对局部绿眼病药物的可访问性,可用性和负担能力的调查和分析
Shalini Virani1, Parveen Rewri2
1Department of Pharmacology, Maharaja Agrasen Medical College, Agroha (Hisar), Haryana, India.
Indian journal of ophthalmology
|February 6, 2024
概括
在印度哈里亚纳州,绿眼镜眼滴并不容易获得或负担得起. 这项研究发现可用性低,成本高,影响了患者的治疗坚持和眼病管理.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 获得基本药物对于有效的医疗保健至关重要,但负担能力和可用性仍然是全球性的挑战.
- 对于诸如玻璃眼等慢性疾病的治疗坚持程度受到药物可获得性的显著影响.
- 有限的数据存在于印度与眼病药物获取相关的具体挑战.
研究的目的:
- 评估当前眼内压力 (IOP) 降低眼滴的可用性,可负担性和可访问性,以治疗青光眼.
- 在印度哈里亚纳州应用世界卫生组织 (WHO) /健康行动国际 (HAI) 方法.
- 为了识别障碍,以获得必要的青光眼治疗.
主要方法:
- 从2021年10月到2022年1月进行了一项横截面研究.
- 在城市,半城市和农村哈里亚纳州的191家公共和私人药房收集了有关格洛科马局部药物的价格和可用性的数据.
- 使用WHO/HAI方法,包括计算中位价比 (MPR) 来比较当地和国际价格.
主要成果:
- 在所有采样地点,局部格劳科马药物的总体可用性很低 (35.7 ± 22.3%).
- 在药物价格和可用性之间观察到微弱的负相关性 (r = -0.44,P <0.05).
- 玻璃眼的药物治疗费用是一个巨大的财务负担,需要最低薪水的无技术工人每日工资的15%至203%.
结论:
- 在印度哈里亚纳州,局部玻璃眼药物的可用性和可访问性较低.
- 高昂的成本对患者构成重大障碍,可能会影响治疗的坚持和长期的玻璃眼管理.
- 需要采取进一步的干预措施,以改善该地区获得必要的青光眼治疗的机会.
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