ArticleRevista de saude publica2013
Access to medicines for acute illness in middle income countries in Central America.
Article in Revista de saude publica, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 15 citations in OpenAlex.
- Access to medicines for acute illness and antibiotic use in residents: A medicines household survey in Sichuan Province, western China.PloS one · 2018Trial
- Users' perception of quality as a driver of private healthcare use in Mexico: Insights from the People's Voice Survey.PloS one · 2024Article
- Ongoing challenges in access to diabetes care among the indigenous population: perspectives of individuals living in rural Guatemala.International journal for equity in health · 2019Article
- Providing a framework for assessment of the access to medicine.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2019Article
- Perceptions and utilization of generic medicines in Guatemala: a mixed-methods study with physicians and pharmacy staff.BMC health services research · 2017Article
- Health Policy on the pages of Revista de Saúde Pública.Revista de saude publica · 2016Review
- Barriers in household access to medicines for chronic conditions in three Latin American countries.International journal for equity in health · 2015Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo analyze the main predictors of access to medicines for persons who experienced acute health conditions.
methodsThis was a cross-sectional analytic study, based on data from household surveys. We examined the predictors of: (1) seeking care for acute illness in the formal health care system and (2) obtaining all medicines sought for the acute condition.
resultsThe significant predictors of seeking health care for acute illnesses were urban geographic location, head of household with secondary school education or above, age under 15, severity of illness perceived by the respondent, and having health insurance. The most important predictor of obtaining full access to medicines was seeking care in the formal health care system. People who sought care in the formal system were three times more likely to receive all the medicines sought (OR 3.0, 95%CI 2.3;4.0). For those who sought care in the formal health system, the strongest predictors of full access to medicines were seeking care in the private sector, having secondary school education or above, and positive perceptions of quality of health care and medicines in public sector health facilities. For patients who did not seek care in the formal health system, full access to medicines was more likely in Honduras or Nicaragua than in Guatemala. Urban geographic location, higher economic status, and male gender were also significant predictors.
conclusionsA substantial part of the population in these three countries sought and obtained medicines outside of the formal health care system, which may compromise quality of care and pose a risk to patients. Determinants of full access to medicines inside and outside the formal health care system differ, and thus may require different strategies to improve access to medicines.
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