在阿尔巴尼亚获取儿科药物:对家庭医生的看法进行了定性研究
Eriona Petro1,2, Hendrika A van den Ham2, Aukje K Mantel-Teeuwisse2
1Local Healthcare Unit, Durres, Albania.
PLOS global public health
|February 10, 2026
概括
在阿尔巴尼亚,获得必要的儿科药物受到成本,短缺和选择有限的阻碍,影响了儿童的健康. 解决这些障碍需要更新的法规和报销政策,以改善医疗保健的获取.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿科药理学 儿科药理学
- 阿尔巴尼亚医疗保健系统
背景情况:
- 在阿尔巴尼亚,儿童获取药物是一个关键问题,影响了儿童健康结果.
- 家庭医生在开处方和提供适当的儿科治疗时面临重大挑战.
研究的目的:
- 探讨家庭医生对阿尔巴尼亚儿科医学可访问性的观点.
- 确定影响儿童药物获取的关键障碍和促进因素.
主要方法:
- 半结构面试与阿尔巴尼亚德拉斯的18名家庭医生进行.
- 数据分析使用了制药价值链框架来确定方法的严格性.
主要成果:
- 处方者报告了障碍,包括监管问题,定价,有限的选择,采购和报销挑战.
- 负担能力是一个主要问题,影响了处方,抗生素经常短缺.
- 促进者包括有效的患者咨询和处方药师沟通.
结论:
- 在阿尔巴尼亚,处方医生认为多个障碍阻碍了儿科医疗的准入.
- 强制执行处方法规和更新补偿政策对于改善儿童健康结果至关重要.
相关概念视频
Prescription, Nonprescription and Orphan Drugs
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
Drug Dosing: Infants and Children
Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
Pharmacokinetics in Pediatric Patients: Drug Distribution
Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight, compared...
Pharmacokinetics in Pediatric Patients: Drug Metabolism
In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
Pharmacokinetics in Pediatric Patients: Drug Excretion
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...


