Propuesta metodológica para evaluar la disponibilidad en el acceso a medicamentos oncológicos en Colombia
Giraldo Quintero, Johan Camilo | 2019
Access to health technologies is a global problem especially access to medicines, since many of the countries in the world fail to provide them in a complete, timely and adequate quality; To remedy and reduce this situation, the Colombian government has proposed two pharmaceutical policies, one in 2003 and in 2012, the CONPES 155 document, where 10 strategies were considered; which are aimed at improving access, opportunity for dispensing, quality and proper use depending on the needs of the population, regardless of their ability to pay.
People suffering from cancer is one of the groups of patients that requires health care in a timely, complete, quality way regardless of the price or cost of the treatments and the complexity of these; For this reason, this project sought to answer the following question: How to measure access to cancer medicines in the Colombian context?
To answer this question, the WHO concept is defined as the basis that defines that an individual has access to essential medicines when they can obtain them, considering having geographical accessibility, availability, affordability, prudent or rational use and, finally, comfort or Acceptability of therapy by the patient (WHO 2000 framework) definitions based on the conceptual framework of Penchansky and Thomas, in which five access domains are established, in addition to this two more frames were reviewed plus the one of WHO 2004 which raises the following domains for access: rational selection, affordable prices, sustainable financing and a reliable supply system and the Frost and Reich framework for 2010.
In addition to the definition of access, two instruments were proposed for measuring access to oncological medications, taking into account that in the elaboration of these, their address was focused both on the perspective of the patients and that of the pharmaceutical services, the construction of these it was achieved through a panoramic review of the literature in four databases (Scopus, Pubmed, Scielo and Science Direct), where after a synthesis of the information 31 final articles were obtained; from which the attributes were taken to raise both measuring instruments