印度注射抗生素的使用:公共-私营部门在量和成本上的份额
Shaffi Fazaludeen Koya1, Senthil Ganesh2, Katherine Klemperer3
1Boston University School of Public Health, Boston, Massachusetts, 02125, USA.
Wellcome open research
|September 2, 2024
概括
注射性抗生素占相当大的成本,印度在注射性药物方面的国家支出占35.8%,尽管消费量较低. 喀拉拉邦的公共部门在提供这些必需药物方面表现出更高的成本效益.
科学领域:
- 药物经济学和药物利用研究研究 药物经济学和药物利用研究
- 公共卫生和医疗保健政策
- 传染病管理 传染病管理
背景情况:
- 注射性抗生素占抗生素总支出的主要份额,但它们的消费模式仍未得到充分研究.
- 了解注射抗生素的经济和利用情况对于国家卫生战略至关重要.
研究的目的:
- 确定印度口服抗生素与注射抗生素的全国消费和成本份额.
- 分析公共和私营部门对喀拉拉邦注射抗生素供应和成本的贡献.
主要方法:
- 使用了国家销售数据 (PharmaTrac) 和公共部门采购数据 (Kerala医疗服务公司).
- 根据世界卫生组织的访问,观察,储备 (AWaRe) 和解剖治疗化学品 (ATC) 分类.
- 计算年度总量,人均消费和支出指标,包括每定日剂量 (DDD) 的成本.
主要成果:
- 在全国范围内,注射剂占抗生素总支出的35.8%,尽管在消耗的总单位中占比较小.
- 在喀拉拉邦,私营部门将大约33%的抗生素预算用于注射剂,而公共部门则为25%.
- 喀拉拉邦的公共部门表现出卓越的成本效益,与私营部门相比,以较低的DDD成本提供大量注射剂.
结论:
- 公共部门在抗生素供应方面表现出比私营部门更高的成本效益.
- 有效的抗生素管理需要与私人医疗保健提供者全面合作,而不仅仅是药品价格控制.
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