上海市基本药物可负担性实证研究

1,1,MargaretEwen2,AlecandraCameron3,RichardLaing3(1.,200032;2.,;3.,)(WorldHealthOrganization,WHO)(HealthActionInternation2al,HAI)[1],41,6,WHO,2006750(25),;;;R1A10072953X(2008)0420195202Evidence2basestudyontheaffordabilityofessentialdrugsinShanghaiYELu1,HUShan2lian1,MargaretEwen2,AlexanderCameron3,Richardlaing3(1.SchoolofPublicHealth,FudanUniversity,Shanghai200032,Chi2na;2.HealthActionInternational,Rotterdam,Netherlands;3.WorldHealthOrganization,Geneva,Switzerland)AbstractThestudydesignwasbasedonthestandardmethodologywhichwasdevelopedbytheWorldHealthOrganizationandHealthActionInternational.Datawascollectedfromatotalof30publicsectorfacilitiesand20retailpharmaciesinShanghaifourdistricts.Theaffordabilityoftreatmentwascalculatedforpre-selectedcondi2tionsidentifiedintheWHO/HAImanualbycomparingthetotalcostofmedicinesprescribedatastandarddose,tothedailywageofthelowestpaidunskilledworker(25RMByuan).Thetreatmentcostwascalculatedusingthepricedatawhichcollectedatthefacilities.KeywordsDrugprice;Innovatorbrand;Genericequivalents;Affordability1:WHO/HAI,,5,4,15,50,552020:41,(1)();(2):(Affordability):,WHO/HAI,WHO(BNF)(1)7,302006750,25,,500mg,2,30602008203203;2008204210(19632),,,,,,2,268,20060.7,200625;,,200614,20066,,20063.9;,20060.85%,,20063.6,,2006110%,,5,20068,2006459120087114©1994-2009ChinaAcademicJournalElectronicPublishingHouse.Allrightsreserved.()500mg23060WHOModelFormulary2002;BNF43(Mar2002)Section6.1.2.125mg13030WHOModelFormulary2002;BNF42(Sept2001)Section2.2.1250mg/3/721WHOModelFormulary2002;BNF43(Mar2002)Section5.1.1.350mg23060BNF43(Mar2002);Section10.1.125mg33090WHOModelFormulary2002;BNF43(Mar2002)Section4.3.1150mg23060BNF43(Mar2002);Section1.313WHOModelFormulary2002:bnf.vhn.net/home/2()()()()IB98.403.990.93.6500mg32330daysLPG19.160.8IB25mg31330daysLPG1.170.11.170.1IB203.148.1203.148.15mg31330daysLPG117.434.7106.284.3IB500mg3337daysLPG22.310.922.310.9IB59.402.459.402.425mg32330daysLPGIB25mg33330daysLPG18.450.7IB360.9914.4354.6414.220mg31330LPG155.006.0150.006.0IB150mg32330daysLPG9.000.48.800.4,20060.4,3,,,20068,,20064,,,,,2006,,,9,,,,,,,,96%,85%,20064,,20060.814,20066,,16.7%,,10%,,2006,,,20081,,,,10%,,,,,[1]WorldHealthOrganizationandHealthActionInternational.Medi2cineprices:anewapproachtomeasurement.Workingdraftforfieldtestingandrevision[R].Geneva:WHO,2003:43244.691ChineseHealthResources,July2008,Vol11,No.4©1994-2009ChinaAcademicJournalElectronicPublishingHouse.Allrightsreserved.