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山东大学学报（医学版） ›› 2017, Vol. 55 ›› Issue (11): 80-84.doi: 10.6040/j.issn.1671-7554.0.2016.1630

• 公共卫生与管理学 • 上一篇    下一篇

亚太地区部分国家老年人慢性病基本药物的价格和可及性

蒋梦雅1,娄红祥1,孙强2,王海鹏2   

  1. 1.山东大学药学院, 山东 济南 250012;2.山东大学医药卫生管理学院 国家卫生与计划生育委员会卫生经济与政策研究重点实验室(山东大学), 山东 济南 250012
  • 收稿日期:2016-12-07 出版日期:2017-11-10 发布日期:2017-11-10
  • 通讯作者: 孙强. E-mail:qiangs@sdu.edu.com E-mail:qiangs@sdu.edu.com
  • 基金资助:
    山东大学基本科研业务费自助项目国际合作项目(2015GJ10)

Price and the accessibility of essential medicines for the elderly with chronic diseases in the Asia Pacific Region

JIANG Mengya1, LOU Hongxiang1, SUN Qiang2, WANG Haipeng2   

  1. 1. School of Pharmacy, Shandong University, Jinan 250012, Shandong, China;
    2. School of Health Care Management, Key Laboratory for Health Economic and Policy of National Health and Family Planning Commission, Shandong University, Jinan 250012, Shandong, China
  • Received:2016-12-07 Online:2017-11-10 Published:2017-11-10

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摘要： 目的 了解老年人慢性病基本药物在亚太地区6个国家的价格及可及性现状,为提高老年人慢性病基本药物的可及性提供依据和政策建议。方法 〓采用二手资料分析法,从WHO/HAI调查数据中提取相关药品数据,根据通货膨胀/通货紧缩和购买力平价转化数据。 结果 6个国家公立机构老年人慢性病基本药物通用药及原研药的可获得性分别为5.0%~80.0%、1.8%~15.4%,私立机构通用药及原研药可获得性分别为11.7%~54.5%、10.0%~65.6%;公立机构通用药及原研药的可负担性分别为0~1.2倍、0~5.0倍日薪,私立机构通用药及原研药的可负担性分别为0.3~2.0倍、1.2~7.0倍日薪;公立机构通用药及原研药的零售中位价格比(MPR)分别为0~32.88、0~79.13,私立机构通用药及原研药的的零售MPR分别为0.92~46.21、13.84~103.75。 结论 6个国家老年人慢性病用药可获得性较低,药品价格高于国际水平,药品可负担性整体较差;6个国家的老年人慢性病基本药物的可及性有待提高。

关键词: 价格, 可及性, 亚太地区, 慢性病基本药物

Abstract: Objective To study the price and accessibility of essential medicines for the elderly with chronic diseases in the six countries of Asia Pacific, and to provide evidence and policy recommendations. Methods The secondary data, which were adjusted according to the inflation/deflation, were acquired from the researches of WHO/HAI and analyzed. Results The availability values of lowest price generic and originator brand in public hospital in the six countries were 5.0%-80.0% and 1.8%-15.4%, while those in private hospital were 11.7%-54.5% and 10.0%-65.6%. The affordability values of lowest price generic and originator brand in public hosipital were 0-1.2 and 0-5.0 times of daily wages, while those in private hospital were 0.3-2.0 and 1.2-7.0 times of daily wages. The median price ratios(MPRs)of lowest price generic and originator brand in public hospital were 0-32.88 and 0-79.13, while those in private hospital were 0.92-46.21 and 13.84-103.75. Conclusion The availability of essential medicines for chronic diseases in the six countries is low, the price of the medicines is higher than the international reference price, and the affordability of the medicine is poor. The accessibility of the medicine must be improved.

Key words: Essential medicines for chronic diseases, Accessibility, Asia Pacific Region, Price

中图分类号: 

  • R956
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