Tag Archives | C Valdez

Methodology for the Rapid Review and Updating of Lists of Medicines in the Dominican Republic

The Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program proposed a methodology for reviewing lists of essential medicines (LEM) and formularies, with the potential to achieve optimum results in short periods of time and with a minimal investment of resources. The methodology consisted of identifying an expert international pharmacologist with experience in the LEM process and the following procedural steps: Design of an instrument for drafting the proposal, drafting and review of proposal by the expert, and national workshop to review and validate the proposal.

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Results and Impact of the Introduction of an Integrated Pharmaceutical Supply System in the Dominican Republic

The objective of this study was to determine, through secondary sources, the impact of SUGEMI on the operational efficiency of the supply system and the availability of general-use medicines in the primary care units (unidades de atención primaria, or UNAP), where SUGEMI is fully implemented. With these ends, interviews were held with 122 personnel responsible for supplies in an equal number of UNAPs and nine URGM coordinators with more than six years’ experience in their respective positions, by means of a structured interview (closed answers), to establish the situation before (2010) and after (2016) implementation of SUGEMI. The sample ensured that the nine Regional Health Services (Servicios Regionales de Salud, or SRSs) were proportionately represented.

To determine the impact of SUGEMI on the availability of medicines for use at the primary care level, the SUGEMI information system database was consulted. This database records the consumption and availability of medicines in the health care facilities, regional warehouses, and central warehouses. On this basis, the availability of 25 “tracer” medicines for primary care use were periodically reported. To establish a relationship between the availability of medicines and particular SUGEMI interventions, other databases were used: the procurement programming exercises allowed the identification of product acquisition prices, and the budgetary allocations were provided by the MSP. The information provided by PROMESE/CAL allowed identification of the number of units acquired and dispatched from 2012 to 2015.

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Formulario Nacional de Medicamentos del Primer Nivel de Atención

La República Dominicana inicio en el año 1997 el proceso de reforma y modernización del sector salud, cuyos principios fundamentales descansan en la calidad, integridad de las acciones de salud, expansión y cobertura universal, separación de funciones para la equidad en el acceso y una mayor eficiencia de los recursos.

En el 2005 se presenta la Política Farmacéutica Nacional, que incluye en sus directrices el Uso Racional de los Medicamentos y las buenas prácticas de prescripción, identificando una carencia en lo relacionado a la promoción del uso racional e información adecuada para los médicos y usuarios, así como instrumentos actualizados como guías y protocolos nacionales para la toma de decisiones y una prescripción racional, la cual se ve frecuentemente influenciada por la información suministrada por la Industria Farmacéutica a los profesionales de la salud.

El Formulario Nacional de Medicamentos del Primer Nivel de Atención 2016, es una herramienta que contribuirá alcanzar el objetivo del uso racional de los medicamentos, estableciendo una buena relación médico-paciente; además de que aporta información o literatura consultada con fuentes médicas basada en evidencias científicas y farmacológicas reconocidas a nivel internacional.

El Servicio Nacional de Salud, pone a disposición de los profesionales de salud, autoridades y la comunidad el Formulario Nacional de Medicamentos conteniendo una lista de medicamentos seleccionados en función del Cuadro Básico de Medicamentos Esenciales del 2015, identificados como los de mayor eficacia, seguridad y costo-beneficio para el manejo de las patologías que se presenten en el primer nivel de atención.

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Strategies Based on Evidence to Rationalize the High-Cost Medicines List in the Dominican Republic

Barillas E, Valdez C, Narvaez E, Vasquez G. Strategies Based on Evidence to Rationalize the High-Cost Medicines List in the Dominican Republic. Poster presented at the ISPOR 18th Annual European Congress in Milan, Italy, November 7-11, 2015.

 

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Building a Supply Chain Approach for an Improved Laboratory Sample Referral Network in the Dominican Republic

George A, Valdez C, Herrera M, Barillas E. Building a supply chain approach for an improved laboratory sample referral network in the Dominican Republic. Poster presentation at the People that Deliver Conference, Copenhagen, Denmark. Published in the Journal of Pharmaceutical Policy and Practice.

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Combination of On- and Off-Site Training Contributes to Strengthening the Unified Pharmaceutical System in the Dominican Republic

Barillas E, Valdez C, Diaz P, Tapia ME. Combination of on- and off-site training contributes to strengthening the unified pharmaceutical system in the Dominican Republic. Oral presentation at the People that Deliver Conference, Copenhagen, Denmark. Published in the Journal of Pharmaceutical Policy and Practice.

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Adoption of the Integrated Management Information System for Pharmaceuticals and Medical Supplies (SUGEMI) to Optimize ARV Supply in the Dominican Republic

Ghoneim R, Nfor E, Tukai M, Barillas E, Saleeb S, Valdez C (2014, November). Adoption of the integrated management information system for pharmaceuticals and medical supplies (SUGEMI) to optimize ARV supply in the Dominican Republic. Presentation at the 7th Global Health Supply Chain Summit. Copenhagen, Denmark.

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Integrated Pharmaceutical Supply Management as a Strategy for Strengthening the National Health System in the Dominican Republic

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The implementation of an integrated pharmaceutical system in the Dominican Republic is correcting critical problems in medicine supply and, as an unexpected effect, is contributing to the completion of the health reform process and to the implementation of public administration decentralization and transparency.

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La implementación de un sistema integrado de medicamentos en República Dominicana está corrigiendo problemas críticos en el suministro de medicamentos y, como un efecto no anticipado, está contribuyendo a implementar la reforma de salud y a la descentralización y transparencia de la administración pública.

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