Medicine prices, availability, and affordability in the Shaanxi Province in China: implications for the future
Medicine prices, availability, and affordability in the Shaanxi Province in China: implications for the future
复制标题
中国陕西省的药品价格、可获得性和可负担性：对未来的影响
DOI：
10.1007/s11096-014-0037-4
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发表时间：
2015-02-01
影响因子：
2.4
通讯作者：
Fang, Yu
中科院分区：
文献类型：
--
作者：
Jiang, Minghuan;Zhou, Zhongliang;Fang, Yu
背景2009年，中国实施了国家基本药物制度（NEMS），以改善高质量低成本的基本药物的可及性。方法采用世界卫生组织和国际健康行动组织制定的标准化方法，收集49种药品的价格和可获得性数据，主要指标为：中位价格比、可获得性百分比、可获得性指数、可获得结果在公立医院，原产地品牌（OB）的采购价格是国际参考价格的8.89倍，比价格最低的仿制药（LPG）高出7倍以上。患者支付的OB和仿制药的国际参考价格分别为11.83和1.69倍。在私营药房也观察到类似的结果。公立医院OBs和LPGs的平均可利用率分别为7.1%和20.0%，私营药店分别为12.6%和29.2%。因此，OBs治疗在很大程度上是负担不起的，但LPGs的负担能力一般是好的。仿制药的可负担性，而不是OB，是合理的。应采取有效措施降低药品价格，提高陕西省药品的可获得性和可负担性。
BackgroundIn 2009, China implemented the National Essential Medicines System (NEMS) to improve access to high-quality low-cost essential medicines.ObjectiveTo measure the prices, availability and affordability of medicines in China following the implementation of the NEMS. Setting 120 public hospitals and 120 private pharmacies in ten cities in Shaanxi Province, Western China.MethodThe standardized methodology developed by the World Health Organization and Health Action International was used to collect data on prices and availability of 49 medicines.Main outcome measuresMedian price ratio; availability as a percentage; cost of course of treatment in days’ wages of the lowest-paid government workers.ResultsIn the public hospitals, originator brands (OBs) were procured at 8.89 times the international reference price, more than seven times higher than the lowest-priced generics (LPGs). Patients paid 11.83 and 1.69 times the international reference prices for OBs and generics respectively. A similar result was observed in the private pharmacies. The mean availabilities of OBs and LPGs were 7.1 and 20.0 % in the public hospitals, and 12.6 and 29.2 % in the private pharmacies. Treatment with OBs is therefore largely unaffordable, but the affordability of the LPGs is generally good.ConclusionHigh prices and low availability of survey medicines were observed. The affordability of generics, but not OBs, is reasonable. Effective measures should be taken to reduce medicine prices and improve availability and affordability in Shaanxi Province.