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Table 1 Issues with the current process of assessing medicine effectiveness- factors that hamper appropriate medical care of patients in developing countries

From: N-of-1 trials in the clinical care of patients in developing countries: a systematic review

Process/system factors: accessibility of health facilities, lack of updated treatment guidelines, cost of treatment.

Physician factors: lack of knowledge on evidence-based medicine and research, misconceptions by physicians on patient’s treatment claims, no/low accountability of physicians for inappropriate treatment, lack of time.

 

Patient factors: misconceptions of medicines and health conditions, low literacy level, low economic condition.