ATC) 代码用于对比世卫组织EML和意大利药物管理局 (AIFA) 数据库.
- 评估了2021年的监管地位,意大利国家医疗保健服务 (INHS) 的报销,支出 (百万欧元) 和消费 (世卫组织定义的每日剂量 - DDD) 的市场份额.
主要成果:
- 大约85.2%的世卫组织EML药物在意大利销售,其中81.5%由INHS完全偿还.
- 对抗寄生虫,杀虫剂,驱虫剂 (ATC P) 和泌尿器/性激素药物 (ATC G) 的覆盖率较低.
- 世卫组织EML药物占INHS支出的48.5%,但占全国药物消费的74%,高成本的新疗法也可获得.
结论:
- 意大利的基本药品供应和补偿率很高,超过了与其他欧洲国家的比较.
- 基本药品占意大利药品总支出和消费的很大一部分.
- 世卫组织EML对高收入国家来说是一个有价值的工具,但需要更频繁的更新和更好的获取非上市药物的信息.
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