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Prices, availability and affordability of essential medicines in rural areas of Hubei Province, China
Yang, Hao1,2; Dib, Hassan H.3; Zhu, Minmin4; Qi, Gang5; Zhang, Xinping1
关键词Prices Availability Affordability Essential Medicines Rural Area China
刊名HEALTH POLICY AND PLANNING
2010-05-01
DOI10.1093/heapol/czp056
25期:3页:219-229
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Health Care Sciences & Services ; Health Policy & Services
研究领域[WOS]Health Care Sciences & Services
英文摘要

Objective To investigate the availability of essential medicines and their prices in Hubei province.

Methods The survey assessed the prices and availability of essential medicines using the World Health Organization and Health Action International methodology. Data were collected from 18 public hospitals and 18 private pharmacies. At each facility the availability and prices of 39 innovator brand medicines and lowest-price generic equivalent medicines were collected. Medicine prices were compared with international reference prices to obtain a median price ratio (MPR). Daily incomes of low and average levels were used to assess the affordability of the medicines.

Findings Median availability in the public and private sectors was low (38.9% and 44.4% for lowest-price generics, respectively). The median MPRs of procurement prices for innovator brands and lowest-price generics in the public sector were 9.78 and 0.74 times the international reference prices; and the median MPRs of retail prices to patients for lowest-price generics in the public sector (1.04) were higher than those in the private sector (0.68). For most of the population, the medicine prices are affordable, but for those of low income they are not.

Conclusions The survey revealed low procurement prices but poor availability in the public sector. Various policy adjustments could increase the availability of essential medicines and reduce their prices for the low income population.

语种英语
WOS记录号WOS:000276995000005
引用统计
被引频次:25[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/51866
专题北京大学公共卫生学院
作者单位1.Huazhong Univ Sci & Technol, Tongji Med Coll, Wuhan 430030, Hubei, Peoples R China
2.Peoples Hosp Guangxi Zhuang Autonomous Reg, Nanning 530021, Guangxi Zhuang, Peoples R China
3.Peking Univ, Hlth Sci Ctr, Sch Publ Hlth, Hlth Policy & Management Dept, Beijing 100083, Peoples R China
4.Shenzhen Nanshan Chron Dis Control Ctr, Shenzhen 518054, Guangdong, Peoples R China
5.First Peoples Hosp Xiangfan, Endocrine Dept, Xiangfan 441000, Hubei, Peoples R China
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Yang, Hao,Dib, Hassan H.,Zhu, Minmin,et al. Prices, availability and affordability of essential medicines in rural areas of Hubei Province, China[J]. HEALTH POLICY AND PLANNING,2010,25(3):219-229.
APA Yang, Hao,Dib, Hassan H.,Zhu, Minmin,Qi, Gang,&Zhang, Xinping.(2010).Prices, availability and affordability of essential medicines in rural areas of Hubei Province, China.HEALTH POLICY AND PLANNING,25(3),219-229.
MLA Yang, Hao,et al."Prices, availability and affordability of essential medicines in rural areas of Hubei Province, China".HEALTH POLICY AND PLANNING 25.3(2010):219-229.
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