Abstract
BACKGROUND: Acute medical emergencies can and do occur in the dental office. Preparing for them begins with a team approach by the dentist and staff members who have up-to-date certification in basic life support for health care providers. The ability to react immediately to the emergency at hand, i...
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PMID: 20436085
PDF is available here.
Abstract
The healthcare and pharmaceutical professions in Mali were privatized in 1985. Privatization led to swift expansion of the private sector and upset the balance that had existed between the public and private sectors. A national pharmaceutical policy did not emerge until a decade later. Its purpose w...
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PMID: 20486360
PDF is available here.
Abstract
This study compared the Municipal Essential Medicines Lists (REMUME) and examined adherence by prescribers and availability of essential medicines in the health units affiliated with the Unified National Health System (SUS). Data were collected on lists and medicines prescribed to 2,411 patients enr...
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PMID: 20512222
PDF is available here.
Abstract
We investigated the extent of, and the main contributing factors to, expiry of medicines in medicine supply outlets in Kampala and Entebbe, Uganda. A cross-sectional survey of six public and 32 private medicine outlets was done using semi-structured questionnaires. LOCAL SETTING: The study area has...
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PMID: 20428373
PDF is available here.
Abstract
WHO standard indicators of rational drug use, this study analysed 550 prescriptions from 20 health facilities at different levels throughout Hadramout governorate, Yemen. A mean of 2.8 (SD 0.2) drugs were prescribed per prescription, with a low rate of prescribing drugs by generic name (39.2%). The...
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PMID: 20799566
PDF is available here.
Abstract
We conducted a cross-sectional study in Aseer region, Saudi Arabia. Sixty-one PHC physicians completed self-administered questionnaires on the protocol recommendations. We also checked 212 medical records for adherence. Despite high awareness among the physicians, adherence to the protocol was low:...
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PMID: 20799570
PDF is available here.
Abstract
The Expert Committee on Specifications for Pharmaceutical Preparations works towards clear, independent and practical standards and guidelines for the quality assurance of medicines. Standards are developed by the Committee through worldwide consultation and an international consensus-building proce...
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PMID: 20560300
PDF is available here.
Abstract
We have examined the effects of the EML in the Palestinian healthcare public sector. We obtained data on prescription patterns for medicines from 3570 prescriptions given during outpatient visits in 17 healthcare facilities in the West Bank from 1997 to 2003. We analyzed the prescriptions to measure...
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PMID: 19527096
PDF is available here.
Abstract
Essential inhalation medicines for asthma were not available in the public sector where low-income populations receive treatment. Steroid inhalers were not readily available in the private sector. Essential inhalation medicines for asthma are not affordable for the majority of the population....
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PMID: 19383189
PDF is available here.
Abstract
The proportion of survey medicines in national EMLs ranged from 50% to 90%. In only three countries were more than 50% of such medicines available from central medical stores (range: 15-75%). Availability in nongovernmental organization stores was not consistently better (range: 10-65%) but tended t...
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PMID: 19377720
PDF is available here.
Abstract
PROBLEM: During the 1990s, the Sudan began several initiatives to establish new medicine-financing mechanisms as part of the health reform process. Initial seed stocks were provided to each hospital. Unfortunately these facility-based funds did not regenerate and the hospitals were left without fund...
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PMID: 19274366
PDF is available here.
Abstract
In the week before Hurricane Katrina's landfall in August 2005, emergency management officials in Jefferson County (Birmingham), Alabama, began to make plans for the potential influx of evacuees from the Gulf Coast. No pharmacy component to the plan was in place at that time. The Jefferson County Dep...
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PMID: 19320363
PDF is available here.
Abstract
To collect, analyse and compare prices of medicines in different sectors and parts of the country and to compare them with the medicine prices in other countries.
A prospective cross sectional study.
Pharmacy outlets in Zimbabwe comprising 27 retail ph...
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PMID: 21977842
PDF is available here.
