上海市药物可获得性实证研究

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1,1,MargaretEwen2,AlexandraCameron3RichardLaing3(1.,200032;2.,;3.,),,;;R954A10072953X(2008)0620297202Anevidence2basestudyondrugavailabilityinShanghaiYELu1,HUShan2lian1,MargaretEwan2,Alexan2draCameron3,RichardLaing3(1.SchoolofPublichealth,FudanUniversity,Shanghai200032,China;2.WHOHealthActionInternational,Rotterdam,Netherlands;3.WHO,Geneva,Switzerland)AbstractThestudydesignwasbasedonthestandardmethoddevelopedbytheWHOandHealthActionIn2ternational(HAI),datawascollectedfromatotalof30publicsectorfacilitiesand20retailpharmaciesinShanghaimunicipalityplusfourdistricts.Thestudycomparedtheavailabilityofmedicinesinhealthfacilitiesandretailphar2macies.Thereasonsoflowavailabilityofmedicinewereanalyzed.KeywordsDrugavailability;Innovatorbrands;Genericequivalents11.1(WorldHealthOrganiza2tion,WHO)(HealthActionInterna2tional,HAI)[1],,5,4,15,2041,1.2(availabiliy)WHO/HAI,50%30%49%,30%22.1,41,2008208222(19632),,,,,,13.3%,1/4;33.3%,1/42.241,10%,1/4;15%,5%55%2.3,,,119,,;,70%3,,13.3%,79220081111633.3%;10.0%,15.0%WHO/HAI,3.1WHO/HAI,,WHO/HAI25mg,12.5mg0%,3.21200mgIB0.00%0.00%LPG70.00%75.00%25mgIB0.00%0.00%LPG16.70%10.00%50mgIB0.00%0.00%LPG0.00%10.00%50ugIB56.70%65.00%LPG0.00%5.00%25mgIB000%0.00%LPG20.00%55.00%200mgIB53.30%60.00%LPG0.00%0.00%1gIB56.70%5.00%LPG46.70%20.00%25mgIB26.70%95.00%LPG0.00%0.00%20mgIB63.30%50.00%LPG26.70%20.00%5mgIB0.00%0.00%LPG0.00%0.00%25mgIB0.00%0.00%LPG86.70%70.00%50mgIB76.70%55.00%LPG0.00%0.00%20mgIB0.00%0.00%LPG13.30%10.00%500mgIB56.70%60.00%LPG36.70%5.00%200mgIB0.00%0.00%LPG0.00%0.00%20mgIB36.70%85.00%LPG90.00%70.00%100mgIB0.00%0.00%LPG80.00%60.00%150mgIB0.00%0.00%LPG60.00%95.00%0.1mgIB36.70%50.00%LPG56.70%30.00%:IB;LPG,,,,,10%3.3,,,,15%,20%,,,,,3.480%,,,,,,,,;,,,,,,,,,3.52004,30%,20%,5%,,,,,[1]WorldHealthOrganizationandHealthActionInternational.Medi2cineprices:anewapproachtomeasurement.Workingdraftforfieldtestingandrecision[R].Geneva:WHO,2003:75279.892ChineseHealthResources,Novermber2008,Vol11,No.6

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