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- Title
Factores asociados con la utilización y el gasto en medicamentos en México.
- Authors
Wirtz, Veronika J.; Serván-Mori, Edson; Heredia-Pi, Ileana; Dreser, Anahí; Ávila-Burgos, Leticia
- Abstract
Objective. To analyze medicine utilization and expenditure and associated factors in Mexico, as well as to discuss their implications for pharmaceutical policy. Materials and methods. Analysis of a sample of 193 228 individuals from the Mexican National Health and Nutrition Survey 2012. Probability and amount of expenditure were estimated using logit, probit and quantile regression models, evaluating three dimensions of access to medicines: (1) likelihood of utilization of medicines in the event of a health problem, (2) probability of incurring expenses and (3) amount spent on medicines. Results. Individuals affiliated to IMSS were more likely to use medicines (OR=1.2, p<0.05). Being affiliated to the IMSS, ISSSTE or SP reduced the likelihood of spending compared to those without health insurance (about RM 0.7, p<0.01). Median expenditures varied between 195.3 and 274.2 pesos. Conclusions. Factors associated with the use and expenditure on medicines indicate that inequities in the access to medicines persist.
- Subjects
MEXICO; PATIENT compliance; DRUG utilization; MEDICAL care costs; PHARMACEUTICAL policy; LOGITS; PROBITS; QUANTILES
- Publication
Salud Pública de México, 2013, Vol 55, pS112
- ISSN
0036-3634
- Publication type
Article