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The following article was published in our article directory on December 6, 2010.
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Article Category: Business
Author Name: xia zihui
Even the tense and limited funds, the health system did not an efficient use. Recently, the World Health Organization's 2010 "World Health Report" said that the current global health costs of 20% to 40% is wasted. "In today's tight financial situation, my advice is to countries looking to cut health costs, first look for opportunities to improve the efficiency of health services." The Director-General Margaret Chan said that the existing resources, more informed investment can help countries closer to universal health care coverage without additional costs.
"World Health Report," said the waste in the event of the field of health costs, drugs and unnecessary investment is considered "the first disaster." Investment in global health drugs accounted for 20% to 30%, slightly higher in low-income countries, which constitute the major part of the cost of health services.
A recent study showed that drug prices in the Americas, Southeast Asia and Eastern Mediterranean regions such as the World Health Organization, the public sector to buy generic drugs prices close to the international reference price, while in Africa, Europe and the Western Pacific Region, the Government need to pay the price in its additional payments based on the average of 34% to 44%. The same study showed that certain drugs are almost always based on the sale of a substantial fare increase, the price differences in different countries is very significant.
Brand ciprofloxacin (a broad-spectrum antibiotics) between the purchase price are very different in developing countries, the prices of some countries or even 67 times the international reference price. Even in high-income countries, the pricing of medicines is also considerable variability. It is reported that the price of the brand of ciprofloxacin in the United States in the $ 90 per course of treatment to $ 100; and its price in the UK is only half the price
According to the U.S. Food and Drug Administration estimates that counterfeit drugs account for 10% of the global pharmaceutical market over. "If we use the ratio as a minimum, the annual global sales of substandard drugs through the income received by more than 32 billion U.S. dollars. Which is 32 billion U.S. dollars in sales could not produce any health improvement." Author of the report said.
"World Health Report" that the overuse and misuse of antibiotics is a serious global problem, especially now in the sale of antibiotics in the 2 / 3 is adopted without prescription unregulated private market transactions. Many patients do not perform correctly prescribed, or the amount of insufficient or failed to complete the prescribed course of treatment. In patients with acute diarrhea, less than half of the patients is the use of inexpensive and extremely effective treatment of oral rehydration salts, and more than half of the patients were disease by expensive and ineffective antibiotics for its treatment. Antibiotics, for example, in low and middle income countries, acute respiratory infection in the treatment of excessive use of antibiotics is estimated to increase health care costs an average of 36%.
Over-service and is not limited to excessive use of prescription drugs. A recent study on the increasing cesarean section rate increased investigation and analysis of the different instances of the public. Decisions lead to excessive service there are many factors, in addition to increasing patient demand for services, there are doctors once a medical intervention that each get paid, resulting in increased service delivery, in which these are played a certain role. Despite the increasing caesarean section increased with maternal mortality, maternal and infant morbidity and post-natal complications, but even in the absence of natural childbirth under any special risk, cesarean section rate is still increasing. Relevant information available in 137 countries, 69 countries in the cesarean section rate is still rising, leading to the unnecessary procedures in a variety of countries each year's spending of up to about 20 billion U.S. dollars.
In addition, the fraud in the health sector is unavoidable. "The World Health Report" estimates that the purchase the costs associated with 10% to 25% were occupied by corruption and fraud. Far as developed countries, health services and other forms of fraud, abuse of the financial year would be a waste of Governments 12 billion to 230 billion U.S. dollars. The production and sale of medicines is a complex multi-stage process, which also many abuses in this area provides an opportunity, and this problem also extends to all areas of the purchase.
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