Addressing Noncommunicable Disease in Dominican Republic: Barriers to Hypertension and Diabetes Care

Introduction: Noncommunicable diseases (NCDs) significantly contribute to morbidity and mortality worldwide. During medical brigades in Santo Domingo, the Dominican Aid Society of Virginia (DASV) collects data to help understand the dynamics of NCD management. This study presents findings regarding...

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Autores principales:	Bryan Castro, Louise Ing, Yeri Park, Jasmine Abrams, Mark Ryan
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2018
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/10c1ffa039ad4116ad0e004a2d6f0769
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spelling	oai:doaj.org-article:10c1ffa039ad4116ad0e004a2d6f07692021-12-02T07:29:44ZAddressing Noncommunicable Disease in Dominican Republic: Barriers to Hypertension and Diabetes Care2214-999610.29024/aogh.2370https://doaj.org/article/10c1ffa039ad4116ad0e004a2d6f07692018-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2370https://doaj.org/toc/2214-9996Introduction: Noncommunicable diseases (NCDs) significantly contribute to morbidity and mortality worldwide. During medical brigades in Santo Domingo, the Dominican Aid Society of Virginia (DASV) collects data to help understand the dynamics of NCD management. This study presents findings regarding resources and barriers to NCD treatment. Methods: A cross-sectional survey study was conducted in two communities (Los Mina and Paraiso) during the 2014 DASV summer brigade. Descriptive statistics, associations, correlations as well as qualitative analyses were conducted to better understand resources and barriers to care in relation to health care coverage. Results: More than one third (n = 64) of 165 individuals had hypertension and/or diabetes. Thirty-seven percent (Paraiso) and 46% (Los Mina) of study participants did not have health insurance in the previous year. For those that did have insurance, 77% (P) and 89% (LM) visited a physician in the previous year. In this same group, 65% of individuals from Paraiso reported that their health insurance never covered the cost of medications while only a quarter of individuals from Los Mina indicated this. Health insurance and access to physicians and medication varied depending on the community of residence. Surveys indicated that access to affordable medications was an important issue for participants. Also, even though individuals in Los Mina were less likely to have health insurance than those in Paraiso, they were more likely to visit a physician. Conclusion: This study contributes to a greater understanding of health care coverage and access for low-resource communities in the Dominican Republic. Health care access, insurance, and cost sharing differed between these communities, but barriers to care were common. Future investigations could focus on qualitative differences in communities' health insurance coverages and development of interventions to address obstacles to care.Bryan CastroLouise IngYeri ParkJasmine AbramsMark RyanUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 84, Iss 4 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Bryan Castro Louise Ing Yeri Park Jasmine Abrams Mark Ryan Addressing Noncommunicable Disease in Dominican Republic: Barriers to Hypertension and Diabetes Care
description	Introduction: Noncommunicable diseases (NCDs) significantly contribute to morbidity and mortality worldwide. During medical brigades in Santo Domingo, the Dominican Aid Society of Virginia (DASV) collects data to help understand the dynamics of NCD management. This study presents findings regarding resources and barriers to NCD treatment. Methods: A cross-sectional survey study was conducted in two communities (Los Mina and Paraiso) during the 2014 DASV summer brigade. Descriptive statistics, associations, correlations as well as qualitative analyses were conducted to better understand resources and barriers to care in relation to health care coverage. Results: More than one third (n = 64) of 165 individuals had hypertension and/or diabetes. Thirty-seven percent (Paraiso) and 46% (Los Mina) of study participants did not have health insurance in the previous year. For those that did have insurance, 77% (P) and 89% (LM) visited a physician in the previous year. In this same group, 65% of individuals from Paraiso reported that their health insurance never covered the cost of medications while only a quarter of individuals from Los Mina indicated this. Health insurance and access to physicians and medication varied depending on the community of residence. Surveys indicated that access to affordable medications was an important issue for participants. Also, even though individuals in Los Mina were less likely to have health insurance than those in Paraiso, they were more likely to visit a physician. Conclusion: This study contributes to a greater understanding of health care coverage and access for low-resource communities in the Dominican Republic. Health care access, insurance, and cost sharing differed between these communities, but barriers to care were common. Future investigations could focus on qualitative differences in communities' health insurance coverages and development of interventions to address obstacles to care.
format	article
author	Bryan Castro Louise Ing Yeri Park Jasmine Abrams Mark Ryan
author_facet	Bryan Castro Louise Ing Yeri Park Jasmine Abrams Mark Ryan
author_sort	Bryan Castro
title	Addressing Noncommunicable Disease in Dominican Republic: Barriers to Hypertension and Diabetes Care
title_short	Addressing Noncommunicable Disease in Dominican Republic: Barriers to Hypertension and Diabetes Care
title_full	Addressing Noncommunicable Disease in Dominican Republic: Barriers to Hypertension and Diabetes Care
title_fullStr	Addressing Noncommunicable Disease in Dominican Republic: Barriers to Hypertension and Diabetes Care
title_full_unstemmed	Addressing Noncommunicable Disease in Dominican Republic: Barriers to Hypertension and Diabetes Care
title_sort	addressing noncommunicable disease in dominican republic: barriers to hypertension and diabetes care
publisher	Ubiquity Press
publishDate	2018
url	https://doaj.org/article/10c1ffa039ad4116ad0e004a2d6f0769
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Addressing Noncommunicable Disease in Dominican Republic: Barriers to Hypertension and Diabetes Care

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