Publications by authors named "A Cangini"

Article Synopsis
  • The study investigates antibiotic use in Italy's community settings and compares prescription patterns across regions by evaluating quality indicators to identify variability in antibiotic consumption.* -
  • In 2021, Italy's overall antibiotic consumption was 15.6 DDDs per 1000 inhabitants per day, with a notable increase from the northern to southern regions, while only three out of 21 regions met the WHO's AWaRe guideline for appropriate antibiotic use.* -
  • A significant negative correlation was found between regional antibiotic consumption and the percentage of 'Access group' antibiotics prescribed, suggesting that as total antibiotic use increases, the proportion of recommended antibiotics decreases.*
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Importance: Most countries in the Organisation for Economic Co-operation and Development apply managed entry agreements (MEAs), reimbursement arrangements between manufacturers and payers, to pharmaceuticals. Few data exist regarding their ability to lower expenditures.

Objective: To analyze the financial outcomes of MEAs for pharmaceuticals from 2019 to 2021 in Italy.

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Background: Many countries use the WHO Essential Medicines List (EML) as a guide for health policy choices to promote the efficient use of healthcare resources or adopt the concept of essential medicines (EMs) to develop their own national list of essential medicines. The aim of this study is to analyse the availability and use of medicines included in the 22nd WHO EML in Italy.

Methods: Using the ATC code (5th level), a comparison was made between the medicines included in the WHO EML and those retrieved from the Italian Medicines Agency (AIFA) database.

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The aging population has increased concerns about the affordability, quality, and nature of long-term care for older people, emphasizing the role of nursing homes. Unlike acute hospital and primary care, there is a lack of drug consumption data in long-term care to understand regional or national healthcare policies. This study aimed to describe medication consumption by older adults and expenditure in Italian nursing homes (NHs).

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