RESUMO
Prescribing, dispensing, availability and affordability of drugs were evaluated in 100 primary health care centres in 5 provinces of the Islamic Republic of Iran using WHO indicators. On average, 92% of the 12 essential drugs monitored were available in the health centre pharmacies and 95% of the drugs prescribed by the physician were dispensed by the health centre pharmacy. The stock-out duration was less than 1 month on average. A complete treatment for pneumonia cost only 2% of the lowest weekly government salary. The national average number of drugs per prescription was 3.4. Prescription of antibiotics and injectable drugs was very high (58% and 41% respectively). Although availability and affordability of essential drugs is good in this country, rational use of drugs needs to be emphasized.
Assuntos
Prescrições de Medicamentos/estatística & dados numéricos , Medicamentos Essenciais , Acessibilidade aos Serviços de Saúde/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Antibacterianos/economia , Antibacterianos/uso terapêutico , Custos de Medicamentos/estatística & dados numéricos , Armazenamento de Medicamentos/estatística & dados numéricos , Uso de Medicamentos/economia , Medicamentos Essenciais/economia , Medicamentos Essenciais/provisão & distribuição , Medicamentos Essenciais/uso terapêutico , Eficiência Organizacional , Fidelidade a Diretrizes/estatística & dados numéricos , Pesquisas sobre Atenção à Saúde , Política de Saúde , Necessidades e Demandas de Serviços de Saúde , Humanos , Irã (Geográfico) , Programas Nacionais de Saúde/organização & administração , Farmácias/organização & administração , Farmacopeias como Assunto , Pneumonia/tratamento farmacológico , Pneumonia/economia , Guias de Prática Clínica como Assunto , Indicadores de Qualidade em Assistência à Saúde , Salários e Benefícios/estatística & dados numéricosRESUMO
Prescribing, dispensing, availability and affordability of drugs were evaluated in 100 primary health care centres in 5 provinces of the Islamic Republic of Iran using WHO indicators. On average, 92% of the 12 essential drugs monitored were available in the health centre pharmacies and 95% of the drugs prescribed by the physician were dispensed by the health centre pharmacy. The stock-out duration was less than 1 month on average. A complete treatment for pneumonia cost only 2% of the lowest weekly government salary. The national average number of drugs per prescription was 3.4. Prescription of antibiotics and injectable drugs was very high [58% and 41% respectively]. Although availability and affordability of essential drugs is good in this country, rational use of drugs needs to be emphasized