Skip to content
DraconiticResearch
Search Sources API
203,203 studies31 sourcesUpdated 43 min ago
Peer-reviewedCC BY 4.0PLOS Global Public Health

Disparities in treatment burden in Peru among people with multiple long-term conditions by geography and healthcare facility: A cross-sectional study

  • Silvana Perez-Leon1
  • Daniel Mendoza-Quispe2
  • Maria Sofia Cuba-Fuentes3
  • Juan Carlos Bazo-Alvarez4
  • M. Amalia Pesantes5
  • Andrea Gaspar6
  • Joseph R. Zunt7
  • Victor M. Montori8
  • Jose Armando Castillo9
  • Eduardo Carcausto10
  • Nelson Diaz11
  • Keveen Salirrosas12
2 more authors
  • Pilar Cornejo13
  • J. Jaime Miranda14
14 affiliations
  1. 1CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
  2. 2Department of Medicine, Faculty of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru
  3. 3Center for research in Primary Health Care, Universidad Peruana Cayetano Heredia, Lima, Peru
  4. 4Research Department of Primary Care and Population Health, University College London, London, United Kingdom
  5. 5Department of General Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States of America
  6. 6Departments of Neurology, Global Health, Medicine (Infectious Diseases), and Epidemiology, University of Washington, Seattle, Washington, United States of America
  7. 7Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota, United States of America
  8. 8Faculty of Medicine, Universidad de San Martín de Porres, Lima, Peru
  9. 9Department of Internal Medicina, Clínica Internacional, Lima, Peru
  10. 10School of Medicine, Universidad Peruana Union, Lima, Peru
  11. 11Department of Medicine, Clínica Good Hope, Lima, Peru
  12. 12Corporate Medical Directorate, Clínica Médica Cayetano Heredia, Lima, Perú
  13. 13Department of Postgraduate Studies, School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru
  14. 14Department of Endocrinology, Hospital Arzobispo Loayza, Lima, Perú
Read full textPDFDOICite

Abstract

People with multiple long-term conditions (MLTC) in low-resource settings face high treatment burdens, influenced by healthcare access and quality disparities. The study aimed to compare the treatment burden among patients with MLTC across geographical locations and healthcare providers in Peru. We conducted a cross-sectional study conducted between June–October 2023 among outpatients aged ≥40 years with type 2 diabetes and ≥1 additional chronic condition, recruited from public and private healthcare facilities in urban Lima and semi-urban Tumbes, Peru. Treatment burden was assessed using the Multimorbidity Treatment Burden Questionnaire (MTBQ). Differences in median MTBQ scores by setting and healthcare provider were analyzed using regression models adjusting for capacity- and workload-related variables. Among 555 participants (55% female, mean age 62.4 ± 10.5 years), median MTBQ score was 27.1 (IQR 14.6-41.7). After adjustment, patients in semi-urban Tumbes had higher treatment burden than those in urban Lima (adjusted median difference 6.1 points; 95% CI 2.9 to 9.3), while patients receiving care in private facilities had lower treatment burden than those in public settings (−6.6 points; 95% CI −9.3 to −3.9). These findings highlight substantial inequalities in treatment burden by place and provider type, with implications for efforts to improve care delivery and reduce disparities for people living with MLTC.

