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Cardiovascular disease essential medicines listing by countries: changes over time and association with health
Camila Heredia1, Moizza Zia Ul Haq1, Adelaide Buadu1
1MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 80 Bond Street, Toronto, ON, M5B 1X2, Canada.
Insights
Including cardiovascular medicines on national essential medicine lists is linked to reduced cardiovascular mortality. This is particularly true for hypertensive heart disease, highlighting the importance of essential medicine policies for public health.
Area of Science:
- Public Health
- Cardiology
- Health Policy
Background:
- Cardiovascular diseases are a leading global cause of death.
- National essential medicine lists influence healthcare procurement worldwide.
- Including cardiovascular treatments on these lists can improve health outcomes.
Purpose of the Study:
- To analyze the inclusion of cardiovascular medicines on national essential medicine lists.
- To assess the association between these lists and amenable cardiovascular mortality.
Main Methods:
- Cross-sectional analysis of essential medicine lists from 158 countries.
- Evaluation of medicines for ischemic heart disease, cerebrovascular disease, and hypertensive heart disease.
- Linear regression to correlate coverage scores with amenable mortality.
Main Results:
- Inclusion of cardiovascular disease treatments on essential medicine lists correlated with lower amenable mortality from hypertensive heart disease.
- Higher per capita health expenditure was associated with lower amenable mortality for both ischemic and hypertensive heart disease.
Conclusions:
- Essential medicine lists are a key component of healthcare quality.
- Listing cardiovascular medicines is associated with reduced cardiovascular mortality, particularly for hypertensive heart disease.
Background:
Since national essential medicine lists guide the procurement of medicines for populations in many countries, and cardiovascular diseases are the leading cause of death globally, including cardiovascular medicines on these lists can significantly impact healthcare outcomes.
Methods:
In this cross-sectional study, national essential medicines' lists from 158 countries were analysed on whether or not they included medicines to treat ischemic heart disease, cerebrovascular disease, and hypertensive heart disease. A linear regression model was used to evaluate the association between countries' coverage scores and amenable mortality.
Results:
Listing of cardiovascular disease treatment was associated with amenable mortality from hypertensive heart disease. Health expenditure per capita was also associated with amendable mortality due to ischemic heart disease, and hypertensive heart disease.
Conclusions:
Listing essential medicines for cardiovascular disease is an important aspect of healthcare quality that is associated with cardiovascular mortality.
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