Government policies and their impact on the supply of medicines and medical devices at the MSP's Riobamba provincial general teaching hospital, period 2021-2023

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DOI:

https://doi.org/10.55204/trc.v5i1.e448

Keywords:

Government Policies, Hospital Supply, Health Management, Medicines, Medical Devices

Abstract

Introduction: Medical supply management emerges as a critical challenge in contemporary healthcare systems, especially following the profound impacts revealed during the health crisis. Objetive: In this context, this research analyzes the impact of government policies on the supply of medicines and medical devices at the Riobamba Provincial General Teaching Hospital during the 2021-2023 period. Methods: Through a longitudinal descriptive quantitative analysis, the evolution of supply and its relationship with three main government policies was examined: the Substitute Regulation (AGREEMENT 0051-2020), the Medicine Near Plan (Decree 378), and Ministerial Agreement 00103-2023. Results: The results revealed a significant transformation in supply levels: medical devices improved from 59.8% to 79.2%, while medications increased from 58.0% to 68.3%. A strong correlation was found between policy implementation and supply levels (r=0.756 for medicines and r=0.823 for devices), demonstrating the positive impact of government interventions. Budget execution reached historic levels of 100% for devices and 94% for medicines in 2022, demonstrating significant improvement in management efficiency. Conclusions: The findings suggest that sequential and adaptive policy implementation can substantially improve medical supply management, although opportunities persist to consistently reach the 90% target established by the MSP.

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References

desentralizada de compra SERCOP (2023).

Acuerdo Ministerial Nro. 000080-2022. Aprovisamiento de medicamentos e insumos médicos (2022).

American Society of Addiction Medicine. (2024). Public Policy Statement on Government Strategies to Foster Ethical Addiction Treatment. ASAM, 1-16.

Beck, M., & Buckley, J. (2022). Managing pharmaceutical shortages during the COVID pandemic: An exploratory analysis of European collective and national government responses. The Journal of Medicine Access, 6, 27550834221123425. https://doi.org/10.1177/27550834221123425

Emami, F., & Cheraghali, A. M. (2022). Policies and measures implemented to reduce the impact of international sanctions on Iran’s pharmaceutical sector. Research in Pharmaceutical Sciences, 17(3), 274-283. https://doi.org/10.4103/1735-5362.343081

Federal Drugs American. (2024). Medical Device Supply Chain and Shortages [Https://www.fda.gov/medical-devices/medical-device-safety/medical-device-supply-chain-and-shortages].

Ivama-Brummell, A. M., Pingret-Kipman, D., Louly, P. G., & Andrade, R. R. (2022). Medicines regulation, pricing and reimbursement in Brazil. Revista Brasileira de Farmácia Hospitalar e Serviços de Saúde, 13(1), 769. https://doi.org/10.30968/rbfhss.2022.131.0769

Jones, Y., & Kaczmarek, S. (2024). Federal Regulation: Selected Emerging Technologies Highlight the Need for Legislative Analysis and Enhanced Coordination. US. Government Accountability Office. https://www.gao.gov/products/gao-24-106122

Li, S. (2022). Ensuring Equitable Access to Affordable Prescription Medications. American Public Health Association, 1-16.

Limb, M. (2020). Drug suppliers are told to replenish stockpiles for Brexit and further pandemic this winter. BMJ, 370, m3104. https://doi.org/10.1136/bmj.m3104

López Ullauri, V. G., Chasipanta Avalos, M. E., Campoverde Ávila, A. E., & Pavón Rosero, L. E. (2021). Impacto por COVID-19 en Ecuador y planteamiento de una propuesta de política pública de prevención. Anatomía Digital, 4(4), 97-111. https://doi.org/10.33262/anatomiadigital.v4i4.1911

Maldonado Dávila, F. X. (2023). Estudio del complejo médico industrial en Ecuador. Análisis de 2008 a 2017 [Doutorado Direto em Saúde na Comunidade, Universidade de São Paulo]. https://doi.org/10.11606/T.17.2023.tde-10082023-101748

Maureen, M. (2024). Navigating Regulatory Changes in Specialty Drug Distribution. Complete Compliance Solutions LCC. https://www.complisolutions.com/post/regulatory-changes-in-specialty-drug-distribution

National Academies of Sciences Engineering, and Medicine. (2017). Communities in Action: Pathways to Health Equity. 6 Policies to support community solutions. 335-386. https://doi.org/10.17226/24624

Reglamento sustitutivo para la gestión del suministro de medicamentos y dispositivos médicos y control administrativoinanciero, 00051-2020 (2020).

Rodríguez Guerra, A., Villafuerte Garzón, C., & Ríos Quiñónez, M. B. (2023). Revisión de literatura de la industria farmacéutica: Establecimientos tipo “Drugstore” en el Ecuador: Literature review of the pharmaceutical industry: Drugstore establishments in Ecuador. RES NON VERBA REVISTA CIENTÍFICA, 13(2), 75-94. https://doi.org/10.21855/resnonverba.v13i2.829

Tenorio-Mucha, J., Lazo-Porras, M., Zafra, J., Ewen, M., & Beran, D. (2022). Using government data to understand the use and availability of medicines for hypertension and diabetes: Lessons from Peru. Journal of Pharmaceutical Policy and Practice, 15(1), 86. https://doi.org/10.1186/s40545-022-00481-5

World Health Organization. (2023). Quality and safety regulations [Oficial]. Health products policy and standards. https://www.who.int/teams/health-product-policy-and-standards/assistive-and-medical-technology/medical-devices/regulations

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Published

2025-02-10

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Original Research Articles

How to Cite

Cajo Riofrio, H. G., & Negrete Costales, O. P. (2025). Government policies and their impact on the supply of medicines and medical devices at the MSP’s Riobamba provincial general teaching hospital, period 2021-2023. Tesla Revista Científica, 5(1), e448. https://doi.org/10.55204/trc.v5i1.e448