Investigating the Socio-Economic Factors Affecting Affordability and Availability of Medications for Patients with Diabetes

Background: The rise in healthcare expenditures, particularly drug costs, has posed a significant challenge to the healthcare system. This issue is particularly critical for chronic diseases such as diabetes, as various factors influence patients' access to these medications and their financial...

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Main Authors: Masoud Ali Karami (Author), Hadi Hayati (Author)
Format: Book
Published: Tehran University of Medical Sciences, 2023-12-01T00:00:00Z.
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100 1 0 |a Masoud Ali Karami  |e author 
700 1 0 |a Hadi Hayati  |e author 
245 0 0 |a Investigating the Socio-Economic Factors Affecting Affordability and Availability of Medications for Patients with Diabetes 
260 |b Tehran University of Medical Sciences,   |c 2023-12-01T00:00:00Z. 
500 |a 2008-1928 
500 |a 2228-7450 
520 |a Background: The rise in healthcare expenditures, particularly drug costs, has posed a significant challenge to the healthcare system. This issue is particularly critical for chronic diseases such as diabetes, as various factors influence patients' access to these medications and their financial ability to pay for them. Thus, this study aimed to investigate the access and purchasing power for anti-diabetic drugs in pharmacies and hospitals in Khorramabad city in 2022. Materials and Methods: This descriptive-analytical study included patients and visitors to private pharmacies and hospitals in Khorramabad. The required information was collected through patient prescriptions, pharmacy records, interviews, and checklists based on the World Health Organization protocol. Data analysis was performed using t-test, chi-square, ANOVA, and logistic regression, utilizing SPSS version 21 software. Results: The findings revealed that among the socio-economic factors affecting the financial ability to pay for diabetes medications, income level is identified as a significant factor, particularly in patients with underlying conditions, where their income is adversely impacted. Additionally, the results indicated that, unlike the free market, in the healthcare and pharmaceutical market, no socio-economic factor from the demand side (i.e., patients) influences pharmacies as drug suppliers in terms of the accessibility index. Conclusion: Despite the good availability of medications in pharmacies, the financial constraints faced by patients in covering medication costs suggest that government intervention through measures such as enhanced insurance coverage and medication subsidies could support economically disadvantaged groups. 
546 |a FA 
690 |a socio-economic factors 
690 |a drug availability 
690 |a drug affordability 
690 |a diabetes 
690 |a pharmacy 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n بیمارستان, Vol 22, Iss 3, Pp 250-261 (2023) 
787 0 |n http://jhosp.tums.ac.ir/article-1-6654-en.pdf 
787 0 |n https://doaj.org/toc/2008-1928 
787 0 |n https://doaj.org/toc/2228-7450 
856 4 1 |u https://doaj.org/article/72cfa191c5eb4c609d04d048ff9ba8f1  |z Connect to this object online.