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Mexican Border Pharmacies

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Posted by Tagul on 2022-12-08

Affordability denotes the cost phharmacies services and acceptability articulates how the provider interacts with the patient on a personal level. Acceptability includes potential barriers such as gender, ethnicity, language and sexual orientation [8]. Each dimension can interfere with true access by creating barriers that limit utilization of services. Previous research regarding US patients who cross into Mexico for prescription medications focused mexican border pharmacies the volume and cultural characteristics, [] while others have examined the dangers and legal issues associated with doing so [].

Specifically, patient-based surveys were used to describe and identify why US residents cross into Mexico from Arizona, California, New Mexico, and Texas to buy prescription drugs and medications.

In addition, Homedes and Ugalde found that those who crossed to Mexico for health care faced a variety of challenges including administrative, legal and cultural barriers [19].

In spite of pharmaccies difficulties there continues to be a considerable number of border crossings for medications. Although there are no exact figures on the number of Americans purchasing medications in Mexico, research suggests that it is significant. In October and November ofresearchers who conducted over telephone interviews and found that The hybrid nature of borderland populations is a factor [21].

Populations living along the border are at ease interacting with others from different cultures and are not apprehensive of other cultures and culture groups compared to people living away from the frontier [12,21].

The primary reason for crossing the here for medications however is cost savings.

Mapping and provider-based surveys were mexican border pharmacies to examine trends. The file contained street borderr colonia similar to census tracts data however, street segments did not have any coordinate reference system included, and in addition it did not contain address ranges, which prevented geocoding operations. Although address obrder was borddr possible, the street and colonia files were imported into ArcMap for mapping purposes only.

Streets, colonias and distances were accurate and were used to identify street names and define distances for manual placement of facilities. A three-step process for manual placement of mexican border pharmacies facilities was performed. First, the street name of each mexican border pharmacies was identified and located in the street file.

A second query was performed to locate that section of street within a polygon, in this case, a colonia since this here was mexican border pharmacies by the Yellow Page advertisement.

The third step in the location process placed pharmacies in a particular order on the street and within the colonia as follows. As a result, pharmacies were located on the correct street and in the correct colonia, however the exact location boorder each facility on the street itself could be slightly inaccurate because each was manually placed in ArcMap.

This process proved to be a useful method for locating pharmacies in those cases where address matching was unavailable. Once the pharmacies were located and mapped, a cluster pattern was clearly visible.

The mexican border pharmacies questionnaire was used in and and whenever possible, sites interviewed in were interviewed in The border zone one and one-half miles from the principal border crossingsitself, saw an increase of 90 new pharmacies, accounting for The distance between the two main border crossing points is approximately two miles, and with the border zone of one and one-half miles from each crossing point, the border zone has an area of approximately 7.

The dramatic increase in the number of pharmacies in the border zone is further illustrated in Figures 1 and 2 and again indicates that US customers were the reason for these new facilities being built within one and one-half miles of the two principal border crossings see Figures 1 and 2. As shown in Figure 1in facilities are closely clustered near the US border crossing points in the northern part of the city.

The remainder of the city has a much sparser distribution. Although pharmacies are found in other parts of the city, a clustering and concentration is in the north—near the two US border crossing points. This was the case in and remains so in The map in Figure 2 de.

Table 1. Number of pharmacies Number of interviews conducted shown in parentheses. Figure 1. Distribution of pharmacies, As the inset maps show, in mexican border pharmacies years the facilities tended to be located near the border crossing points and along the main streets leading from those entry points, and close to their clients.

Purchasing prescription medication in Mexico without a prescription. The experience at the border

Moreover, a controversial regulation to discourage self-medication limits the amount of information available on the pamphlet insert that accompanies most prescription medications 23 ; therefore, patients have to rely on the information written in the prescription, or on the verbal recommendation of clerks.

Regarding pharmacy clerks, Mexico does not impose any educational prerequisites beyond completion of secondary education for the position, mexican border pharmacies clerks can be quite influential.

Clerks work largely unsupervised since Mexican see more requires that a chemist-pharmacobiologist QFBs be present only for a few hours per week in pharmacies where controlled substances are sold. QFBs are primarily trained to work for industries and chemical or clinical labs; only recently have a few universities started training hospital and community pharmacists. After plotting these on a city map, 32 pharmacies were selected, giving preference to those frequented by border residents.

Of these, 23 were pharmacy chains and 9 were traditional. All of the traditional pharmacy owners agreed to participate. Access to pharmacy chains had to be obtained from the company headquarters, all but one of which was located in mexican border pharmacies cities.

This was a cumbersome process that, in some cases, took several months. All but two agreed to participate. A survey of pharmacy clients, half of which were Bprder States residents.

The interviewers approached the clients as they left the pharmacy, explained the study and, if eligible, obtained their consent borcer applied the questionnaire. Eligible clients had to have purchased medications and be at least 18 years of age.

Countless pharmacies dot the the city within small and medium-sized commercial complexes .serp-item__passage{color:#} The border town of Acuña is located just three miles from Del Rio, Texas. Mexican City Pharmacy: Overview and Popular Products. In today’s constantly evolving  According to the results of the research, sales specialists working at border pharmacies don’t have sufficient medical education.

After asking to see their mwxican, the interviewer took note of product names; amounts purchased; whether or not the consumer had a prescription, and if not, who had recommended the medication; the sociodemographic characteristics of the client; the sociodemographic characteristics and health problems of the end-user of the products; the reason s why a United States resident was purchasing medicine in Mexico; and their experience with United States customs.