Abstract
This report presents the recommendations of the WHO Expert Committee responsible for updating the WHO Model List of Essential Medicines. The first part contains a review of the report of the meeting of the Expert Subcommittee on the Selection and Use of Essential Medicines, held in October 2008. It...
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PMID: 20560299
PDF is available here.
Abstract
We reviewed 1406 prescriptions in 43 randomly selected hospitals and primary health care clinics in 2 governorates in Upper and Lower Egypt in 2001. Patients received an injection at 18.1% of encounters. The most frequently prescribed parenteral drugs were anti-infectives (56.9% of injections) and a...
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PMID: 20218136
PDF is available here.
Abstract
A key objective of the Brazilian National Drug Policy is the quality of medicines supplied to the population. This study aimed to set priorities for the analysis of the National Program for Quality Control of Medicines. The main criterion was the drug's presence in at least three Pharmaceutical Care...
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PMID: 18813684
PDF is available here.
Abstract
While pharmaceutical companies claim that Australia's pricing and reimbursement policies suppress drug prices and reduce profits, national policy audits indicate these claims are misguided. Australia appears to have secured relatively low prices for generics and "me-too drugs" while paying internati...
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PMID: 18295927
PDF is available here.
Abstract
The paper reflects upon the legal interpretations of the right to health and its consequences. In order to exemplify the complexity of the theme and its emotional appeal, it analyzes the Supreme Court's decision in a public litigation against the State of Alagoas demanding that medication be supplie...
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PMID: 18327495
PDF is available here.
Abstract
Medicines are integral of any healthcare system, and limited access to medicines undermines health systems' objectives of equity, efficiency and health development. In African countries, where it is estimated that 50-60% of the populace lack "access" to essential medicines, health problems associate...
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PMID: 18023953
PDF is available here.
Abstract
The National Drug Policy (NDP), 1982, of Bangladesh was expected to make available essential, good quality drugs at affordable prices. This article gives an overview of the situation today, more than two decades after the Drugs (Control) Ordinance, 1982, was promulgated to implement the NDP. While t...
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PMID: 18630250
PDF is available here.
Abstract
This report presents the recommendations of the Subcommittee of the WHO Expert Committee responsible for the WHO Model List of Essential Medicines. The task of this Subcommittee was to draw up the first WHO Model List of Essential Medicines for Children. The first part of the report contains a summa...
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PMID: 18754303
PDF is available here.
Abstract
Our objective was to review and examine the basis of the controversy surrounding brand and generic interchangeability and to explore a practical approach in pursuing a switch. DATA SOURCES: Articles indexed initially under terms such as generic medications, generic substitution, bioequivalence and b...
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PMID: 18299655
PDF is available here.
Abstract
The Generic Open (GO) License is a proposal to make patents more accessible for vaccines and drugs in low- and middle-income countries. However, for some health-related products, such as vaccines, intellectual property is frequently not the primary constraint. Technical know-how and assurance of a v...
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PMID: 18180489
PDF is available here.
Abstract
Thirty years after its inception, the role, audience, and contents of the global Essential Medicines List (EML) are reviewed. Challenges for decision makers in applying the principles of medicine selection based on efficacy, safety, burden of disease, and cost effectiveness are discussed and illustr...
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PMID: 17952104
PDF is available here.
Abstract
We live in a world with inequitable access to medicines, we have not examined how we need to put in place policies that not only support drug access but also do not undermine it, which will be addressed later. What is promising, is that slowly, a paradigm shift is taking place. Access to essential m...
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PMID: 17898710
PDF is available here.
Abstract
In many instances medicines are the most cost-effective health-care intervention in saving lives and alleviating the suffering of children in situations of public health concern. The major difference between medicines for adults and medicines for children is that use of medicines in children is much...
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PMID: 17952106
PDF is available here.
Abstract
The concept of essential medicines is as relevant to the whole world now as it was for some countries in 1975 when the concept was developed. Basically, the concept is that medicines needed to satisfy the priority health-care needs of a population should be made available at all times to everyone in...
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PMID: 17952105
PDF is available here.
