Purchase and use of antimicrobials in the hospital sector of Vietnam, a lower middle-income country with an emerging pharmaceuticals market.

Prescribing habits and culture may be a stronger driver (such as elevated concerns about allergy in China) The points about the fragmentation of the market and proliferation of products leading to high transaction costs for government and difficulties for clinicians are important and well made The authors state that the study does not include drugs purchased in pharmacies, and that there may be significant additional purchases of medicines by patients in primary and secondary care.

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