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    Scopus© Citations 2  1
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    Reverse Logistics for Solid Waste from the Construction Industry
    (2021)
    Manuel Vargas
    ;
    Miguel Alfaro
    ;
    Natalia Karstegl
    ;
    Guillermo Fuertes
    ;
    María D. Gracia
    This article reviews studies on the application of reverse logistics in solid waste from the construction industry. The main objective is to provide a summary of current knowledge and specific areas for future research. In addition, construction, as an economic sector, is in a continuous search for new tools to improve its processes, so this research provides the current situation of the relationship between reverse logistics and solid waste in the industry. The review methodology was content analysis of scientific literature published between 1997 and 2020, and total of 66 articles were used. 73% correspond to research articles, around 13% are case studies, and 12% are literature reviews. Only one of the articles is a survey. In addition, 52% of the works reviewed correspond to solid waste studies and 49% are related to the construction industry; only one publication does not classify in any. The most used keywords for the identification of published works were reverse logistics and supply chain; both terms are frequently related to the process and general management of solid waste and construction. The least used term was the literature review that shows the low number of articles that provide a summary of the proposed topic. Finally, three materials were chosen for the study because they are the most used in construction: metals, bricks, and concrete. 15% of the articles study all three, 18% study only metals, and 63% study other materials or are related to construction and solid waste in general.
      2Scopus© Citations 33
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    Barriers and Facilitators in Access to Diabetes, Hypertension, and Dyslipidemia Medicines: A Scoping Review
    (2022)
    CASTILLO LABORDE, CARLA CECILIA  
    ;
    Macarena Hirmas-Adauy  
    ;
    MATUTE WILLEMSEM, MARIA ISABEL  
    ;
    Anita Jasmen
    ;
    Oscar Urrejola
    <jats:p><jats:bold>Objective:</jats:bold> Identify barriers and facilitators in access to medicines for diabetes, hypertension, and dyslipidemia, considering patient, health provider, and health system perspectives.</jats:p><jats:p><jats:bold>Methods:</jats:bold> Scoping review based on Joanna Briggs methodology. The search considered PubMed, Cochrane Library, CINAHL, Academic Search Ultimate, Web of Science, SciELO Citation Index, and grey literature. Two researchers conducted screening and eligibility phases. Data were thematically analyzed.</jats:p><jats:p><jats:bold>Results:</jats:bold> The review included 219 documents. Diabetes was the most studied condition; most of the evidence comes from patients and the United States. Affordability and availability of medicines were the most reported dimension and specific barrier respectively, both cross-cutting concerns. Among high- and middle-income countries, identified barriers were cost of medicines, accompaniment by professionals, long distances to facilities, and cultural aspects; cost of transportation emerges in low-income settings. Facilitators reported were financial accessibility, trained health workers, medicines closer to communities, and patients’ education.</jats:p><jats:p><jats:bold>Conclusion:</jats:bold> Barriers and facilitators are determined by socioeconomic and cultural conditions, highlighting the role of health systems in regulatory and policy context (assuring financial coverage and free medicines); providers’ role bringing medicines closer; and patients’ health education and disease management.</jats:p>
    Scopus© Citations 12  1
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    Glossary of Access to Health Care and Related Concepts for Low- and Middle-Income Countries (LMICs): A Critical Review of International Literature
    (2014)
    CABIESES VALDES, BALTICA BEATRIZ  
    ;
    Philippa Bird
    <jats:p> Access to health care is a multidimensional and complex concept. Achieving equitable access to care is an important goal for all countries, but particularly challenging in Low- and Middle-Income Countries (LMICs). Despite wide use of the concept of access, it continues to be defined and measured in very different ways. This glossary is a structured overview of key definitions for concepts related to access to health care, with special focus on the interpretation for LMICs. It aims to help people with interest in health service delivery to draw an overview and provide some pointers for further reading in both conceptual and empirical advances in access to health care in LMICs. This document is structured in five sections. The first introduces a general description of the concept of access to health care and its relevance to LMICs, the second displays the search conducted on access to health care for LMICs and the framework used for presentation of glossary terms, the third describes theoretical models most frequently used in the past when looking at access to health care in LMICs, the fourth is the list of terms, and the final section is a discussion of the most salient aspects of this critical review. </jats:p>
    Scopus© Citations 29  1
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    Undertreatment of pain and low use of opioids in Latin America
    (2018)
    César Amescua García
    ;
    Joao Batista Santos Garcia
    ;
    María del Rosario Berenguel Cook
    ;
    Frantz Colimon
    ;
    José Alberto Flores Cantisani
    <jats:p> Pain is highly prevalent among the adult Latin American population. However, many patients with moderate to severe pain do not have access to effective pain management with opioids due to limited access to healthcare, overuse of nonopioid analgesics, regulatory barriers and lack of appropriate information about opioids. There is scarce training on use of opioids among physicians and other healthcare providers, which leads to misconceptions, mainly related to a fear of prescribing opioids. Although opioids are safe and effective drugs for the treatment of moderate to severe chronic pain, the use of opioids in Latin American nations is clearly below standards compared with developed countries. </jats:p>
      8Scopus© Citations 22