التفاصيل البيبلوغرافية
| العنوان: |
WHO Essential Medicines Policies and Use in Developing and Transitional Countries: An Analysis of Reported Policy Implementation and Medicines Use Surveys |
| المؤلفون: |
Kathleen Anne Holloway, David Henry |
| المصدر: |
Public Library of Science, PLOS Medicine. 11(9):1-16 |
| سنة النشر: |
2014 |
| الوصف: |
Kathleen Holloway and David Henry evaluate whether countries that report having implemented WHO essential medicines policies have higher quality use of medicines. Background: Suboptimal medicine use is a global public health problem. For 35 years the World Health Organization (WHO) has promoted essential medicines policies to improve quality use of medicines (QUM), but evidence of their effectiveness is lacking, and uptake by countries remains low. Our objective was to determine whether WHO essential medicines policies are associated with better QUM. Methods and Findings: We compared results from independently conducted medicines use surveys in countries that did versus did not report implementation of WHO essential medicines policies. We extracted survey data on ten validated QUM indicators and 36 self-reported policy implementation variables from WHO databases for 2002–2008. We calculated the average difference (as percent) for the QUM indicators between countries reporting versus not reporting implementation of specific policies. Policies associated with positive effects were included in a regression of a composite QUM score on total numbers of implemented policies. Data were available for 56 countries. Twenty-seven policies were associated with better use of at least two percentage points. Eighteen policies were associated with significantly better use (unadjusted p |
| نوع الوثيقة: |
redif-article |
| اللغة: |
English |
| DOI: |
10.1371/journal.pmed.1001 |
| الإتاحة: |
https://ideas.repec.org/a/plo/pmed00/1001724.html |
| رقم الأكسشن: |
edsrep.a.plo.pmed00.1001724 |
| قاعدة البيانات: |
RePEc |
