What impact does medicines shortages have on patients? A qualitative study exploring patients’ experience and views of healthcare professionals

Background The shortage of medicines represents a complex global phenomenon that triggers patient care and safety issues. The study was undertaken to explore the impact of medicines shortages on patients in Pakistan. The study also identified barriers which hinder the solutions of medicines shortage...

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Vydané v:BMC health services research Ročník 21; číslo 1; s. 1 - 13
Hlavní autori: Atif, Muhammad, Sehar, Azka, Malik, Iram, Mushtaq, Irem, Ahmad, Nafees, Babar, Zaheer-Ud-Din
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: London BioMed Central 17.08.2021
BioMed Central Ltd
Springer Nature B.V
BMC
Predmet:
Access to medicines
Beliefs, opinions and attitudes
Care and treatment
COVID-19
Drug regulatory Authority of Pakistan
Drug stores
Drugs
Essential medicines
Generic substitution
Health Administration
Health care industry
Health Informatics
Health services
Health systems and services in low and middle income settings
Hospitals
Impact
International agreements
Interviews
Medical personnel
Medicine
Medicine & Public Health
Medicines shortages
Nursing Research
Patients
Pharmaceuticals
Physicians
Public Health
Qualitative research
Research Article
Shortages
Supply and demand
Supply chains
Pakistan
United States > US
Impact
Drug regulatory Authority of Pakistan
Medicines shortages
Generic substitution
Access to medicines
Essential medicines
ISSN:1472-6963, 1472-6963
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Shrnutí:Background The shortage of medicines represents a complex global phenomenon that triggers patient care and safety issues. The study was undertaken to explore the impact of medicines shortages on patients in Pakistan. The study also identified barriers which hinder the solutions of medicines shortages issue. Methods A qualitative study design was adopted and the data was collected in stages between July and September 2019using an in-depth interview approach. The purposive and convenient sampling strategy was used to recruit the study participants. Sample size was limited by using the saturation point criteria. All interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis. Results A total of 35 stakeholders including 13 physicians, 12 pharmacists and 10 patients participated in the study. The findings of the study were classified into five key themes and seven subthemes. The five themes included, ‘impact of medicine shortages on patients’, ‘patients’ practices in response to medicine shortages’, ‘influence of medicines shortages on medical practice or pharmaceutical business’, ‘barriers to solutions for medicines shortages’, and ‘suggestions to assuage the impact of medicine shortages.’This study showed that the medicine shortages had significant clinical and financial impact on patients. Patients’ opted for a number of risk-prone practices to avoid treatment disruption during shortages. An array of pharmaceutical market, medicines quality and patient related factors refrain physicians to switch from brand name medicine to generics and lead to ineffective management of medicines shortages. Promotion of generic prescription, implementation of punitive policies and proper patient consultation was advised to assuage the impact of medicine shortages on patients. Conclusion The adverse clinical, economic and humanistic impact affirmed in this study demand the introduction of risk-management strategies for medicines shortages in hospital and community settings in accordance with the international standards. Promotion of effective patient counselling by the healthcare professionals to deter risk-prone practices associated with medicines shortages is mandatory.
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ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-021-06812-7