Barriers and Facilitators in Access to Diabetes, Hypertension, and Dyslipidemia Medicines: A Scoping Review
Journal
Public Health Reviews
ISSN
2107-6952
Date Issued
2022
Author(s)
Catalina Frey-Moreno
Sofia Pumarino-Lira
Fernando Descalzi-Rojas
Tomás José Ruiz
Type
Resource Types::text::journal::journal article
URL Institutional Repository
Abstract
<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>
Cite this document
Castillo-Laborde, C., Hirmas-Adauy, M., Matute, I., Jasmen, A., Urrejola, O., Molina, X., Awad, C., Frey-Moreno, C., Pumarino-Lira, S., Descalzi-Rojas, F., Ruiz, T. J., & Plass, B. (2022). Barriers and facilitators in access to diabetes, hypertension, and dyslipidemia medicines: A scoping review. Public Health Reviews, 43, 1604796. https://doi.org/10.3389/phrs.2022.1604796
Subjects
access
;
barriers
;
diabetes
;
dyslipidemia
;
facilitators
;
hypertension (htn)
;
medicines
;
non-communicable chronic diseases (ncds)
;
antidiabetic agent
;
antihypertensive agent
;
antilipemic agent
;
diabetes mellitus
;
drug cost
;
dyslipidemia
;
education
;
health care access
;
health care personnel
;
high income country
;
human
;
hypertension
;
middle income country
;
review
;
traffic and transport
;
united states