Utibe R. Essien, MD MPH Profile picture
Physician Scientist | Assistant Professor @UCLA | Alum @HarvardChanSPH @MGHMedicine @EinsteinMed | Opinions mine | #Pharmacoequity 💊

Jul 25, 2022, 6 tweets

1/ 🧵 NEW Paper!

As part of a special issue on 💊 costs & access, we wrote a broad review on “Pursuing #Pharmacoequity - Determinants, Drivers, and Pathways to Progress.

We talk social & health policy, research, patient & prescriber factors. 👇🏾👇🏾

Link: tinyurl.com/nvtamek8

2/ Understanding the multilevel determinants that influence equitable access to medications (and trying to do so in <5000 words (!) was the goal of our review.

With so many factors out there, we know we only began to scratch the surface.

read.dukeupress.edu/jhppl/article/…

#Pharmacoequity

3/ A few topics we discussed:

🔴 Public transportation & geographic access to pharmacies

🔴 Income and wealth inequities

🔴 Research representation

🔴 Health insurance coverage (e.g., ACA & Medicare Part D)

🔴 Clinician bias & trustworthiness

🔴 Patient primary language

4/ Along with the drivers, we discuss some possible solutions:

🟢 Decreasing cost of drugs

🟢 Provide low-cost drug coverage for uninsured & under-insured

🟢 Reduce geographic barriers to pharmacies

🟢 Engage community in developing interventions to increase pharmacoequity

5/5 This #Pharmacoequity review was a definite labor of love.

Amazing to work with rockstar med students @rohanchalasani & @sudkrish who led the paper, and get pharmacy (@Sudamonas & Dr. Terri Newman) and legal (@S_Delaney) expertise while writing this.

read.dukeupress.edu/jhppl/article/…

P.S. One of the best parts about writing this was we had to be extremely thoughtful about our citations.

More than ever we need more work that helps to place 💊 policy in the historical context of the writing from these amazing authors.

#Pharmacoequity

tinyurl.com/nvtamek8

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