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Patient acceptability of and readiness-to-pay for pharmacy-based health membership plans to improve hypertension outcomes in Lima, Peru

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dc.contributor.author Vodicka, Elisabeth
dc.contributor.author Antiporta, Daniel A.
dc.contributor.author Yshii, Yukimi
dc.contributor.author Zunt, Joseph R.
dc.contributor.author Garcia, Patricia J.
dc.date.accessioned 2019-01-25T15:28:07Z
dc.date.available 2019-01-25T15:28:07Z
dc.date.issued 2017
dc.identifier.uri https://hdl.handle.net/20.500.12866/4717
dc.description.abstract INTRODUCTION: Pharmacies have been used to improve population health in Peru and other countries globally, operating as a non-traditional health access point. A pharmacy-based model holds potential to improve patient management of hypertension, a leading risk factor for non-communicable diseases in low- and middle-income countries. The aim of this study was to evaluate patient acceptability of hypertension services and health membership plans, if offered through private pharmacies in the future. METHODS: A cross-sectional study was conducted with 347 hypertensive individuals who purchased anti-hypertensive medications in a private pharmacy during the study period (July-October 2012). The study included a brief survey assessing patients' acceptability of and readiness-to-pay for pharmacy-based hypertension management services. Chi-square tests for differences in proportions were used to evaluate whether any demographic characteristics (e.g., binary variables for age, time since diagnosis, and type of medication usually purchased) could identify groups of hypertensive individuals that might be more or less likely to use pharmacy-based services. Multiple logistic regression was used to estimate associations between readiness-to-pay for pharmacy-based health membership plans and patient-level characteristics. RESULTS: Over 80% of individuals indicated they would be interested in pharmacy-based hypertension services, particularly discounts on anti-hypertensive medications and free blood pressure screenings. Compared to individuals 65 years of age or older, individuals under 65 years were more interested in receiving at least one pharmacy-based service. Another 80% indicated they would be interested in purchasing a monthly health plan through a pharmacy that provided access to hypertension services each month. The vast majority of individuals interested in pharmacy-based services indicated they would pay </=$3.69 US/month to participate in a monthly health membership plan. CONCLUSIONS: Hypertensive patients would be interested in using and ready to pay for pharmacy-based hypertension services. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof urn:issn:1934-8150
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Adult en_US
dc.subject Humans en_US
dc.subject Aged en_US
dc.subject Middle Aged en_US
dc.subject Cross-Sectional Studies en_US
dc.subject Age Factors en_US
dc.subject Logistic Models en_US
dc.subject Patient Acceptance of Health Care en_US
dc.subject Hypertension en_US
dc.subject Chronic disease en_US
dc.subject Low- and-middle income countries en_US
dc.subject Pharmacies en_US
dc.subject Antihypertensive Agents/economics/therapeutic use en_US
dc.subject Hypertension/drug therapy/economics en_US
dc.subject Pharmaceutical Services/economics/organization & administration en_US
dc.title Patient acceptability of and readiness-to-pay for pharmacy-based health membership plans to improve hypertension outcomes in Lima, Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.sapharm.2016.05.049
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.01.05


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