Cheaper Medicines for the Better Off? A Comparison of Medicine Prices and Client Socioeconomic Status Between Chain and Independent Retail Pharmacies in Urban India.
Cheaper Medicines for the Better Off? A Comparison of Medicine Prices and Client Socioeconomic Status Between Chain and Independent Retail Pharmacies in Urban India.
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DOI：
10.34172/ijhpm.2020.214
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发表时间：
2022-05-01
影响因子：
3.5
通讯作者：
Goodman, Catherine
中科院分区：
文献类型：
--
作者：
Miller, Rosalind;Goodman, Catherine
背景：连锁药店在印度和其他低收入和中等收入国家(LMIC)的增长正在挑战传统上由独立药店主导的药品零售市场的现状。这就提出了这样一个问题：这种组织是否会对负担能力和获得药物产生积极影响。方法：采用标准化患者调查方法，对孟加卢市230家连锁药店和独立药店进行随机抽样，测量两种示踪性疾病(成人疑似肺结核和儿童腹泻)的药品价格和会诊费用。资产数据是从808次对药房客户的离职访谈中收集的，以确定客户的社会经济概况。结果：连锁药店为寻求治疗腹泻和结核病的患者提供价格较低的药物，与独立药店相比，腹泻患者的支出也较低。这似乎是由较低的价格推动的，而不是由分发或开药习惯的数量推动的。尽管有更便宜的药品可用，但与独立药店相比，连锁店为更富有的客户提供服务。结论：这些发现表明，随着链条的扩大，它们有可能为提高药品的可负担性做出贡献。然而，任何利用这种组织模式造福公共健康的尝试都需要考虑到这些药店目前的客户组合，并伴随着适当的监管限制，以实现对较贫穷群体的潜在好处。
Background: The growth of chain pharmacies in India, and other low- and middle-income countries (LMICs), is challenging the status quo of pharmacy retail markets which have historically been dominated by independent pharmacies. This raises the question of whether such organisations will have a positive impact on affordability and access to medicines. Methods: This paper draws on a standardised patient (SP) survey to measure the prices of medicines and expenditure on consultations for two tracer conditions (suspected tuberculosis [TB] in an adult and diarrhoea in an absent child) at a random sample of 230 chain and independent pharmacies in Bengaluru. Asset data were collected from 808 exit interviews with pharmacy customers to determine socioeconomic profiles of clients. Results: Chain pharmacies were found to provide lower priced medicines for patients seeking care for diarrhoea and TB, with expenditure also lower for diarrhoea patients, compared to independent pharmacies. This was seemingly driven by lower prices rather than number of medicines dispensed or prescribing habits. Despite the availability of cheaper medicines, chains served wealthier clients, compared to independent pharmacies. Conclusion: The findings indicate the potential for chains to contribute to improving medicine affordability as they expand. However, any attempt to leverage this organisational model for public health good would need to take account of the current client-mix of these pharmacies and be accompanied by appropriate regulatory constraints in order to realise the potential benefits for poorer groups.
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影响因子：
8.1
作者：
Dasari M;David SD;Miller E;Puyana JC;Roy N
通讯作者：
Roy N
影响因子：
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作者：
Kumar, Santosh;Urala, Arun Srinivas;Valiathan, Ashima
通讯作者：
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影响因子：
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作者：
Luo, Jing;Kulldorff, Martin;Kesselheim, Aaron S.
通讯作者：
Kesselheim, Aaron S.
DOI：
10.1073/pnas.1003160108
发表时间：
2012-07-31
影响因子：
11.1
作者：
Reardon, Thomas;Timmer, C. Peter;Minten, Bart
通讯作者：
Minten, Bart
DOI：
10.18549/pharmpract.2019.3.1518
发表时间：
2019-09-01
期刊：
Pharmacy Practice (Granada)
影响因子：
--
作者：
Athiyah, Umi;Setiawan, Catur D;Hermansyah, Andi
通讯作者：
Hermansyah, Andi