Conformance to the National List of Essential Medicines 2022 in a government tertiary care hospital

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research Pub Date : 2025-05-30 DOI:10.1016/j.jhqr.2025.101141

A. Jain , N.D. Bhardwaj , M. Suhaib , P. Srivastava , S. Khan , S. Rawat

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引用次数: 0

Abstract

Background

Access to essential medicines is vital for healthcare. The National List of Essential Medicines (NLEM) 2022 serves a guide for Indian healthcare facilities in procuring and providing essential medicines at different levels of healthcare. This study aimed at assessing the compliance of essential medicines availability at a tertiary care government hospital.

Methods

This cross-sectional study was conducted over a period of 24 weeks to assess the availability of essential medicines via reviewing of documents and content analysis. One-Sample Proportion Z-Test (two-tailed) was used to statistically test the result. Z-score was calculated and statistical significance of result was checked. The compliance for various categories as per NLEM 2022 was analyzed and an overall compliance was calculated.

Results

The hospital procured 85.4% (328/384) of NLEM 2022 drugs. Based on the One-Sample Proportion Z-Test, calculated Z-score was 2.65 with 95% confidence interval which indicates the hospital's procurement rate of 85.4% is significantly higher than the expected WHO benchmark of 80%. A total of 18 NLEM sections had ≥80% compliance, with eight sections reached full compliance. However, gaps existed in sections like antidotes, diagnostic agents and dermatological medicines.

Conclusion

In comparison with earlier studies from India, the tertiary care hospital under study has shown better adherence to NLEM 2022 guidelines but there are still some gaps. By addressing the gaps, hospital can continuously improve healthcare delivery, ensure patient safety, and adapt to evolving health challenges, ultimately ensuring high-quality patient care.

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政府三级医院符合《2022年国家基本药物目录》

获得基本药物对卫生保健至关重要。《2022年国家基本药物清单》为印度卫生保健机构在不同级别的卫生保健中采购和提供基本药物提供了指南。本研究旨在评估三级政府医院基本药物供应的合规性。方法采用横断面研究方法，通过文献查阅和内容分析，对基本药物的可获得性进行评估，研究时间为24周。采用单样本比例z检验（双尾）对结果进行统计学检验。计算Z-score并检验结果的统计学显著性。分析了NLEM 2022中不同类别的合规性，并计算了总体合规性。结果该院采购NLEM 2022药品的比例为85.4%（328/384）。根据单样本比例z检验，计算出的z分数为2.65，置信区间为95%，表明该院采购率为85.4%，显著高于WHO预期基准80%。共有18个NLEM切片符合≥80%，其中8个达到完全符合。然而，在解毒剂、诊断剂和皮肤病药物等方面存在差距。与印度早期的研究相比，所研究的三级保健医院更好地遵守了NLEM 2022指南，但仍有一些差距。通过解决这些差距，医院可以不断改进医疗保健服务，确保患者安全，并适应不断变化的健康挑战，最终确保高质量的患者护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Healthcare Quality Research Medicine-Health Policy

CiteScore

1.70

自引率

8.30%

发文量

审稿时长

57 days

期刊介绍： Revista de Calidad Asistencial (Quality Healthcare) (RCA) is the official Journal of the Spanish Society of Quality Healthcare (Sociedad Española de Calidad Asistencial) (SECA) and is a tool for the dissemination of knowledge and reflection for the quality management of health services in Primary Care, as well as in Hospitals. It publishes articles associated with any aspect of research in the field of public health and health administration, including health education, epidemiology, medical statistics, health information, health economics, quality management, and health policies. The Journal publishes 6 issues, exclusively in electronic format. The Journal publishes, in Spanish, Original works, Special and Review Articles, as well as other sections. Articles are subjected to a rigorous, double blind, review process (peer review)