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Outpatient cardiovascular diseases and diabetes medicines dispensing in the population with government health insurance in Syria between 2018 and 2019 : a retrospective analysis

DOI zum Zitieren der Version auf EPub Bayreuth: https://doi.org/10.15495/EPub_UBT_00006039
URN zum Zitieren der Version auf EPub Bayreuth: urn:nbn:de:bvb:703-epub-6039-3

Titelangaben

Aljadeeah, Saleh ; Nagel, Eckhard ; Wirtz, Veronika J.:
Outpatient cardiovascular diseases and diabetes medicines dispensing in the population with government health insurance in Syria between 2018 and 2019 : a retrospective analysis.
In: BMC Health Services Research. Bd. 21 (2021) . - No. 1088.
ISSN 1472-6963
DOI der Verlagsversion: https://doi.org/10.1186/s12913-021-07124-6

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Projektfinanzierung: Deutsche Forschungsgemeinschaft

Abstract

Low- and middle-income countries bear the highest burden of non-communicable diseases (NCDs) mortality and morbidity. Syria has undergone an epidemiological transition from infectious diseases to NCDs in the past decades. Despite the high prevalence of cardiovascular diseases (CVDs) and diabetes in Syria, little is known about medicines utilization or prescriptions for these diseases. The aims of this study are to present the patterns and rates of dispensing medicines used for CVDs and diabetes among patients with government health insurance in Syria and examine age, sex, and regional variation in the dispensing of these medicines. Beneficiaries received 302.09 DIDs of CVDs medicines and 35.66 DIDs of diabetes medicines, including 0.96 DID of insulin (2.99% of the total of diabetes medicines). CVDs and diabetes medicine dispensing rates were low during the study period and included very low rates of insulin dispensing compared to the dispensing rates of these medicines in other countries in East Mediterranean Region or in Europe. We found lower dispensing rates of CVDs medicines among female beneficiaries (249.59 DIDs) than male beneficiaries (388.80 DIDs). Similarly, the dispensing rates of diabetes medicines among female beneficiaries (29.42 DIDs) were lower than those among male beneficiaries (45.98 DIDs). In addition, there were lower rates of CVDs and diabetes medicines and very low to no dispensing of insulin in some governorates that were partly controlled by the Syrian government compared to other governorates that were completely or mostly controlled by the Syrian government. Additional efforts are needed to raise awareness about the prevention and management of CVDs and diabetes especially among females in Syria and consider cultural issues that might influence access to healthcare services. There is a crucial need to address the political and geographical challenges caused by the conflict which have limited access to CVDs and diabetes medicines in some regions in Syria.

Weitere Angaben

Publikationsform: Artikel in einer Zeitschrift
Keywords: Non-communicable disease; Cardiovascular disease; Diabetes; Medicine; Insulin; Dispensing data; Demography; Syria; Conflict
Themengebiete aus DDC: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
Institutionen der Universität: Fakultäten > Rechts- und Wirtschaftswissenschaftliche Fakultät > Lehrstuhl Medizinmanagement und Gesundheitswissenschaften
Fakultäten
Fakultäten > Rechts- und Wirtschaftswissenschaftliche Fakultät
Sprache: Englisch
Titel an der UBT entstanden: Ja
URN: urn:nbn:de:bvb:703-epub-6039-3
Eingestellt am: 15 Mrz 2022 07:43
Letzte Änderung: 15 Mrz 2022 07:43
URI: https://epub.uni-bayreuth.de/id/eprint/6039

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