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Access to medicines in remote and rural areas: a survey of residents in the Scottish Highlands and Western Isles.

Rushworth, Gordon F.; Diack, Lesley; MacRobbie, A.; Munoz, S.-A.; Pfleger, S.; Stewart, Derek

Authors

Gordon F. Rushworth

Lesley Diack

A. MacRobbie

S.-A. Munoz

S. Pfleger

Derek Stewart



Abstract

Sparsely populated areas are potentially predisposed to health inequalities due to limited access to services. This study aimed to explore and describe issues of access to medicines and related advice experienced by residents of the Scottish Highlands and Western Isles, using a cross-sectional cohort study. Anonymised questionnaires were mailed to a random sample of 6000 residents over 18 years old, identified from the electoral register. The questionnaire contained items on: access to medicines; interactions with healthcare services; and perceptions of the services. Results were analysed using descriptive, inferential and spatial statistics. The study found that the adjusted response rate was 49.5% (2913/5889). Almost two thirds of respondents (63.4%, 1847) were prescribed medicines regularly, 88.5% (1634) of whom considered the source convenient. Pharmacy (73.8%, 1364) or dispensing GP (24.0%, 443) were the most accessed sources. Prescription medicine advice was mainly obtained from the GP (55.7%, 1029). Respondents over 80 years old were significantly (p

Journal Article Type Article
Publication Date Mar 31, 2015
Journal Public health
Print ISSN 0033-3506
Electronic ISSN 1476-5616
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 129
Issue 3
Pages 244-251
Institution Citation RUSHWORTH, G.F., DIACK, L., MACROBBIE, A., MUNOZ, S.-A., PFLEGER, S., STEWART, D. 2015. Access to medicines in remote and rural areas: a survey of residents in the Scottish Highlands and Western Isles. Public health [online], 129(3), pages 244-251. Available from: https://doi.org/10.1016/j.puhe.2015.01.005
DOI https://doi.org/10.1016/j.puhe.2015.01.005
Keywords Rural health services; Access; Convenience; Nonprescription drugs; Prescription drugs

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