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[Underprescription of iron and clinical practice variability at the primary care level of public medical attention in Argentina]. / Subprescripción de hierro y variabilidad en el primer nivel de atención público de la Argentina.
Bernztein, Ricardo; Drake, Ignacio.
Afiliação
  • Bernztein R; Médico pediatra del Hospital Garrahan, Consultor Area Asistencia Técnica Programa Remediar, Ministerio de Salud de la Nación. rbernz@intramed.net
Arch Argent Pediatr ; 106(4): 320-7, 2008 Aug.
Article em Es | MEDLINE | ID: mdl-18766278
UNLABELLED: Iron deficiency and anemia have a very high prevalence and serious consequences for infants and pregnant women. Since late 2002, the Remediar Program provided free iron to the vulnerable population. Question arises whether free provision favors access to the drug. OBJECTIVES: To describe the iron prescription frequency at the primary care level in Argentina, and to estimate variability in clinical practice. MATERIALS AND METHODS: Retrospective observational study based on the Remediar Program with cross comparisons of diagnosis and prescriptions by individual provinces and centers. The Program's prescriptions forms constitute the secondary sources of information. The target population of the study is the universe of infants and women in fecund age that were attended in 6,000 centers encompassing 24 Argentine provinces between March of 2005 and February of 2006. RESULTS: Fifteen million prescriptions were reviewed. Only in one out of every 25 infant consultations and in one of every 71 women of child bearing age prescriptions iron is prescribed through Remediar. Provided diagnoses are more associated with treatment of, than prevention of, anemia. The likelihood of prescribing iron varies up to four fold depending on the facility and the province where the medical visit takes place. CONCLUSION: Underprescription of iron generates difficulties in patient access to an essential drug. Variability in medical practice may be a possible cause of unequal medical care.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Prescrições de Medicamentos / Atenção Primária à Saúde / Padrões de Prática Médica / Setor Público / Anemia Ferropriva / Ferro Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged / Pregnancy País/Região como assunto: America do sul / Argentina Idioma: Es Revista: Arch Argent Pediatr Ano de publicação: 2008 Tipo de documento: Article País de publicação: Argentina

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Prescrições de Medicamentos / Atenção Primária à Saúde / Padrões de Prática Médica / Setor Público / Anemia Ferropriva / Ferro Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged / Pregnancy País/Região como assunto: America do sul / Argentina Idioma: Es Revista: Arch Argent Pediatr Ano de publicação: 2008 Tipo de documento: Article País de publicação: Argentina