尼泊尔基本息治疗药物的可用性和负担能力:一个跨部门研究
Rajeev Shrestha1, Bruce Hayes1, Arjun Poudel2
1INF Nepal Green Pastures Hospital and Rehabilitation Centre (R.S., B.H., D.M.), Pokhara, Nepal.
Journal of pain and symptom management
|April 6, 2024
概括
在尼泊尔,基本息治疗药物 (EPCM) 的可用性有限,许多人负担不起. 在尼泊尔需要改进.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 卫生政策和健康准入
- 药品计划评价 药品计划评价
背景情况:
- 尼泊尔2017年国家息护理战略 (NSPC) 要求从国际临终关怀和息护理协会 (IAHPC) 获得基本息护理药物 (EPCM).
- 柳叶刀委员会还在2017年制定了一份EPCM清单.
研究的目的:
- 评估纳入和可用性IAHPC和兰塞特推EPCMs在尼泊尔的国家药物计划.
- 评估这些基本息护理药物的负担能力.
主要方法:
- 一项横截面研究检查了尼泊尔EPCM的可用性.
- 评估包括在国家必需药品,政府医疗保险,固定费率和免费药品清单中的情况.
- 可负担性是使用世卫组织的每日定义剂量和尼泊尔的最低日薪来确定的.
主要成果:
- 82%的IAHPC-EPCM和100%的兰塞特推的EPCM在尼泊尔可用.
- 只有10-22%的IAHPC-EPCM通过政府设施免费提供.
- 73%的IAHPC-EPCM在医疗保险名单上,但只有46%的可用EPCM是负担得起的.
结论:
- 许多符合NSPC的EPCM配方在尼泊尔无法获得或负担得起.
- 在政府医疗保险下,可用性更好,但注册仍然是一个障碍.
- 建议为未来的改进制定尼泊尔息护理表单.
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