Ongoing Initiatives to Improve the Quality and Efficiency of Medicine Use within the Public Healthcare System in South Africa; A Preliminary Study.
Ongoing Initiatives to Improve the Quality and Efficiency of Medicine Use within the Public Healthcare System in South Africa; A Preliminary Study.
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DOI：
10.3389/fphar.2017.00751
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发表时间：
2017
影响因子：
5.6
通讯作者：
Steel G
中科院分区：
文献类型：
--
作者：
Meyer JC;Schellack N;Stokes J;Lancaster R;Zeeman H;Defty D;Godman B;Steel G
简介：南非的传染性和非传染性疾病以及孕产妇、新生儿和儿童的高发病率负担相当沉重。近年来，南非在改善公共卫生系统和解决目前的不平等方面取得了重大进展，健康权成为南非宪法的一项规定。采取的举措包括实行国家健康保险、增加慢性病患者获得药物机会的方案以及改善医院护理的活动，包括加强药物警戒。因此，本文的目的是审查正在进行的举措，在南非的公共卫生部门及其影响，以提供未来的方向。方法：主要是对当前和计划的活动进行结构化审查。结果如下：近年来，南非围绕公共系统中药品的供应和获取开展了一些重大活动和举措。这包括一个国家监测中心和一个创新的药品供应预警系统，以及建立一个国家保健定价局和改进合同签订的举措。在改善供应链方面也取得了一些进展，包括在各省设立药品采购股和加强预测能力。通过采取稳定的慢性病管理举措，增加外部取药点的数量，获得药品的情况正在改善。此外，还正在实施方案，以加强对药物的坚持，并加强对标准治疗准则和基本药物清单的坚持，因为这些药物的供应越来越多。此外，还有一个运动，以加强卫生技术评估在未来决策中的作用。医院的举措包括通过鼓励管理方案以及改善药物不良反应报告和相关活动，更加注重减少抗菌素耐药性。结论：总体而言，南非公共卫生系统正在开展大量活动，试图确保和维持全民医疗保健。现在评估其影响还为时过早，这将是未来研究的主题。
Introduction: South Africa has an appreciable burden of both communicable and non-communicable diseases as well as high maternal, neonatal, and child morbidity. In recent years there have been significant strides with improving the public health system, and addressing current inequalities, with the right to health a constitutional provision in South Africa. Initiatives include the introduction of National Health Insurance, programmes to enhance access to medicines for patients with chronic diseases, as well as activities to improve care in hospitals, including improving pharmacovigilance. Consequently, the objective of this paper is to review ongoing initiatives within the public healthcare sector in South Africa and their influence to provide future direction. Method: Principally a structured review of current and planned activities. Results: There have been a number of major activities and initiatives surrounding the availability and access to medicines in the public system in recent years in South Africa. This includes a National Surveillance Centre and an innovative early warning system for the supply of medicines as well as the development of a National Health Care Pricing Authority and initiatives to improve contracting. There have also been developments to improve the supply chain including instigating Medicine Procurement Units in the provinces and enhancing forecasting capabilities. Access to medicines is improving though the instigation of stable chronic disease management initiatives to increase the number of external pick-up points for medicines. There are also ongoing programmes to enhance adherence to medicines as well as enhance adherence to the Standard Treatment Guidelines and the Essential Medicines List with their increasing availability. In addition, there is a movement to enhance the role of health technology assessment in future decision making. Hospital initiatives include increased focus on reducing antimicrobial resistance through instigating stewardship programmes as well as improving adverse drug reaction reporting and associated activities. Conclusion: Overall, there are an appreciable number of ongoing activities within the public healthcare system in South Africa attempting to ensure and sustain universal healthcare. It is too early to assess their impact, which will be the subject of future research.
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影响因子：
1.6
作者：
Abegaz TM;Shehab A;Gebreyohannes EA;Bhagavathula AS;Elnour AA
通讯作者：
Elnour AA
DOI：
10.1016/s0140-6736(17)32336-x
发表时间：
2017-09-16
期刊：
Lancet (London, England)
影响因子：
--
作者：
GBD 2016 SDG Collaborators
通讯作者：
GBD 2016 SDG Collaborators
社会资本在非洲成功遵守抗逆转录病毒疗法方面的作用。
影响因子：
15.8
作者：
Binagwaho A;Ratnayake N
通讯作者：
Ratnayake N
影响因子：
56.3
作者：
Brink, Adrian J.;Messina, Angeliki P.;van den Bergh, Dena
通讯作者：
van den Bergh, Dena
影响因子：
2.9
作者：
Bjorkhem-Bergman, Linda;Andersen-Karlsson, Eva;Gustafsson, Lars L.
通讯作者：
Gustafsson, Lars L.