Related

  1. Regional disparities in osteosarcoma and soft tissue sarcoma treatment across Northwest China: a cross-sectional multicenter survey
    Wenpeng Yang, Junshen Wu, Maierdanjiang Maihemuti +2
    Scientific ReportsPeer-reviewedCC BYFull textGeneral medicineDOAJ
  2. Telehealth acceptance and challenges among healthcare providers in the management of chronic conditions in Palestine: a cross-sectional study
    Mohammed Dwikat, Jumana Najjar, Roaa Zeineddin
    BMC Health Services ResearchPeer-reviewedCC BY-NC-ND 4.0Full textEpidemiology & public healthPMC
  3. Geography of child stunting and wasting in Bangladesh: a cross-sectional spatial analysis of the 2025 Multiple Indicator Cluster Survey
    S. M. A. U. Hoque, M. K. Islam, M. K. Hasan +5
    medRxivPreprintAll rights reservedFull textEpidemiology & public healthmedRxiv
  4. Oral health status and treatment needs of pregnant women attending primary and tertiary healthcare centres of Telangana, India: A population-based cross-sectional study
    V Pranitha, Anurag Negi, Frijo Xavier +7
    Journal of family medicine and primary carePeer-reviewedCC BY-NC-NDFull textGeneral medicineEurope PMCPMC
  5. Oral health status and treatment needs of children and adolescents with special healthcare needs in Raipur district of Central India: A cross-sectional study
    Krupali Gadhvi, Virat Galhotra, Rhea Gandham +6
    Journal of Indian Society of Pedodontics and Preventive DentistryPeer-reviewedCC BY-NC-SAFull textGeneral medicineDOAJ

Cite

BibTeXRIS
BibTeX
@article{perezleon2026disparities,
  title = {{Disparities in treatment burden in Peru among people with multiple long-term conditions by geography and healthcare facility: A cross-sectional study}},
  author = {Silvana Perez-Leon and Daniel Mendoza-Quispe and Maria Sofia Cuba-Fuentes and Juan Carlos Bazo-Alvarez and M. Amalia Pesantes and Andrea Gaspar and Joseph R. Zunt and Victor M. Montori and Jose Armando Castillo and Eduardo Carcausto and Nelson Diaz and Keveen Salirrosas and Pilar Cornejo and J. Jaime Miranda},
  journal = {PLOS Global Public Health},
  year = {2026},
  month = sep,
  doi = {10.1371/journal.pgph.0007355},
  url = {https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0007355},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Disparities in treatment burden in Peru among people with multiple long-term conditions by geography and healthcare facility: A cross-sectional study
AU  - Silvana Perez-Leon
AU  - Daniel Mendoza-Quispe
AU  - Maria Sofia Cuba-Fuentes
AU  - Juan Carlos Bazo-Alvarez
AU  - M. Amalia Pesantes
AU  - Andrea Gaspar
AU  - Joseph R. Zunt
AU  - Victor M. Montori
AU  - Jose Armando Castillo
AU  - Eduardo Carcausto
AU  - Nelson Diaz
AU  - Keveen Salirrosas
AU  - Pilar Cornejo
AU  - J. Jaime Miranda
PY  - 2026
DA  - 2026/09/29
JO  - PLOS Global Public Health
DO  - 10.1371/journal.pgph.0007355
UR  - https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0007355
AB  - People with multiple long-term conditions (MLTC) in low-resource settings face high treatment burdens, influenced by healthcare access and quality disparities. The study aimed to compare the treatment burden among patients with MLTC across geographical locations and healthcare providers in Peru. We conducted a cross-sectional study conducted between June–October 2023 among outpatients aged ≥40 years with type 2 diabetes and ≥1 additional chronic condition, recruited from public and private healthcare facilities in urban Lima and semi-urban Tumbes, Peru. Treatment burden was assessed using the Multimorbidity Treatment Burden Questionnaire (MTBQ). Differences in median MTBQ scores by setting and healthcare provider were analyzed using regression models adjusting for capacity- and workload-related variables. Among 555 participants (55% female, mean age 62.4 ± 10.5 years), median MTBQ score was 27.1 (IQR 14.6-41.7). After adjustment, patients in semi-urban Tumbes had higher treatment burden than those in urban Lima (adjusted median difference 6.1 points; 95% CI 2.9 to 9.3), while patients receiving care in private facilities had lower treatment burden than those in public settings (−6.6 points; 95% CI −9.3 to −3.9). These findings highlight substantial inequalities in treatment burden by place and provider type, with implications for efforts to improve care delivery and reduce disparities for people living with MLTC.
SN  - 2767-3375
ER  -