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When technology precedes regulation

The challenges and opportunities of e-pharmacy in low-income and middle-income countries

Dados Bibliográficos

ID21881376
AutoresRosalind Miller (0000-0003-3161-127X, London School of Hygiene & Tropical Medicine, autor correspondente), Francis Wafula (0000-0002-5761-6151, Strathmore University), Chima Onoka (0000-0002-3328-1887, University of Nigeria), Chima A Onoka (University of Nigeria), Prasanna Saligram (George Institute for Global Health), Anita Musiega (0000-0001-6765-295X, Strathmore University), Dosila Ogira (0000-0001-6713-1361, Strathmore University), Ikedichi Okpani (National Primary Health Care Development Agency), Ufuoma Ejughemre (Delta State Government, Asaba, Nigeria), Ufuoma John Ejughemre (Delta State University), Shrutika Murthy (George Institute for Global Health), Surekha Garimella (0000-0003-2706-0268, George Institute for Global Health), Maureen Sanderson (0000-0001-7917-6786, London School of Hygiene & Tropical Medicine), Stefanie Ettelt (0000-0003-0376-7824, London School of Hygiene & Tropical Medicine), Pauline Allen (0000-0001-5598-1684, London School of Hygiene & Tropical Medicine), Devaki Nambiar (0000-0001-5682-6109, George Institute for Global Health), Abdul Salam (0000-0003-3844-0821, George Institute for Global Health), Emmanuel Kweyu (0000-0001-8493-1184, Strathmore University), Kara Hanson (0000-0002-9928-2823, London School of Hygiene & Tropical Medicine), Carl Goodman (0000-0002-2241-3485, London School of Hygiene & Tropical Medicine)
Ano2021
Volume6
Fascículo5
Páginase005405
Data de publicação2021-05-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoBMJ Global Health (JOURNAL)
Identificadores do periódicoISSN: 2059-7908 • E-ISSN: 2059-7908
EditoraBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2021-005405
PMID34016578
OpenAlexW3162279962
IdiomaEN
Citações recebidas13
Referências citadas19

The recent growth of medicine sales online represents a major disruption to pharmacy markets, with COVID-19 encouraging this trend further. While e-pharmacy businesses were initially the preserve of high-income countries, in the past decade they have been growing rapidly in low-income and middle-income countries (LMICs). Public health concerns associated with e-pharmacy include the sale of prescription-only medicines without a prescription and the sale of substandard and falsified medicines. There are also non-health-related risks such as consumer fraud and lack of data privacy. However, e-pharmacy may also have the potential to improve access to medicines. Drawing on existing literature and a set of key informant interviews in Kenya, Nigeria and India, we examine the e-pharmacy regulatory systems in LMICs. None of the study countries had yet enacted a regulatory framework specific to e-pharmacy. Key regulatory challenges included the lack of consensus on regulatory models, lack of regulatory capacity, regulating sales across borders and risks of over-regulation. However, e-pharmacy also presents opportunities to enhance medicine regulation—through consolidation in the sector, and the traceability and transparency that online records offer. The regulatory process needs to be adapted to keep pace with this dynamic landscape and exploit these possibilities. This will require exploration of a range of innovative regulatory options, collaboration with larger, more compliant businesses, and engagement with global regulatory bodies. A key first step must be ensuring that national regulators are equipped with the necessary awareness and technical expertise to actively oversee this e-pharmacy activity

Business · Pace · Political science · Public relations · FinTech, Crowdfunding, Digital Finance · Medicine · Mobile Health and mHealth Applications · Nursing · Pharmaceutical Quality and Counterfeiting · Marketing · Pharmacy

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Obras citantes distintas13
Citações por ano4,33
Intervalo de citações2023 - 2025 (3)
Velocidade de citaçãorecent
Altamente citadoNão
Tipos de citaçãoNeutras: 12
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