评估当地制药系统的表现:一种分析方法,以改善获得药物的机会
Maarten Olivier Kok1,2,3, Relmbuss Biljers Fanda1,3, Rik Ubbo Lubbers4
1Erasmus School of Health Policy and Management, Erasmus University, Rotterdam, The Netherlands.
The journal of medicine access
|September 30, 2025
概括
一个新的框架,当地制药系统 (LOPHAS) 已开发,以分析当地药物的获取和使用. 这种工具有助于改善本地级别的基本药物供应和适当使用.
科学领域:
- 制药系统分析 制药系统分析
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 制药系统对于药物获取和适当使用至关重要,通常在国家范围内进行分析.
- 药品功能的本地管理存在于国家框架内,但缺乏明显的概念化.
- 在分析和比较当地制药系统 (LOPHAS) 绩效的方法中存在差距.
研究的目的:
- 开发一种分析方法和框架来评估洛法斯的业绩.
- 引导改善在地方一级获得和适当使用必需药物的机会.
- 建立当地制药系统的独特概念化.
主要方法:
- 对现有的制药系统框架和研究进行综合性文献审查.
- 咨询有目的地选择的专家.
- 根据已识别的组件和指标,开发LOPHAS方法和框架.
主要成果:
- 确定了13个现有的框架和16项分析制药系统的研究.
- 提出一个LOPHAS的六个核心功能:地方治理,供应管理,融资,资源开发,发放/使用和绩效监测.
- 为每个LOPHAS功能定义了操作组件和指标.
结论:
- 洛法斯框架为评估和比较当地制药系统绩效提供了一个实用的工具.
- 它可以指导改善基本药物获取和适当使用.
- 加强本地制药系统支持更广泛的公共卫生目标.
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