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Healthcare Disparities in Atopic Dermatitis in Latin America: A Narrative Review
Jorge Sánchez1, Iris-Selva Ale2, Maria Valeria Angles3,4
1Group of Clinical and Experimental Allergy, Hospital "Alma Mater de Antioquia" University of Antioquia, Cra. 27 n 37 B Sur 69 apto 510, Medellín, Colombia. jorgem.sanchez@udea.edu.co.
Dermatology and Therapy
|December 23, 2022
Summary
Healthcare disparities in atopic dermatitis (AD) in Latin America are significant. Addressing barriers like inadequate knowledge and resource maldistribution is crucial for improving patient quality of life.
Area of Science:
- Dermatology
- Public Health
- Health Equity
Background:
- Atopic dermatitis (AD) is a chronic inflammatory skin condition with varying prevalence in Latin America (LA).
- Healthcare disparities significantly impact AD patient management and quality of life in LA.
- Limited research exists on healthcare disparities for AD patients in Latin America.
Purpose of the Study:
- To examine barriers to equitable healthcare access for atopic dermatitis patients in Latin America.
- To recommend actionable strategies for overcoming identified healthcare inequalities.
Main Methods:
- A consensus-based approach was used, involving a panel of Latin American dermatology and allergy experts.
- Experts discussed and refined relevant questions and proposed solutions through multiple drafts.
Main Results:
- Key barriers identified include inadequate disease knowledge, cultural/linguistic challenges, stigmatization, resource maldistribution, lack of local guidelines, difficult patient journeys, and short consultations.
- These factors contribute to significant health inequalities for AD patients in the region.
Conclusions:
- Solutions involve enhanced education for professionals, patients, and the public.
- Implementing telemedicine, multidisciplinary teams, translators, and local clinical guidelines can improve care.
- A focus on underprivileged communities is essential for reducing disparities.
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