Evidence map›Paper›PMID 41732707›Full record

ReviewLancet regional health. Americas2026

Medicines availability in Ecuador's public system (2015-2024): a policy design analysis of financing, public procurement, and governance.

Alejandro Hernández-Luis, Guillaume Fontaine, José Luis Morales

Abstract readReview
In one paragraph

Review in Lancet regional health. Americas, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Alejandro Hernández-LuisThe Comparative Policy Lab, FLACSO-Ecuador, Quito, Ecuador.
Guillaume FontaineThe Comparative Policy Lab, FLACSO-Ecuador, Quito, Ecuador.
José Luis MoralesThe Comparative Policy Lab, FLACSO-Ecuador, Quito, Ecuador.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medicines shortages are a major health policy challenge in Ecuador and reflect inconsistencies in the architecture of public-sector medicines access policy. This Health Policy paper, grounded in the policy design framework, synthesises administrative records and policy documents (2015-2024) to show how budget contraction, volatile execution, and weak

Indexed as

Health governanceMedicine shortagePharmaceutical supplyPolicy designPublic procurement

Identifiers

PMID41732707
PMCPMC12925043

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.