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Article Category: Original Paper
Publicado en línea: 13 may 2022
Páginas: 9 - 15
Recibido: 19 ene 2021
Aceptado: 17 sept 2021
DOI: https://doi.org/10.2478/afpuc-2021-0014
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© 2022 Petrou P. et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
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Baseline characteristics.
| Sex M/F: | M: 44% |
| Age (mean/sd): | 36.8 ±7.5 |
| Educational degree | Diploma: None |
| Professional status | Public servant: 50 |
| Position | Health professionals (nurses): 84% |
| Length of time in the workplace (mean/sd): | 10.9 ±8.6 |
Suggested policies to mitigate impact of shortages.
| No | Yes | |
|---|---|---|
| Investigation of the root causes of shortages | 22% | 78% |
| Elaboration of a common national database, which will be accessible by all health care institutions in a timely manner | 44% | 76% |
| Annual report by MOH | 44% | 56% |
| Legal liability of MaH | 78% | 22% |
Questionnaire.
| 1. Do drug shortages compromise the quality of patient care in your hospital? |
Yes 96% No 4% |
| 2. How often does your hospital experience drug shortages? |
Occasionally (e.g., 2–3 times/year) :4% Monthly: 46% Weekly: 36% Daily: 14% |
| 1. How long do drug shortages usually last in your hospital? |
>1–3 months: 92% 3–6 months: 8% <6–9 months: N/A |
| 2. What was the longest drug shortage duration that you recall in your hospital? |
1–3 months: 92% 4–6 months: 8% 6–12 months: N/A >1 year: N/A |
| 3. What type of drugs is commonly in shortage? |
Generic: 38% Branded: 62% |
| 4. In an average week in your hospital, how much time (staff working time) do you estimate Is dedicated to drug shortage problems? |
Less than an hour: 16% 1–5 hours :44% 6–10 hours 38% 11–15 hours: N/A >15 hours: 2% |
| 5. How often do you provide a therapeutic equivalent or near equivalent medicine, without major disruption to patients’ treatment? |
Never: 4% Rarely: 12% Sometimes: 50% Most of the time: 34% Always: N/A |
| 6. Which category of external supply does your hospital most frequently encounter problems with when sourcing specific required medicines? |
I do not know: 36% Generic manufacturers: 42% Original manufacturers: 46% Innovators (brand companies): N/A Unlicensed drug suppliers (e.g., special orders): N/A Wholesalers: N/A |
| 7. Which are most the important ramifications of medicine shortages on patient care; |
Delay in provided healthcare: 68% Medical errors: 2% Compromised effectiveness: 96% Occurrence of adverse event :26% Re-admission of patients :72% |
Applied strategies to minimize impact of shortages.
| No | Yes | |
|---|---|---|
| Awareness regarding alternative treatment modalities | 26% | 74% |
| Creating awareness in patients of shortages | 28% | 72% |
| Informing and engaging management and personnel | 42% | 58% |
| Location and supply of the product from an alternative supply pathway (stockpiling) | 74% | 26% |
| Substitute | 80% | 20% |
| Budget re-adjustment | 88% | 12% |
| Allocation of additional personnel | 96% | 4% |
| No change | 100% | 0% |