Abstract
National List of Essential Medicines (NLEM) is an important policy on drugs, which also covers the drug availability. However, the link between the list and the availability of medicine products for the market is not clear. The objectives of this study were to examine the effects of essential medici...
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PMID: 17374418
PDF is available here.
Abstract
One thousand three hundred and seven (90.3%) prescriptions from 1447 patient encounters were reviewed. One hundred and forty (9.7%) encounters did not have prescriptions written out. The overall average number of drugs prescribed was 3.2 +/- 1.47. Average percentage of drugs prescribed by generic na...
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PMID: 17868193
PDF is available here.
Abstract
This article discusses current stockpile practices after exploring a history of the use of biologic agents as weapons, the preventive measures that the federal government has used in the past, and the establishment of a Strategic National Stockpile Program in 2003. The article also describes the add...
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PMID: 17888762
PDF is available here.
Abstract
Average retail prices of essential drugs in Brazil are significantly higher than in Sweden. Furthermore, international bulk prices indicate that drugs are brought to market by Brazil's private pharmacies at prices that may be excessively high in relation to production costs, creating high profit mar...
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PMID: 17976278
PDF is available here.
Abstract
The procurement price of medicines in the public sector was 0.27 to 0.48 times the international reference price. However, these medicines were inadequately available and the median availability in the public sector ranged from 0 to 30 per cent. The median prices of medicines in the private sector w...
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PMID: 17642500
PDF is available here.
Abstract
In response to a request from the World Health Organization (WHO), the International Association for Hospice and Palliative Care (IAHPC) developed a List of Essential Medicines for Palliative Care based on the consensus of palliative care workers from around the world. IAHPC designed a process of fi...
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PMID: 17482041
PDF is available here.
Abstract
After examining the adequacy of the list of drugs prescribed in Internal Medicine in a Community Hospital we conclude that its use is significantly lower than the standard recommendations derived from de WHO. Identified causes are treatments not covered in a Community Hospital needing to transfer pa...
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PMID: 17867900
PDF is available here.
Abstract
Asthma is a worldwide public health problem affecting about 300 million people. The majority of persons living with asthma are in the developing world where there is limited access to essential drugs. The financial burden for persons living with asthma and their families, as well as for healthcare s...
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PMID: 17298339
PDF is available here.
Abstract
We found that a system with some elements of procurement that are centralized (selection of firms and prices fixed by national tender) was positively related in Guatemala but negatively related in Ghana, where a system of 'cash and carry' cost recovery allowed more local choice. The authors conclude...
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PMID: 17324947
PDF is available here.
Abstract
The Judicial Power is not taking into account in its decisions political elements of drug policies, established to enforce the social right to pharmaceutical assistance. The Judicial Power is hindering the collective decision making process by the political system, prioritizing plaintiffs' individua...
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PMID: 17273640
PDF is available here.
Abstract
This report presents the recommendations of the WHO Expert Committee responsible for updating the WHO Model List of Essential Medicines. The first part contains a summary of the Committee's considerations and justifications for additions and changes to the Model List, including its recommendations....
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PMID: 18309920
PDF is available here.
Abstract
Respiratory disease has never received priority in relation to its impact on health. Estimated DALYs lost in 2002 were 12% globally (similar for industrialized and developing countries). Chronic airflow limitation (due mainly to asthma and COPD) alone affects more than 100 million persons in the wor...
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PMID: 18044686
PDF is available here.
Abstract
On average, drugs for treating pneumonia were out of stock for six months during one year of observation (median value 167 days); anti-malarial drugs were lacking for periods ranging from 42 to 138 days. The cross-sectional audit was even more negative, but here too the situation was more positive f...
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PMID: 17573958
PDF is available here.
Abstract
Ensuring a reliable and affordable supply of essential drugs to health facilities is one of the main challenges facing developing countries. This paper describes the revolving drug fund in Khartoum, which was set up in 1989 to improve access to high quality drugs across the State. An evaluation in 2...
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PMID: 18341197
PDF is available here.