Evidence map›Paper›PMID 38539218›Full record

ArticleHealth research policy and systems2024

Choosing and accessing COVID-19 treatment options: a qualitative study with patients, caregivers, and health care providers in Lebanon.

Reem Hoteit, Aya Hassoun, Elie Bou Sanayeh, Marie Christelle Saade, Gladys Honein-AbouHaidar, Elie A Akl

Open access · goldAbstract read
In one paragraph

Article in Health research policy and systems, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Reem HoteitClinical Research Institute, American University of Beirut, Riad-El-Solh, P.O. Box: 11-0236, Beirut, 1107 2020, Lebanon.ORCID http://orcid.org/0000-0001-8139-9321
Aya HassounSchool of Public Health, University of Saskatchewan, Saskatoon, SK, S7N 5A2, Canada.
Elie Bou SanayehDepartment of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Marie Christelle SaadeDepartment of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Gladys Honein-AbouHaidarRafic Hariri School of Nursing, American University of Beirut, Beirut, Lebanon.
Elie A AklDepartment of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon. ea32@aub.edu.lb.ORCID http://orcid.org/0000-0002-3444-8618
American University of Beirut Medical Center · LBAmerican University of Beirut · LBUniversity of Saskatchewan · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coronavirus disease 2019 (COVID-19) pandemic has strained healthcare systems globally, particularly in terms of access to medicines. Lebanon has been greatly affected by the pandemic, having faced concomitant financial and economic crises. The objective of the study was to understand the experiences of patients with COVID-19 in Lebanon, as well as those of their families, and healthcare providers, with regards to their treatment decisions and accessibility to COVID-19 medicines.

methodsFor this qualitative study, we conducted 28 semi-structured interviews. We used purposive sampling to recruit participants with a diverse range of perspectives. The data collection phase spanned from August to November 2021 and was conducted virtually. After transcribing and translating the interviews, we employed thematic analysis to identify recurring themes and patterns.

resultsIn total, 28 individuals participated in this study. Participants highlighted challenges owing to the COVID-19 pandemic and economic crisis. Accessing COVID-19 medicines posed major hurdles for physicians and patients, given limited availability, global shortages, local circumstances, community hoarding and stockpiling by pharmacies. Providers based treatment decisions on research, local and international practice guidelines, experiences and expert feedback. Patients sought information from social media, community members and physicians, as well as through word of mouth. Accessing medicines involved navigating the healthcare system, the black market, charities, personal networks and political parties and sourcing from abroad. The medicines were either free, subsidized or at inflated costs.

conclusionsThis study highlights the diversity and complexity of factors influencing decision-making and accessing medicines during the COVID-19 pandemic in Lebanon. Future research should explore strategies for ensuring medicine access during crises, drawing insights from comparative studies across different countries.

Indexed as

CaregiversCOVID-19COVID-19 Drug TreatmentHealth PersonnelHumansLebanonPandemicsQualitative ResearchBlack marketCOVID-19Economic crisisHealthcare professionalsHealthcare systemMedication accessibilityMedication shortagesTreatment decisions

Identifiers

PMID38539218
PMCPMC10967168
OpenAlexW4393227939

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.