Health equity and the usage of atypical antipsychotics within the Brazilian national health system: findings and implications.
Adult
Antipsychotic Agents
/ administration & dosage
Brazil
Cross-Sectional Studies
Delivery of Health Care
/ organization & administration
Female
Health Equity
Health Status
Humans
Male
Middle Aged
National Health Programs
/ organization & administration
Psychotic Disorders
/ drug therapy
Social Support
Surveys and Questionnaires
Young Adult
Antipsychotic agents
health equity
health status disparities
psychotic disorders
schizophrenia spectrum and other psychotic disorders
Journal
Expert review of pharmacoeconomics & outcomes research
ISSN: 1744-8379
Titre abrégé: Expert Rev Pharmacoecon Outcomes Res
Pays: England
ID NLM: 101132257
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
pubmed:
12
8
2020
medline:
21
9
2021
entrez:
12
8
2020
Statut:
ppublish
Résumé
There is a need to evaluate the health equity of atypical antipsychotics users who obtain their medicines from the Brazilian National Health System (SUS) through the identification of key factors that influence their health status due to concerns with equity of care. Cross-sectional study among patients attending state pharmacies in Brazil. Individuals were included if they used atypical antipsychotics, aged ≥18 years, and answered the EQ-5D-3 L questionnaire. Sociodemographic, behavioral, and clinical data were collected. The dependent variable was health status. Associations between the independent variables and the dependent variable were analyzed by adjusting a linear regression model. Overall, 388 individuals met the eligibility criteria and were included in the analysis. The final multiple linear regression model demonstrated a statistically significant association between VAS and suicide attempts, private care, current antipsychotics, comorbidities, and perceived family support. The study identified several factors both individual and collective that correlate with the health status of atypical antipsychotic users and confirmed the importance of providing medicines for treating psychotic disorders. However, other factors are involved including social support. Our results suggest additional activities and policies are necessary including strategies to address the differences in private and public health care.
Sections du résumé
BACKGROUND
BACKGROUND
There is a need to evaluate the health equity of atypical antipsychotics users who obtain their medicines from the Brazilian National Health System (SUS) through the identification of key factors that influence their health status due to concerns with equity of care.
RESEARCH DESIGN AND METHODS
METHODS
Cross-sectional study among patients attending state pharmacies in Brazil. Individuals were included if they used atypical antipsychotics, aged ≥18 years, and answered the EQ-5D-3 L questionnaire. Sociodemographic, behavioral, and clinical data were collected. The dependent variable was health status. Associations between the independent variables and the dependent variable were analyzed by adjusting a linear regression model.
RESULTS
RESULTS
Overall, 388 individuals met the eligibility criteria and were included in the analysis. The final multiple linear regression model demonstrated a statistically significant association between VAS and suicide attempts, private care, current antipsychotics, comorbidities, and perceived family support.
EXPERT COMMENTARY
UNASSIGNED
The study identified several factors both individual and collective that correlate with the health status of atypical antipsychotic users and confirmed the importance of providing medicines for treating psychotic disorders. However, other factors are involved including social support. Our results suggest additional activities and policies are necessary including strategies to address the differences in private and public health care.
Identifiants
pubmed: 32779944
doi: 10.1080/14737167.2020.1804873
doi:
Substances chimiques
Antipsychotic Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM