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哪些药物应该列入必需药物清单?
Courtney Perlino1, Hilary Daniel2, Amy B Cadwallader3
1Vice president of federal programs drug policy at America's Health Insurance Plans.
AMA journal of ethics
|April 2, 2024
概括
世界卫生组织的基本药物清单 (EML) 应考虑药物短缺风险. 识别易受伤害的基本药物可以提高供应链的弹性,并防止患者护理中断.
科学领域:
- 卫生政策 卫生政策
- 药品供应链管理 药品供应链管理
- 全球健康 全球健康
背景情况:
- 世界卫生组织 (WHO) 在1977年建立了基本药物清单 (EML),每两年更新一次,以确保获得关键药物.
- 传统上,EML的纳入是基于临床有效性和公共卫生影响.
- 新出现的担忧凸显了供应链的脆弱性,作为药物可用性的关键因素.
研究的目的:
- 检查世卫组织基本药物清单 (EML) 创建和更新背后的逻辑.
- 建议将药物短缺风险评估纳入EML修订过程.
- 探索增强制药供应链弹性战略.
主要方法:
- 本评论分析了世卫组织的EML框架.
- 它讨论了一个案例研究,说明了供应链漏洞对基本药物的影响.
- 它提出了"基本"和"脆弱"药物之间的概念区分.
主要成果:
- 当前的EML标准可能无法充分考虑供应链的漏洞.
- 药物短缺的风险可能会影响被认为是必需的药物的可获得性.
- 需要采取积极的方法来识别和管理易受伤害的基本药物.
结论:
- 修订EML以包括短缺风险评估对于确保对基本药物的持续获取至关重要.
- 区分"必要"和"易受伤害"的药物可以加强供应链的弹性.
- 通过改善供应链管理来缓解药物短缺对于患者护理至关重要.
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