2015
DOI: 10.1186/s12913-015-1164-x
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Improving access to medicines through centralised dispensing in the public sector: a case study of the Chronic Dispensing Unit in the Western Cape Province, South Africa

Abstract: BackgroundThe Chronic Dispensing Unit (CDU) is an out-sourced, public sector centralised dispensing service that has been operational in the Western Cape Province in South Africa since 2005. The CDU dispenses medicines for stable patients with chronic conditions. The aim is to reduce pharmacists’ workload, reduce patient waiting times and decongest healthcare facilities. Our objectives are to describe the intervention’s scope, illustrate its interface with the health system and describe its processes and outco… Show more

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Cited by 31 publications
(41 citation statements)
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“…Existing ATM strategies [13][14][15][16][17] depend on a consistent, secure and reliable source of medicines to function optimally, yet they are regularly interrupted by stock-outs. Addressing the prevailing challenges will be of benefit to the country as a whole given that medicines will continue to play an integral role in the health system, not only of the individual provinces but also to achieve the ATM goals under the proposed National Health Insurance scheme in SA.…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…Existing ATM strategies [13][14][15][16][17] depend on a consistent, secure and reliable source of medicines to function optimally, yet they are regularly interrupted by stock-outs. Addressing the prevailing challenges will be of benefit to the country as a whole given that medicines will continue to play an integral role in the health system, not only of the individual provinces but also to achieve the ATM goals under the proposed National Health Insurance scheme in SA.…”
Section: Discussionmentioning
confidence: 99%
“…[11] We also identified supply and demand barriers to ATM [12] and existing strategies for mitigating these barriers. [12,13] In the Western Cape…”
Section: Researchmentioning
confidence: 99%
See 1 more Smart Citation
“…These patient- and health facility- specific parcels are delivered to facilities for distribution to patients at the facility or alternative sites (e.g. community halls) [ 8 – 10 ].…”
Section: Introductionmentioning
confidence: 99%
“…Subsequently, use this information to define the responsibility of public healthcare providers in South Africa and wider to enhance the identification of patient safety incidents and improve their management to minimise future patient harm and suffering, and to ensure where possible that medication errors are routinely investigated and managed to prevent repetition and to learn from prior mistakes (39). This is particularly important at this time in South Africa as it improves its public health system, including enhancing access to medicines in the public system for patients with chronic diseases (3,40). We also hope that the findings will also be of interest to other public hospitals in South Africa as well as other LMICs as they seek to improve care in their public hospitals.…”
Section: Introductionmentioning
confidence: 82%