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Is asthma treatment affordable in developing countries?

J P Watson1, R A Lewis

  • 1Department of Thoracic Medicine, Killingbeck Hospital, Leeds, UK.

Thorax
|July 1, 1997
PubMed
Summary

Asthma treatment guidelines are difficult to implement in developing nations due to drug unavailability and high costs. Many patients lack access to essential asthma medications, impacting their care.

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Area of Science:

  • Pulmonary Medicine
  • Global Health
  • Pharmacoeconomics

Background:

  • International asthma management guidelines exist but their practical application in developing countries is questionable.
  • Assessing the feasibility of these guidelines in resource-limited settings is crucial for improving patient outcomes.

Purpose of the Study:

  • To evaluate the applicability of international asthma management guidelines in developing countries.
  • To identify barriers to effective asthma treatment in these regions.

Main Methods:

  • A questionnaire survey was distributed to expatriate physicians practicing in developing nations.
  • Data on drug prescription patterns, availability, and cost were collected and analyzed.

Main Results:

  • Oral salbutamol and theophyllines were frequently prescribed, while inhaled bronchodilators and steroids were less common.
  • Availability of inhaled corticosteroids was limited (15/41), and their cost was prohibitively high, often exceeding 20% of monthly income.
  • Physicians indicated a willingness to prescribe more inhaled therapies if they were locally available and affordable.

Conclusions:

  • Inadequate access to essential asthma medications due to unavailability or high cost prevents many patients in developing countries from receiving adequate treatment.
  • Significant disparities exist in asthma pharmacotherapy between developed and developing nations.
  • Policy interventions are needed to improve the availability and affordability of crucial asthma medications in low-resource settings.

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