对肯尼亚西部药物坚持相关因素的横截面分析
Pooja Gala1, Jemima H Kamano2, Manuel Vazquez Sanchez3
1Medicine, NYU Grossman School of Medicine, New York, New York, USA Pooja.Gala@nyulangone.org.
BMJ open
|September 5, 2023
概括
肯尼亚的药物不合格与经济因素有关,特别是运输成本. 解决这些间接成本对于改善低收入和中等收入国家高血压和糖尿病管理至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 非传染性疾病管理
背景情况:
- 在低收入和中等收入国家,低于最佳的药物坚持是控制高血压和糖尿病的重要障碍.
- 对于有针对性的干预措施来说,确定影响遵守的特定经济因素至关重要.
研究的目的:
- 调查肯尼亚西部与药物坚持相关的关键因素.
- 具体研究成本相关因素和经济财富因素对遵守的影响.
主要方法:
- 基线数据的横截面分析 来自与集体综合护理的桥梁收入生成研究.
- 包括1496名35岁以上高血压或糖尿病的参与者,在3个月内处方药.
- 多变量分析考虑社会人口统计学,经济和卫生系统因素,控制年龄和性别.
主要成果:
- 71.2%的参与者报告说,他们没有达到最佳水平的药物服药.
- 经济因素,特别是运输成本,与更糟糕的药物坚持有明显的关联.
- 没有发现月度药物费用和药物坚持之间存在关联.
结论:
- 在肯尼亚,低于最佳的药物坚持非常普遍,主要是由经济因素驱动的.
- 间接成本,如运输,是遵守的关键障碍.
- 干预措施必须解决多方面的经济因素,以改善非传染性疾病的结果.
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