探索在南太平洋地区获得基本药物的机会:来自多个国家的横截面研究的见解
Lachlan Oldfield1, Jonathan Penm1,2, Rebekah Moles1
1School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, NSW, Australia.
The Lancet regional health. Western Pacific
|January 10, 2025
概括
在中低收入的南太平洋国家,基本药物稀缺且负担不起. 迫切需要政策改革,以改善公平医疗保健的获取和负担能力.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 全球健康 全球健康
背景情况:
- 获得必需药物的机会至关重要,但在全球范围内有限.
- 南太平洋地区 (SPR) 面临着独特的挑战:偏远,经济局限和医疗保健基础设施薄弱.
- 这项研究评估了世界银行在SPR的收入群体中基本药物的可用性,定价和负担能力.
研究的目的:
- 评估南太平洋地区基本药物的可用性,定价和负担能力.
- 根据世界银行的收入组 (中低收入国家[LMICs],中高收入国家[UMICs]和高收入国家[HICs]) 划分结果.
- 识别差异,并为改善药物获取提供政策干预信息.
主要方法:
- 利用世界卫生组织 (WHO) 和国际卫生行动组织 (HAI) 的标准化方法.
- 从新喀里多尼亚,法属波利尼西亚,瓦利斯和福图纳,斐济,瓦努阿图和所罗门群岛的公共部门 (19家医院) 和私营部门 (24家药房) 收集数据 (2023年2月至10月).
- 测量了药品的可用性,中等价格比率 (MPR) 和可负担性,分析了按收入群体的数据.
主要成果:
- 低中等收入国家 (LMICs) 与HICs (87.2%公共,72.5%私人) 相比,药品供应率最低 (59.1%公共,57.4%私人).
- 平均价格比率 (MPR) 显示了所有收入群体的高药价.
- 基本药品在LMICs无法负担,与UMICs和HICs的负担能力形成鲜明对比.
结论:
- 南太平洋地区的LMIC面临着重要的挑战,即基本药品的可用性和负担能力.
- 迫切的,有针对性的政策改革和战略举措是必要的,以确保在该地区获得公平的医疗保健.
- 解决这些差异对于改善南太平洋地区的健康状况至关重要.
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