Article Text

Download PDFPDF
Results of EAHP’s 2019 Medicines Shortages Survey
  1. Nenad Miljković1,
  2. Aida Batista2,
  3. Piera Polidori3,
  4. Stephanie Kohl4,
  5. Petr Horák5
  1. 1 Hospital Pharmacy, Institute of Orthopaedic Surgery ‘Banjica’, Belgrade, Serbia
  2. 2 Pharmacy, Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, Portugal
  3. 3 Hospital Pharmacy, Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, Palermo, Italy
  4. 4 Policy & Advocacy, European Association of Hospital Pharmacists, Brussels, Belgium
  5. 5 Hospital Pharmacy, Motol University Hospital, Praha, Czech Republic
  1. Correspondence to Nenad Miljković, Hospital Pharmacy, Institute of Orthopaedic Surgery ‘Banjica’, Belgrade 11000, Serbia; nenad.hedren{at}


Aims and objectives The aim of the 2019 EAHP Medicines Shortages Survey was to collect information on reasons and management strategies for medicines shortages as well as details on their impact on patients. The survey targeted hospital pharmacists (HPs), physicians (PHYs), nurses (NRS) and other healthcare professionals (OHCPs). A separate set of questions addressed patients (PTNs).

Methods A 28-question survey was conducted by EAHP, collecting information from European HPs, PTNs, NRS, PHYs and OHCPs on the shortage situation in their respective countries. The survey ran from 7 November 2019 to 13 January 2020. The results were analysed by EAHP.

Results There were 2136 HP responses to the 2019 survey compared with 1666 in 2018. While 95% of HPs and 89% of OHCPs consider medicine shortages a current problem, only 71% of PHYs and 62% of NRS state the same. Shortages of active pharmaceutical ingredients (72%), manufacturing (72%) and supply chain problems (49%) are leading causes of shortages according to HPs, while PHYs (40%) and NRS (37%) consider the pricing to be their driver. Antimicrobials and oncology medicines were most affected by shortages in 2019. Compared to 2018, the percentage of respondents who reported shortages of oncology medicines increased from 39% to 47% in 2019. HPs (42%), PHYs (36%) and OHCPs (38%) consider delays in care as the main consequence of medication shortages. The satisfaction with reporting systems for medicine shortages decreased from 56% in 2018 to 48% in 2019 for HPs, while they remain low for PHYs (36%).

Conclusions Medicines shortages affect patient care and healthcare professionals’ everyday tasks. Better enforcing of the mandatory early notification of shortages and structured mitigation response is recognised by all respondents as best strategy to tackle shortages.

  • drug procurement
  • drug manufacturing / preparation / compounding
  • health policy
  • pharmacy management (organisation, financial)
  • health & safety

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.