Economic costs associated with inadequate drug prescribing: an exploratory study in Chiapas, Mexico

Flores, W.; Ochoa, Héctor; Briggs, Jane; Garcia, R. Dennis J.; Kroeger, Axel

doi:10.1016/s0001-706x(03)00187-6

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…These patients also received poor advice (e.g., they were given almost no information about oral rehydration therapy for diarrhea) (Flores et al. ).…”

Section: Health‐seeking Behavior and Access To Carementioning

confidence: 99%

Navigating and Circumventing a Fragmented Health System: The Patient's Pathway in the Sierra Madre Region of Chiapas, Mexico

Molina

Palazuelos

2014

Med Anthropol Q

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Mexico has implemented several important reforms in how health care for its poorest is financed and delivered. Seguro Popular, in particular, a recently implemented social insurance program, aims to provide new funds for a previously underfunded state-based safety net system. Through in-depth ethnographic structured interviews with impoverished farmers in the state of Chiapas, this article presents an analysis of Seguro Popular from the perspective of a highly underserved beneficiary group. Specific points of tension among the various stakeholders--the government system (including public clinics, hospitals, and vertical programs), community members, private doctors, and pharmacies--are highlighted and discussed. Ethnographic data presented in this article expose distinct gaps between national health policy rhetoric and the reality of access to health services at the community level in a highly marginalized municipality in one of Mexico's poorest states. These insights have important implications for the structure and implementation of on-going reforms.

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“…These patients also received poor advice (e.g., they were given almost no information about oral rehydration therapy for diarrhea) (Flores et al. ).…”

Section: Health‐seeking Behavior and Access To Carementioning

confidence: 99%

Navigating and Circumventing a Fragmented Health System: The Patient's Pathway in the Sierra Madre Region of Chiapas, Mexico

Molina

Palazuelos

2014

Med Anthropol Q

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“…17 En otro estudio se informó que la prescripción inadecuada (de antibióticos bajo control) representó 63% del gasto anual en antibióticos de un hospital. 38 Un estudio en farmacias concluye que la prescripción inadecuada representa, con respecto a los tratamientos estándar, un costo adicional por paciente de 3.57 dólares para IRAS y 8.37 dólares para EDAS, 39 que equivalen a 0.8 y 1.9, respectivamente , del salario mínimo diario en México. Finalmente, en México se concluyó que la mayor parte (38%) de las reacciones adversas a medicamentos reportadas en una institución de salud 40 se debieron a medicamentos antiinfecciosos particularmente antibióticos.…”

Section: Consecuencias Del Uso Inadecuado De Antibióticosunclassified

Uso de antibióticos en México: revisión de problemas y políticas

Dreser

Wirtz

Corbett³

et al. 2008

Salud pública Méx

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The inappropriate use of antibiotics signifies a risk for individual health and a waste of health resources. It triggers the development of antibiotic resistance, which increases expenditures and mortality related to infectious disease, and is hence considered a serious public health problem. The World Health Organization has thus recommended a series of strategies to be included within national pharmaceutical policies. In Mexico, diverse factors related to the inappropriate use of antibiotics have been documented. While the response has been mainly in the form of educational and managerial interventions directed toward physicians in public health services, as well as epidemiological surveillance, there is a paucity of research and interventions focused on consumers, pharmacies, and the private sector. Fundamentally, a comprehensive national strategy for antibiotics is not incorporated into health and pharmaceutical policies.

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“…Three studies investigated prescription costs. [41][42][43] Two studies used household data obtained by the National Health Survey, 42,43 the other pharmacy customer data. 41 Prescription costs were higher for uninsured individuals, and the use of non-essential drugs was found to impose an economic burden on consumers as it unnecessarily increased costs.…”

Section: Prescription Practice (N=52)mentioning

confidence: 99%

Medicines in Mexico, 1990-2004: systematic review of research on access and use

Wirtz¹,

Reich²,

Flores³

et al. 2008

Salud pública Méx

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Objective. To review original research studies published between 1990 and 2004 on the access and use of medicines in Mexico to assess the knowledge base for reforming Mexico's pharmaceutical policy. Material and Methods. A literature review using electronic databases was conducted of original studies published in the last 15 years about access and use of medicines in Mexico. In addition, a manual search of six relevant journals was performed. Excluded were publications on herbal, complementary and alternative medicines. Results. Were identified 108 original articles as being relevant, out of 2 289 titles reviewed, highlighting four policy-related problems: irrational prescribing, harmful self-medication, inequitable access, and frequent drug stock shortage in public health centers. Conclusions. This review identified two priorities for Mexico's pharmaceutical policy and strategies: tackling the irrational use of medicines and the inadequate access of medicines. These are critical priorities for a new national pharmaceutical policy.

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Economic costs associated with inadequate drug prescribing: an exploratory study in Chiapas, Mexico

Cited by 5 publications

References 10 publications

Navigating and Circumventing a Fragmented Health System: The Patient's Pathway in the Sierra Madre Region of Chiapas, Mexico

Navigating and Circumventing a Fragmented Health System: The Patient's Pathway in the Sierra Madre Region of Chiapas, Mexico

Uso de antibióticos en México: revisión de problemas y políticas

Medicines in Mexico, 1990-2004: systematic review of research on access and use

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