Wirtz VJ, Russo G, Kageyama-Escobar ML

Language: English
References: 20
Page: 30-38
PDF size: 147.23 Kb.

ABSTRACT

Objective. To analyse the medicines prescription, prescription filling, payment expenditure for medicines by ambulatory health service users (HSU) in 2006, and to evaluate its evolution in the last 12 years. Material and Methods. Using data from the National Health Surveys in 2006 three binary logistic regression models were constructed to identify the variables associated with the prescription rate, prescription filling and payment for medicines in 2006. The results of access to medicines were compared to the ones from previous National Health Services from 1994 and 2000. Results. The type of health service provider was found to be the most important predictors of access to medicines. Although the proportion of HSU obtaining a prescription and paying for drugs has broadly stayed the same as in 1994, the percentage of HSU paying for their prescribed medicines decreased from 70% in 1994 to 42% at Ministry of Health institutions in 2006. Conclusion. The progress in prescription and population access to medicines has been uneven across health service providers.

REFERENCES

1. United National Development Program. Trade for development. Geneva: The Millenium Project, 2007. [Access: 2008 oct.]. Available at: http://www.unmillenniumproject.org/goals/gti.htm

2. World Health Organization. How to develop and implement a national drug policy. 2nd World Health Organization: Geneva: WHO, 2002:16

3. World Health Organization and Harvard Medical School and Harvard Pilgrim Health. Using indicators to measure country pharmaceutical situations. Fact book on WHO level I and level II monitoring indicators. Geneva: WHO, 2006:35-38.

4. Wirtz V, Reich M, Leyva R, Dreser A. Medicines in Mexico: A systematic review of research on access and use. Salud Publica Mex 2008;50 suppl4:470-479.

5. Reséndez C, Garrido F, Gómez-Dantés O. Disponibilidad de medicamentos en el primer nivel de atención de Secretaria de Salud. Salud Publica Mex 2000;42:298-308.

6. Gómez-Dantés O, Garrido-Latorre F, Tirado-Gómez LL, Ramírez D, Macías C. Abasto de medicamentos en unidades del primer nivel de atención de la Secretaría de Salud. Salud Publica Mex 2001;43:224-232.

7. Comisión Federal Para la Protección contra Riesgos Sanitario (COFEPRIS)-Secretaría de Salud (SSA). Hacia una política farmacéutica integral para México. México, DF: SSA, 2005.

8. Secretaría de Salud. Satisfacer la demanda de medicamentos en el sector de salud, una iniciativa en progreso. México, DF: SSA, 2004.

9. Organization for Economic Co-operation and Development (OECD). OECD Reviews of Health Systems: MEXICO. Paris: OECD, 2005:61.

10. Nigenda G, Orozco E, Olaiz G. La importancia de medicamentos en el Programa del Seguro Popular. Nigenda G, Knaul FM (ed.). En: Caleidoscopio de la Salud. México, DF: Fundación Mexicana para la Salud, 2003:263-273.

11. Organization for Economic Co-operation and Development (OECD). Health working papers. Pharmaceutical pricing and reimbursement policies in Mexico. Paris: OECD, 2007:61

12. Knaul FM, Frenk J. Health Insurance in Mexico: Achieving universal coverage through structural reform. Health Aff 2005;24:1467-1476.

13. Sepulveda J, Tapia-Conyer R, Velásquez O, Valdespino JL, Olaiz-Fernandez G, et al. Diseño y metodología de la Encuesta Nacional de Salud 2000. Salud Publica Mex 2007;49 Supl3: S427-S432.

14. Olaiz G, Rivera J, Shamah T, Rojas R, Villapando S, Hernández M, et al. Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca, Mexico: Instituto Nacional de Salud Publica, 2006.

15. Banco de Mexico. Índices de Precios al Consumidor y UDIS CP151 - Inflación Período: Ene 1973 - Sep 2008, Mensual, Sin Unidad, Indices , Base 2Q. Jun. 2002. México. DF: Banco de México, 2008.

16. Lemaresquier T, Santizo R. Informe sobre el desarrollo humano en México. México: Programa de las Naciones Unidas para el Desarrollo (PNUD), 2004.

17. Levya-Flores R, Erviti-Erice J, Kageyama-Escobar ML. Prescripción, acceso y gasto en medicamentos entre usuarios de servicios de salud en México. Salud Publica Mex 1998;40(1):1-8

18. Barraza-Llorens M, Bertozzi S, Gonzalez-Pier E, Gutierrez, JP. Addressing inequity in health and health care in Mexico. Health Aff 2002;21(3):47-56.

19. Servicio de Administración Tributaria (SAT). Evolution of the minimum salary in Mexico from 1970 to 2007. [Access: 2008 oct.]. Available at: http://www.sat.gob.mx/sitio_internet/asistencia_contribuyente/informacion_frecuente/salarios_minimos/

20. González-Pier E, González-Hernández A. Regulación saludable del sector farmacéutico. Capitulo X, In: Competencia económica en México. Capítulo X. México: Porrúa/ Comisión Federal de Competencia, 2004: 369-425.