监督,绩效评估和认可战略 (SPARS) 的成本,以改善尼泊尔的药物管理
Anika Ruisch1, Ganesh Khatiwada2, Anup Bastola3
1Health Economics & Health Technology Assessment, Management Sciences for Health, Arlington, USAID Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program, Arlington, VA, USA.
Journal of pharmaceutical policy and practice
|November 20, 2024
概括
尼泊尔的监督,绩效评估和认可战略 (SPARS) 试点项目花费了226,531美元,平均每家医院花费1827美元,以获得成功的药物管理成绩. 这为扩展程序提供了有价值的数据.
科学领域:
- 加强卫生系统 加强卫生系统
- 制药管理 制药管理
- 公共卫生干预 公共卫生干预
背景情况:
- 尼泊尔试行了监督,绩效评估和认可战略 (SPARS) 计划,以提高卫生工作者药物管理技能.
- 该计划利用了在职培训和药物管理监督员 (MMS) 的新干部.
研究的目的:
- 评估尼泊尔SPARS试点计划的实施成本.
- 确定在SPARS计划中实现成功的绩效状态的成本效益.
主要方法:
- 分析来自SPARS中央数据库和12个地区的293个参与的公共卫生设施的数据.
- 数据收集时间为2022年5月至2023年7月.
- 估计每个设施的成本,以达到≥18.75的SPARS得分 (75%的性能).
主要成果:
- 据估计,SPARS试点项目的总成本为226,531美元,涉及48个MMS对293个设施进行838次访问.
- 44.3% (124个设施) 在两个或两个以上的监督访问后取得了成功的SPARS得分 (≥18.75).
- 每个设施获得成功的SPARS评分的平均成本为1827美元.
结论:
- 该研究提供了对尼泊尔SPARS试点实施的综合性成本分析.
- 调查结果为尼泊尔和其他寻求改善制药管理的国家扩大SPARS的潜在规模提供了见解.
- 这些数据突出显示了在药物管理方面改善卫生工作者绩效所需的投资.
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