在马里受冲突影响的地区,不合理的药物使用及其相关因素:一个横截面研究
Mohamed Ali Ag Ahmed1,2,3, Alassane Seydou3, Issa Coulibaly3
1Sherpa University Institute, Montreal, Canada.
Global health action
|February 5, 2025
概括
在冲突地区,合理的药物使用受到挑战. 这项研究发现,马里的多药房和过度处方抗生素/注射剂的比例很高,影响了健康结果和负担能力.
科学领域:
- 全球健康 全球健康
- 卫生系统研究 卫生系统研究
- 制药政策 制药政策
背景情况:
- 合理使用基本药物对于预防和治疗疾病至关重要.
- 受冲突影响地区资源不足的卫生系统在确保合理使用药物方面面临重大挑战.
研究的目的:
- 评估在马里受冲突影响地区的初级医疗保健水平上合理使用基本药物的障碍.
主要方法:
- 在马里20个社区卫生中心 (CHC) 进行横截面研究.
- 分析了789份处方和443名患者的访谈.
- 世界卫生组织和国际合理使用药物网络的应用核心形式.
主要成果:
- 平均处方: 3.89 种药物; 94% 的仿制药, 91% 的必需品清单.
- 68%的抗生素,58%的注射剂,75.79%的多药.
- 确定了与多药,抗生素和注射剂过度处方相关的因素. 与收入相对较高的处方费用.
结论:
- 过度的多药和过度处方抗生素/注射剂阻碍了卫生系统的表现和治疗结果.
- 这些发现支持有针对性的研究,以减轻冲突对合理药物使用的影响.
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