药物供应商对埃塞俄比亚东部抗生素滥用做法的看法:定性研究
Dumessa Edessa1,2, Fekede Asefa Kumsa2,3, Girmaye Dinsa2,4
1School of Pharmacy, Haramaya University, Harar, Ethiopia jaarraa444@yahoo.com.
BMJ open
|August 29, 2024
概括
埃塞俄比亚滥用抗生素的原因是利和易于获得,而不是患者的护理. 需要更严格的政策和审计来改善抗生素管理和打击耐药性.
科学领域:
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
- 卫生政策 卫生政策
背景情况:
- 滥用抗生素在埃塞俄比亚越来越令人担忧,尽管药物供应商在促进管理方面的潜在作用.
- 了解药物供应商未能制抗生素滥用背后的原因对于开发有效干预措施至关重要.
研究的目的:
- 探索药物供应商对埃塞俄比亚东部滥用抗生素的驱动因素的观点.
- 确定导致该地区抗生素滥用持续增加的因素.
主要方法:
- 在2023年3月至6月期间,在埃塞俄比亚东部进行了一项探索性定性研究.
- 与15个药物供应商进行了深入的半结构化访谈.
- 采访数据被转录,翻译和主题分析.
主要成果:
- 滥用抗生素的主要原因包括自制药的压力,以利为目的的分发,监管疲软和政策差距.
- 患者需求,避免成本,以及公共设施中缺乏诊断/药物,推动了非处方入口.
- 由于客户满意度,经济利益和市场竞争,药房可以在没有处方的情况下提供药品.
结论:
- 利动机和易于获取是滥用抗生素的主要驱动因素.
- 目前的监管审计是无效的; 建议制定具体的抗生素使用政策和改善监督.
- 实施自动化审计,负责办公室和财政援助可以优化抗生素的使用并减少耐药性.
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