Evaluación del suministro de medicamentos en los servicios de atención primaria de salud de Rosario, Argentina, 2005.
Objective. To evaluate the public process for selecting and acquiring prescription drugs in the Rosario municipality, Argentina, during 2005, from the perspective of pharmaceuticals management. Methods. A combination of management tools was used: a Pareto analysis was used to prioritize the various...
| Publicado en: | Pan American Journal of Public Health Vol. 25; no. 4; pp. 283 - 292 |
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| Formato: | Artículo |
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Pan American Health Organization
Apr2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=510789019&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 510789019 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10204989 I3S jtl: Pan American Journal of Public Health issn: 10204989 maglogo: N pubinfo: dt: Apr2009 vid: 25 iid: 4 pid: 13497 pub: Pan American Health Organization artinfo: ui: 510789019 10.1590/S1020-49892009000400001 ppf: 283 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P size: 3.3MB tig: atl: Evaluación del suministro de medicamentos en los servicios de atención primaria de salud de Rosario, Argentina, 2005. aug: au: Botta, Carina A. su: Primary care Drug supply & demand Argentina sug: subj: Argentina Primary care Drug supply & demand keyword: Rosario (Argentina) -- Medical care ab: Objective. To evaluate the public process for selecting and acquiring prescription drugs in the Rosario municipality, Argentina, during 2005, from the perspective of pharmaceuticals management. Methods. A combination of management tools was used: a Pareto analysis was used to prioritize the various drugs on the budget of the Public Health Secretariat of the Rosario Municipality; therapeutic categories were reviewed to identify possible substitutions that would reduce spending on “unrestricted” prescription drugs (those not requiring proof of medical necessity); comparative analysis of drug prices was conducted and expenses were reconciled; and order fulfillment was reviewed as a means of rating suppliers. Results. In 2005, a total of 371 medications were purchased: 12.4% of these medications (group A) absorbed 74.9% of the total budget; whereas 12.7% (group B) cost 14.9% and 74.9% (group C) used the remaining 10.2%. The largest proportion of the spending correlated with “unrestricted” prescriptions (group A: 82.1%; group B: 68%; group C: 58%), generally the first choice and most economical. The drugs in group A pertained to 21 therapeutic subgroups; savings opportunities were identified in five of them. The local price paid was 2.0 times more than the international reference price. Four suppliers received 72.0% of the drug orders; however, three of them were responsible for the majority of fulfillment errors and the longest delays. Conclusions. Opportunities for cost-saving were identified, and as a consequence, for improving the general public's access to prescription medications. The prescription drug supply can be improved by putting in place a procedure for tracking delays and a process for evaluating and approving suppliers. Reprinted by permission of the publisher. pubtype: Academic Journal doctype: Article src: R language: Spanish refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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