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Articolul urmator |
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Ultima descărcare din IBN: 2024-01-09 12:03 |
SM ISO690:2012 CHIŢAN, Elena. Evaluarea echității asistenței farmaceutice în Republica Moldova. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 655. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Rezumat | ||||||
Background. One of the main objectives of global health is to achieve and maintain health, in the field of medical and pharmaceutical care. The level of out-of-pocket payments in the Republic of Moldova is high, being paid for medicines - 96% of total health expenditures. Objective of the study. Assessment the equity in access to pharmaceutical assistance in Republic of Moldova through health system perspective. Material and Methods. A quantitative cross-sectional observational study was conducted through a sociological survey, analysing 4 dimensions access barriers: geographical accessibility, affordability, availability, acceptability through concentration curve. The study was carried out at the national level, in 2020 year. A sample of 90 households was selected, 60% of rural population and 40% of urban population. Results. The households were validated on the basis of the income of quintiles, thus the income of 80% of the respondents was lower than 4x with the lowest income for the unqualified person from the public sector or 3727.32 MDL, and 20% of them had an income higher than 4000 MDL. The first three quintiles of the population - very poor, poor and moderate, received 70.59% of the total access to pharmaceutical services according to geographical indicator. Calculation of concentration index was 0.113, representing a value which tends to 1, which demonstrates that geographic access is aimed at people with a higher welfare. Conclusion. To eradicate inequity in access to pharmaceutical assistance, the health system must guarantee equity through universal health coverage, supply of essential medicines, performance-based payment and need-based financing regulation. |
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Cuvinte-cheie equity, accessibility, pharmaceutical assistance, echitate, accesibilitate, asistenţa farmaceutică |
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