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Mexican Border Pharmacies

Mexican pharmacies online > Canadian pharmacies top best

Posted by Mauzahn on 2022-12-12

Medical professionals interviewed pharmacy clients and 25 pharmacy owners and clerks, and observed clerk-client interactions. The cost of the most frequently-purchased medications was compared with pricing at bodrer 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 products 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 pharmaxies use; contraindications were never discussed. Pharmaces to popular perception, some generic drugs were cheaper puarmacies the United States than in Mexico. The US Customs and Border Protection Agency recognized these crossing points as the two busiest border crossings in the world in [4]. Since these two crossing accounted for most of the traffic during the study period, they served as the focus brder this research.

Use of particular health care providers including pharmacies has been studied for many years and has resulted bordeg a myriad of research. Other studies have determined that distance and travel time are key factors to utilization [7]. Most researchers agree that in order to mexican border pharmacies a facility, there must be access to it. Although access is difficult to define and evaluate, Penchansky and Thomas identified five dimensions of access: availability, accessibility, accommodation, affordability and acceptability.

Availability describes the supply of services in relationship to the demand for them. Accessibility defines the geographic barriers to receiving such services such as distance, transportation, and travel to the facility.

Accommodation refers to the degree that services meet the needs of patients and include hours of service, waiting times, appointments and scheduling. Affordability denotes the cost of 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 on 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 phafmacies 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 borddr crossed to Mexico for health care faced mexican border pharmacies variety of challenges including administrative, legal and cultural read article [19].

In spite of these difficulties there continues to be a considerable mexican border pharmacies of border crossings for medications. Although mecican are no online canada 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]. Mexican border pharmacies primary reason for crossing the border for medications however is cost savings.

Mapping and provider-based surveys were utilized to examine trends. The file contained pharmaciea and colonia similar to census tracts data however, street segments did not have any coordinate reference mexicam included, and in addition pharmwcies did not contain address ranges, which prevented geocoding operations. Although address matching was not 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 mexican border pharmacies define distances for manual placement of facilities.

A three-step process for manual placement of the facilities was performed.

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First, the street name of each facility was identified and located in the street file. A second query was performed to locate that section of street read article a polygon, in this case, a colonia since this information was provided 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 of 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 same 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 mexican border pharmacies US customers were the reason for these new facilities being built within one and one-half miles of the two mexican border pharmacies 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.

After plotting these on mexican border pharmacies city map, 32 pharmacies were selected, giving preference to those frequented by border residents.

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.

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 oharmacies located in other 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 United States residents. The interviewers approached the clients as they left the pharmacy, explained the study and, if eligible, obtained their consent and applied the questionnaire. Eligible clients had to have purchased medications and be at least pharmaices years of age.

Phafmacies asking to see their purchases, the interviewer took pharmacoes 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 mexica the end-user of the products; the reason s why a United States mexican border pharmacies was purchasing in Mexico; and their experience with United States customs.

To ascertain the role and influence of pharmacy clerks on the selection and purchase of medication, study observers monitored interactions between clerks and clients from a blrder 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 pharmacied, and its relationship with the pharmaceutical industry and wholesalers, interviews were conducted with the pharmacy owner or highest-ranking 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 pharmacies were included 16 chain pharmacies and 9 traditional. All of the questionnaires, including pre-coded and open-ended questions, and the observer's guide were pilot-tested in three pharmacies. In August-Novembertwo bilingual nurses from the Mexican Institute of Social Pharmacy canada IMSS carried mexican border pharmacies components I and II of the study, conducting client interviews and observing clerk-client interactions 7 days a week at varying times of phatmacies 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 mexican border pharmacies on 15 of the medications most frequently purchased by the study respondents.

This quantitative information is sup- bogder by fieldwork observations and 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 boredr traditional pharmacies mentioned that if patients lack prescriptions some pharmacues would sell them along with the medicine to facilitate mexican border pharmacies entry into the United States 13 May Table 3 presents the type of medications 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 could represent a waste of resources. More troublesome is the fact that of the products sold without a prescription, were mexican border pharmacies drugs. Thus, none of the mxican who obtained analgesic opioids or oral contraceptives had a prescription; and a high proportion of antibiotics, blood pressure medications, thyroid medicine, and corticosteroids were sold without prescriptions.

Most clients bought the amount pharacies medicine required to bordee an episode, but some United States mexican border pharmacies purchased excessive amounts of antibiotics e. Antibiotics and analgesic opiates were among the products most frequently recommended data not shown pharmacifs 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 mexican border pharmacies thyroid medicine, for three who had gained weight; cough medicine, for eight with productive coughs; and antibiotics, for 15 of 19 individuals who may have had upper respiratory infections. Clerks at traditional pharmacies had pharamcies 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 mexican border pharmacies able to sell.

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

Ninety percent of clients who 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 selling the product without a prescription. Of 19 mexican border pharmacies who went to the pharmacy seeking advice, all received a recommendation from the clerk and all but one bought the recommended drug.

Only one client was referred to a physician. The clerks provided very little information about adverse events; drug interactions mexixan not discussed during any of the observed clerk-client mexiican. This is the first study to examine the risks and benefits of Mexican border pharmacies and the training and substantial role played by the clerks in these pharmacies.

Pharmacy clients might be spending their meager resources to treat symptoms; for example, some bought medicines for fatigue or weight loss, most probably without ruling out underlying health problems, and delaying necessary treatment.

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

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 either uninsured, cannot access medical care in a timely manner, or cannot afford co-payments. It is also common for pharmacies to contract or employ physicians to prescribe and refer the patient to the pharmacy.

In some instances, the physician's compensation is based on the number of prescriptions, a situation that creates a conflict mexican border pharmacies interest and might lead to the prescription of unneeded medicines The Mexican government's decision August to enforce the legislation requiring a prescription to purchase antibiotics may have mexican border pharmacies the number of OTC sales of antibiotics.

The potentially biased information offered by the drug industry and distributors and compensating pharmacy clerks based on sales also may cause overmedication. The sale of unneeded medicines coupled with the absence of pharmacists, the presence of untrained clerks, the observed tendency of Mexican physicians to write few instructions in their prescriptions, and the limited information contained in the package inserts of prescription-only medicines, translate into clients having access to medications, but receiving very little or incorrect information on how to use them.

Several studies of United States border cities show that 20%–30% of the residents receive health care services in Mexico. (12–16), and an even higher percentage. Mexican pharmacies require a current doctor's prescription only for controlled substances and antibiotics (as of August ); all other prescriptions can be.

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