Repository logo
 
Publication

Effects of economic recession on elderly patients’ perceptions of access to health care and medicines in Portugal

2016Journal article Restricted access
Simple item page
dc.contributor.authorCosta, Filipa Alves da
dc.contributor.authorTeixeira, Inês
dc.contributor.authorDuarte-Ramos, Filipa
dc.contributor.authorProença, Luís
dc.contributor.authorPedro, Ana Rita
dc.contributor.authorFurtado, Cristina
dc.contributor.authorSilva, José Aranda da
dc.contributor.authorCabrita, José
dc.date.accessioned2016-12-12T12:15:48Z
dc.date.available2016-12-12T12:15:48Z
dc.date.issued2016
dc.description© Springer International Publishing 2016pt_PT
dc.descriptionThe definitive version is available at http://link.springer.com/en
dc.description.abstractBackground In view of the current financial and demographic situation in Portugal, accessibility to health care may be affected, including the ability to adhere to medication. Objective To evaluate the perceived effects of the crisis on elderly patient's access to medicines and medical care, and its implications on medicine-taking behaviour. Setting Community pharmacy. Method A cross-sectional study was undertaken during April 2013, where elderly patients answered a self-administered questionnaire based on their health-related experiences in the current and previous year. Binary logistic regression was used to ascertain the effects of potential predictors on the likelihood of adherence. Main outcome measures self-reported adherence. Results A total of 1231 questionnaires were collected. 27.3% of patients had stopped using treatments or health services in the previous year for financial motives; mostly private medical appointments, followed by dentist appointments. Almost 30% of patients stopped purchasing prescribed medicines. Over 20% of patients reduced their use of public services. Out-of-pocket expenses with medicines were considered higher in the current year by 40.1% of patients. The most common strategy developed to cope with increasing costs of medicines was generic substitution, but around 15% of patients also stopped taking their medication or started saving by increasing the interdose interval. Conclusion Reports of decreasing costs with medicines was associated with a decreased likelihood of adherence (OR 0.42; 95% CI 0.27-0.65). Lower perceived health status and having 3 or more co-morbidities were associated with lower odds of adhering, whilst less frequent medical appointments was associated with a higher likelihood of exhibiting adherence.pt_PT
dc.identifier.citationda Costa, F.A., Teixeira, I., Duarte-Ramos, F. et al. Int J Clin Pharm (2016)pt_PT
dc.identifier.doi10.1007/s11096-016-0405-3pt_PT
dc.identifier.issn2210-7711
dc.identifier.urihttp://hdl.handle.net/10451/25199
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.relation.publisherversionhttp://link.springer.com/article/10.1007%2Fs11096-016-0405-3pt_PT
dc.subjectAccess to health carept_PT
dc.subjectAgedpt_PT
dc.subjectEquitypt_PT
dc.subjectHealth care rationingpt_PT
dc.subjectHealth policypt_PT
dc.subjectPortugalpt_PT
dc.titleEffects of economic recession on elderly patients’ perceptions of access to health care and medicines in Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleInternational Journal of Clinical Pharmacypt_PT
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT

Files

Original bundle
Now showing 1 - 2 of 2
No Thumbnail Available
Name:
effects_ recession.pdf
Size:
355.92 KB
Format:
Adobe Portable Document Format
Download
No Thumbnail Available
Name:
effects_ recession_sup.pdf
Size:
344.31 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.2 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

FM-IMPSP-Artigos em Revistas Internacionais