生活经验的负担能力作为处方药的障碍:一个纵向定性研究
Pauline Norris1,2, Shirley Keown2, Molly George1
1Va'a o Tautai - Centre for Pacific Health, University of Otago, Box 56, Dunedin 9054, New Zealand.
Exploratory research in clinical and social pharmacy
|February 19, 2025
概括
缺乏负担得起的药物获取不成比例地影响弱势群体,造成不平等. 金融障碍影响医疗保健关系和药物坚持,突出了药物获取的系统性问题.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康的社会经济决定因素
- 质量健康研究 质量健康研究
背景情况:
- 负担能力是全球药物获取的重要障碍,导致健康不平等.
- 之前在新西兰的研究记录了在药物使用中的种族和其他不平等现象.
- 这项研究侧重于可负担性作为药物获取障碍的实践经验.
研究的目的:
- 了解弱势群体面临的药物获取障碍的真实经验.
- 探索药品获取的负担能力障碍如何随着时间的推移而显现.
- 提出与药品负担能力相关的具体发现.
主要方法:
- 采用了一种纵向定性研究设计.
- 在一年内,21个家庭被多次采访.
- 参与者包括毛利族,太平洋族,前难民和收入有限的Pākehā个人.
主要成果:
- 参与者面临着社会劣势,身体和心理健康问题,以及压力的生活.
- 一般医生 (GP) 访问和药物的直接成本是显著的障碍.
- 负担能力问题侵蚀了对医疗保健提供者的信任,影响了药房选择,并与运输等其他障碍相互作用.
结论:
- 缺乏负担能力直接阻止了医药的获取,并加剧了其他障碍,如运输.
- 财政限制损害了对医疗保健服务的信任,并降低了服务的接受度.
- 当负担能力是一个问题时,处方和发行错误的脆弱性会增加.
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