Antibiotic Stewardship in Retail Pharmacies and the Access-Excess Challenge in China: A Policy Review
Abstract
:1. Introduction
2. Results
2.1. Context
2.2. Policy Actors
2.3. Content and Process
2.3.1. Dispensing Prescribed Medicines or Antimicrobials with a Prescription
2.3.2. Licensed Pharmacists in Retail Pharmacies
3. Discussion
4. Strengths and Limitations
5. Materials and Methods
5.1. Conceptual Framework
5.2. Literature Search
5.3. Data Analysis
6. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
CDA | China Drug Administration |
CFDA | China Food and Drug Administration |
FDA | Food and Drug Administration |
LMIC | Low and middle-income country |
NRCMS | New Rural Cooperative Medical Scheme |
OTC | Over the counter |
PA | Pharmaceutical Administration |
UEBMI | Urban Employee Basic Medical Insurance |
URBMI | Urban Resident Basic Medical Insurance |
Appendix A
Date | Policy (English & Mandarin) | Core Content | Key Points Related to Antibiotic Sales in Retail Pharmacies |
---|---|---|---|
Regulations | |||
Introduce: 18 June 1999 Implement: 1 January 2000 | Measures for Separate Administration of Prescribed and Non-prescribed Medicines (Elementary edition) [40] 《处方药与非处方药分类管理办法(试行)》(国家药品监督管理局令第10号) | Overall guidance on activities related to prescribed and non-prescribed medicines among pharmaceutical entities, medical institutions, administrative departments, consumers, media. |
|
Introduce: 28 December 1999 Implement: 1 January 2000 | Temporary Provisions for Prescribed and Non-prescribed Medicine Distribution [41] 《处方药与非处方药流通管理暂行规定》(国药管市〔1999〕454号) | Specific requirements on activities related to prescribed and non-prescribed medicines among pharmaceutical entities, medical institutions, and commercial business. |
|
Introduce: 15 June 1999 Implement: 1 August 1999 | Measures for the Supervision and Administration of Circulation of Pharmaceuticals (Elementary edition) [Invalid] [42] 《药品流通监督管理办法(暂行)》(国家药品监督管理局令第7号) [失效] | Requirements on pharmaceutical related activities and punishments of violating these requirements. |
|
Introduce: 31 January 2007 Implement: 1 May 2007 | Measures for the Supervision and Administration of Circulation of Pharmaceuticals [43] 《药品流通监督管理办法》(国家食品药品监督管理局令第26号) | ||
Introduce: 4 February 2004 Implement: 1 April 2004 | Measures for the Administration of Pharmaceutical Trade License [Revised] [48] 《药品经营许可证管理办法》(国家食品药品监督管理局令第6号) [已修改] | Requirements on application, renewal and change of Pharmaceutical Trade License among pharmaceutical entities; Administration and inspection responsibilities of FDAs. |
|
Introduce: 17 November 2017 Implement: 17 November 2017 | Decision of the China Food and Drug Administration to Amend Some Rules [49] 《国家食品药品监督管理总局关于修改部分规章的决定》(国家食品药品监督管理总局令第37号) | ||
Strategies and Guidelines | |||
24 October 2003 | Notice on Strengthening Administration over the Sale of Antimicrobials in Retail Pharmacies to Promote Rational Use of Medicines [45] 关于加强零售药店抗菌药物销售监管促进合理用药的通知(国食药监安[2003]289号) | The FDAs and retail pharmacies’ roles in rational dispense of antimicrobials in retail pharmacies. |
|
11 June 2004 | Notice on Publishing ‘2004–2005 Work Plan related to Separate Administration of Prescribed and Non-prescribed Medicines’ by China Food and Drug Administration [44] 国家食品药品监督管理局关于印发《实施处方药与非处方药分类管理2004–2005年工作规划》的通知 (国食药监安[2004]262号) | The achievements and barriers related to management of prescribed and non-prescribed medicines; the goal, main principle, and the work plans for various stakeholders between 2004 and 2005. |
|
20 January 2012 | Notice on Publishing ‘National Medicine Safety ‘twelve-five’ Programme’ by State Council [51] 国务院关于印发国家药品安全“十二五”规划的通知 (国发[2012]5号) | A set of principles, objectives, and activities to improve national medicine quality and safety including one part related to promoting the pharmaceutical professional qualification system. |
|
5 August 2016 | The National Action Plan to Curb Bacterial Resistance (2016–2020) [37] 遏制细菌耐药国家行动计划(2016–2020年) | The main goals of this five-year plan and extensive approach to rational use of antimicrobials with measures on multiple stakeholders and components. |
|
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Zhang, T.; Lambert, H.; Zhao, L.; Liu, R.; Shen, X.; Wang, D.; Cabral, C. Antibiotic Stewardship in Retail Pharmacies and the Access-Excess Challenge in China: A Policy Review. Antibiotics 2022, 11, 141. https://doi.org/10.3390/antibiotics11020141
Zhang T, Lambert H, Zhao L, Liu R, Shen X, Wang D, Cabral C. Antibiotic Stewardship in Retail Pharmacies and the Access-Excess Challenge in China: A Policy Review. Antibiotics. 2022; 11(2):141. https://doi.org/10.3390/antibiotics11020141
Chicago/Turabian StyleZhang, Tingting, Helen Lambert, Linhai Zhao, Rong Liu, Xingrong Shen, Debin Wang, and Christie Cabral. 2022. "Antibiotic Stewardship in Retail Pharmacies and the Access-Excess Challenge in China: A Policy Review" Antibiotics 11, no. 2: 141. https://doi.org/10.3390/antibiotics11020141