国家基本药物清单中的儿科配方:一个横截面研究
Camila Heredia1, Moizza Zia Ul Haq1, Bernadette Cappello2
1MAP Centre for Urban Health Solutions, Li Ka Shing Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Frontiers in pediatrics
|May 19, 2025
概括
大多数国家在基本药物清单上缺乏儿科配方,特别是高收入国家. 这凸显了优先考虑儿童必需药物的差距,并确保青少年获得必要的治疗.
科学领域:
- 儿科药理学 儿科药理学
- 全球卫生政策 全球卫生政策
- 药物的可访问性 药物的可访问性
背景情况:
- 儿童需要专门的药物配方来进行安全有效的治疗.
- 世界卫生组织 (WHO) 已经建立了一份儿科必需药物清单.
- 全球对儿童健康的承诺表明,国家清单应优先考虑儿科药物.
研究的目的:
- 评估儿科药物和配方在国家基本药物清单中是否包括.
- 为了识别不同国家的儿科医学优先级的差异.
- 将国家清单与世卫组织儿童基本药物清单 (EMLc) 进行比较.
主要方法:
- 利用全球基本药物数据库收集国家清单数据.
- 专注于儿科名单,药物和配方.
- 根据国家收入水平和特征分析数据,重点关注六个关键治疗领域.
主要成果:
- 大多数国家,特别是高收入的欧洲国家,在基本药物清单 (EML) 中不包括儿科配方.
- 在这些国家中,常见的药物包括抗感染药物,抗逆转录病毒药物和癌症药物,在治疗三杆菌病,莱什曼病和肝炎方面存在显著差距.
- 降醇表现出最多样化的配方;国家EML和世卫组织EMLc之间存在差异,一些国家总体上列出了较少的药物,但更多的是针对艾滋病毒和肝炎.
结论:
- 许多国家缺乏明确的儿童药物优先级.
- 这一问题在高收入国家尤为明显.
- 国家基本药物清单与世卫组织建议之间存在重大不一致,这表明青年医学政策的实施不足.
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