印度奥迪沙州公共卫生设施和私人药房实践的资源短缺
Bijetri Bose1,2, Terence C Cheng1, Anuska Kalita1
1Department of Global Health and Population, Harvard T. H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA 02115, United States.
Health policy and planning
|September 6, 2024
概括
在低收入和中等收入国家,当公共设施面临短缺时,私人药房会调整服务. 农村药房替代护理,而城市药房补充公共服务,影响全民医疗覆盖.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 制药政策 制药政策
- 全球健康 全球健康
背景情况:
- 在低收入和中等收入国家 (LMICs),私人药房对于药品供应和医疗保健至关重要.
- 私营药房的不理想做法阻碍了他们对全民健康覆盖的潜在贡献.
- 现有的研究忽略了市场背景和影响私人药房业绩的公私互动.
研究的目的:
- 调查私人药房实践与公共卫生设施资源短缺之间的关系.
- 分析市场动态,特别是公共部门的缺陷,如何影响印度奥迪沙的私人药房运营.
主要方法:
- 利用了印度奥迪沙州私人药房和公共医疗保健设施的三个新初级数据集.
- 集成的地理空间坐标来分析公共和私人提供商之间的空间关系.
- 检查了私人药房根据公共设施资源水平调整的护理和药品发行情况.
主要成果:
- 私营药房调整其服务 (类型和数量),以弥补公共设施的医疗保健人员和药品短缺.
- 在农村地区观察到公共和私人提供者之间的替代关系.
- 在城市地区,公共和私人服务提供商之间存在互补关系.
结论:
- 公共卫生设施的资源短缺引发了私人药房的动态反应.
- 解决公共部门资源缺口的政策必须考虑与私营药房的互动,以便在LMICs有效提供医疗保健.
- 了解这些公私动态对于提高全民健康覆盖率至关重要.
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