Abstract | OBJECTIVES: METHODS: Data on the availability and price of 17 antibiotics and 6 antiviral medicines in 41 public hospitals were obtained from the Jiangsu Institute of Medicine Information. We adopted the WHO/Health Action International method to measure the availability, cost and affordability of these medicines. RESULTS: The availability of selected medicines against infectious diseases was relatively low; the median availability of originator brands was near-zero and that of lowest-priced generics during the survey period less than 50%. The total availability of medicines was poor in primary hospitals as compared to secondary and tertiary hospitals. The median daily-defined dose cost of originator brands was expensive (range from 66.11 RMB to 107.83 RMB), whereas that of lowest price generics was fairly acceptable at < 8 RMB. The affordability of most surveyed medicines was reasonable, which showed significant improvement over time, but the daily cost of a few medicines for originator brands exceeded the average daily wage. CONCLUSIONS: In general, the affordability of medicines surveyed was acceptable, while the availability was too low. There should be a great concern for improving the reserve system of anti-infective medicines in healthcare institutions. Policy should focus on improving the availability of generic drugs in hospitals and encouraging preferentially prescribed.
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Authors | Yulei Zhu, Xinglu Xu, Wenqing Fang, Ying Wang, Huizhen Dai, Xin Li |
Journal | Tropical medicine & international health : TM & IH
(Trop Med Int Health)
Vol. 26
Issue 5
Pg. 518-529
(05 2021)
ISSN: 1365-3156 [Electronic] England |
PMID | 33539605
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | © 2021 John Wiley & Sons Ltd. |
Chemical References |
- Anti-Bacterial Agents
- Antiviral Agents
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Topics |
- Anti-Bacterial Agents
(economics, therapeutic use)
- Antiviral Agents
(economics, therapeutic use)
- China
- Communicable Diseases
(drug therapy)
- Costs and Cost Analysis
(economics, statistics & numerical data)
- Health Services Accessibility
(statistics & numerical data)
- Humans
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