低收入和中等收入国家在获取新基本药物方面遇到延迟,1982-2024年
Olivier J Wouters1, Jouni Kuha2
1Olivier J. Wouters (o.j.wouters@lse.ac.uk), London School of Economics and Political Science, London, United Kingdom.
新药的可用性因国家收入而异. 高收入国家平均需要2.7年才能获得药物,而低收入国家需要8.0年,这凸显了全球健康差异.
科学领域:
- 全球健康 全球健康
- 药品接入 药品接入 药品接入
- 卫生经济学 卫生经济学
背景情况:
- 在不同经济环境中对新药时间表的理解有限.
- 基本药物对于全球健康公平至关重要.
- 药物获取方面的差异可能会加剧健康不平等.
研究的目的:
- 量化在不同收入水平的国家推出新药的时间延迟.
- 分析从1982年到2024年的药物可用性趋势.
- 在全球范围内发现获取基本药物的差异.
主要方法:
- 在75个国家 (低,中,高收入) 从1982-2024年推出新药的IQVIA数据的分析.
- 从世界卫生组织的基本药物模型清单中列入药物.
- 卡普兰-梅尔估计,以确定全球发布后可用性中位时间.
主要成果:
- 近74%的全球首次发射仅发生在八个高收入国家.
- 平均可用时间:2.7年 (高收入),4.5年 (中上层),6.9年 (中下层) 和8.0年 (低收入).
- 在研究期间,高收入国家和低收入国家之间的获取差距在研究期间保持一致.
结论:
- 低收入国家的新药可用性存在重大延迟.
- 目前的发射模式延续了全球健康不平等.
- 迫切需要制定战略,以加快在服务不足的地区获得基本药物的机会.
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