Citation

Zuppo IF, Ruas CM, de Oliveira HN, Godman B, Castel S, Wainberg ML, Reis EA. Expert Rev. Pharmacoecon. Outcomes Res. 2021; 21(4): 743-751.

Copyright

(Copyright © 2021, Expert Reviews)

DOI

10.1080/14737167.2020.1804873

PMID

32779944

Abstract

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: 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: 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: 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.

Language: en

Keywords

Adult; Antipsychotic agents; Antipsychotic Agents; Brazil; Cross-Sectional Studies; Delivery of Health Care; Female; health equity; Health Equity; Health Status; health status disparities; Humans; Male; Middle Aged; National Health Programs; psychotic disorders; Psychotic Disorders; schizophrenia spectrum and other psychotic disorders; Social Support; Surveys and Questionnaires; Young Adult