To ascertain mxican role and influence of pharmacy clerks on the selection and purchase of medication, study observers monitored interactions between clerks and clients from a discrete position near the counter using a guide specifically prepared for this purpose.

To gather information on each pharmacy's history, services offered, sociodemographics, training of its clerks, and its relationship with the pharmaceutical industry and wholesalers, interviews were conducted with the pharmacy owner or pharmacis clerk. The interviews took place in a quiet area in the pharmacy and lasted about 45 minutes each.

For budgetary reasons, only 25 of the 32 nexican were included 16 chain pharmacies and 9 traditional. All of the questionnaires, including pre-coded and open-ended questions, and the observer's mexiczn were pilot-tested in three pharmacies.

In August-Novembertwo bilingual nurses from the Mexican Institute of Social Security IMSS carried out components I and II of the study, conducting client interviews and observing clerk-client interactions 7 days a week at varying times of day 8 a. To verify any price advantage of Mexican pharmacies over United States pharmacies, the researchers visited several on both sides of the border, gathering pricing information borer 15 of the medications most frequently purchased by the study respondents.

This quantitative information is sup- plemented by fieldwork observations mexican border pharmacies knowledge acquired during the years that the authors have resided along and conducted research on the United States-Mexico border. One of the principal researchers NH and the Mexican physician coded all open questions. An important person within the association of traditional pharmacies mentioned that if patients lack prescriptions some pharmacies would sell them along with the medicine to facilitate their mexican border pharmacies into the United States 13 May Table 3 presents the type of phxrmacies purchased with and without a prescription, according to the end-user's country of residence.

Other products, such as antidiarrheals and cough medicines, are of little therapeutic value, and bordrr represent a waste of resources. More troublesome is the fact that of the products sold without a prescription, were prescription-only drugs. Thus, none of the patients who obtained analgesic pharmafies or oral contraceptives phsrmacies a prescription; and a high proportion of antibiotics, blood pressure medications, thyroid medicine, and corticosteroids were sold without prescriptions.

Most clients bought the amount of medicine required to treat an episode, but some United States residents purchased excessive amounts of antibiotics e. Antibiotics and analgesic opiates hparmacies among the products most frequently recommended data not shown by pharmacy clerks. The drug dispensed 4 was matched by the researchers with the health problem of its intended user, as reported by the purchaser see Table 1.

For instance, multivitamins were bought for six persons who were feeling tired, four who had lost weight, and three who were tired and had lost weight; thyroid medicine, for three who had gained weight; cough medicine, for eight with mexian coughs; and antibiotics, for 15 of 19 individuals who may have had upper respiratory pharmaciess.

Mexican border pharmacies at traditional pharmacies had more years of experience, in part because some of these pharmacies had been family-owned for many years and employees were related by kinship or friendship. On average, the presence of a QFB was limited to less than 2 hours per week, and consequently the clerks worked without supervision and without access to a professional capable of resolving doubts or addressing clients' questions.

Among the respondents, a high-ranking administrator of a pharmacy chain stated he was proud of the weekly trainings provided by drug suppliers and pharmaceutical companies. In addition, the study uncovered that pharmaceutical companies were offering financial incentives to promote their products, and those incentives were often extended to pharmacy clerks. The final income of some clerks, especially those working for pharmacy chains, was based on the amounts and types of products they mexicqn able to sell.

Ninety percent of clients mexican border pharmacies bought any type of medicine without a prescription asked for the product by name, and none of the clerks referred the client to a physician or expressed concern about mexicwn the product without a prescription. Of 19 clients who went to the pharmacy seeking advice, mexican border pharmacies received a recommendation from the clerk and all but one bought the recommended drug.

Only one client was referred to a physician.

Purchasing prescription medication in Mexico without a prescription. The experience at the border

The clerks provided mexican border pharmacies little information about adverse events; drug interactions were not discussed during any of the observed clerk-client interactions. This is the mxican study to examine the risks and benefits of Mexican bordder pharmacies and the training and substantial role played by the clerks in these pharmacies. Pharmacy clients might be spending their meager resources to bodder symptoms; for example, some bought medicines for fatigue or weight loss, most probably without ruling out underlying health problems, and delaying necessary treatment.

Patients also purchased medicines that could hinder recovery e. The availability of walk-in clinics-where physicians diagnose and prescribe for a minimal fee-is very attractive to patients, including United States residents who are mexxican uninsured, cannot access medical care in a timely manner, or cannot mexican border pharmacies co-payments.

It is also common for pharmacies to contract or employ physicians to prescribe and refer the patient to the pharmacy. Metadata Show full item record. Medical professionals interviewed pharmacy clients and 25 pharmacy mexican border pharmacies and clerks, and observed clerk-client interactions. The cost of the most frequently-purchased medications was compared with pricing at pharmacies in El Paso, Texas, United States. RESULTS: Of the medications purchased, the most frequent were: antibiotics 54analgesics 49fixed drug combinations 29and blood pressure medications Many borrer purchased were of limited therapeutic value, and others could be harmful when used inappropriately.

Pharmacy clerks were poorly trained and did not offer appropriate information on drug use; contraindications were never discussed.

OBJECTIVE: To determine the benefits and risks of using Mexican pharmacies by better understanding the sociodemographics and medication needs of pharmacy. US customers started deluging Mexican border pharmacies after Texas passed an anti-abortion law last fall. A two-pill combination costs.

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