Journal articles on the topic 'Health services accessibility'
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Nopiah, Ririn, and Heni Wahyuni. "Pengaruh Asuransi Kesehatan Dan Ekonomi Terhadap Aksesabilitas Layanan Kesehatan Penyandang Disabilitas Di Indonesia." Convergence: The Journal of Economic Development 3, no. 2 (July 19, 2022): 127–46. http://dx.doi.org/10.33369/convergence-jep.v3i2.22768.
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Health insurance is one of social health guarantees programs provided to the society in accessing health services in Indonesia. This program is implemented as a solution of equality problems on health services. This paper aims to analyze effect of health insurance ownership on accessibility health services to people with disabilities who included as vulnerable communities. This research have 1.288 respondents of people with disabilities from Indonesia Family Life Survey that analyzed by multinomial logit regression models. The results show that health insurance ownership of disabilities are not effective enough in accessibility of disabilities health services. To access health service, people with disabilities have main obstacle factor namely physical mobiltity services. Furthermore head of household, chronic disease, transportation costs, and years education variables have significant effect on preventive and curative health services to people with disabilities. Whereas sex and unemployed status significant effect on preventive health services. Keywords : People with Disabilities1, Health Insurance2, Accessibility3, Health Service4
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Fernández-Mayoralas, Gloria, Vicente Rodrı́guez, and Fermina Rojo. "Health services accessibility among Spanish elderly." Social Science & Medicine 50, no. 1 (January 2000): 17–26. http://dx.doi.org/10.1016/s0277-9536(99)00247-6.
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Zartaloudi, A. "Accessibility of migrants to mental health services." European Psychiatry 65, S1 (June 2022): S138. http://dx.doi.org/10.1192/j.eurpsy.2022.374.
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Introduction Cultural barriers and prejudices of mental healthcare professionals may promote inequalities in the provision of care to immigrant population and have a negative impact in provided service quality. Objectives To identify barriers and facilitators of immigrants’ accessibility to mental health services. Methods A literature review has been made through PubMed database. Results Immigrants’ accessibility to mental health services may be related to social insurance problems, inadequate knowledge about their health rights, inadequate knowledge of the local language, as well as the bureaucracy of Greek State which may complicate mental health examination and treatment. The challenges faced by mental healthcare professionals in terms of diagnosis and treatment of migrants include communication difficulties due to linguistic and cultural differences as far as verbal presentation of symptoms and illness behavior is concerned. Culturally competent mental health professionals should work to erase racism and prejudice, to be familiar with cultural issues and have adequate knowledge related to cultural groups, to learn the life story of each patient separately and encourage patients to explain how their illness affects their lives, promoting a trustful communication environment in the context of healthcare provision. Conclusions Exploring the specific needs of migrants as well as assessing the degree of satisfaction from their access to healthcare services are essential to providing integrated mental health care for people from different culture. Disclosure No significant relationships.
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KANOWNIK, GRETA. "Patient Safety And Accessibility To Health Services." Zeszyty Naukowe Uniwersytetu Szczecińskiego Finanse Rynki Finansowe Ubezpieczenia 85 (2017): 609–20. http://dx.doi.org/10.18276/frfu.2017.1.85-49.
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Plomp, HN. "Accessibility and utilization of occupational health services." Scandinavian Journal of Work, Environment & Health 22, no. 3 (June 1996): 216–22. http://dx.doi.org/10.5271/sjweh.134.
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Ozkiran, Umit. "Examination of health services for citizens." LAPLAGE EM REVISTA 7, no. 2 (January 7, 2021): 139–44. http://dx.doi.org/10.24115/s2446-6220202172696p.139-144.
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The aim of the study is to reveal the health services for disabled citizens upon accessibility and automation. The study relies on qualitative research which documentary analysis and self-report reflection of authorities form upon themes were employed. Automation and accessibility models and practice of social and health services from literature and workshop results revealed and compared with the results. System and welfare for the developing country needs automation and accessible services for disabled citizens. Physical and web accessibility create a big dilemma to reach services that needs to be considered urgently by governmental and institutional authorities.
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Forjanič, Miran, Valerij Dermol, and Valentina Prevolnik Rupel. "Factors affecting dental services accessibility." Obzornik zdravstvene nege 53, no. 4 (December 16, 2019): 269–79. http://dx.doi.org/10.14528/snr.2019.53.4.2984.
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Introduction: Access to dental services is a basic right included in the compulsory health insurance for patients and thus an important part of the healthcare system in Slovenia. The purpose of this research was to identify and explore the factors that have the greatest impact on the accessibility of dental services from the perspective of the system stakeholders in Slovenia.Methods: A qualitative study was conducted based on the focus group method. The focus group consisted of relevant system stakeholders, namely two representatives of the regulator, provider and payer, a total of six participants. A thematic analysis was carried out in order to identify the patterns and themes within thequalitative data obtained.Results: The results of the focus group revealed the views of system stakeholder on the accessibility of dental services in Slovenia. According to the system stakeholders' perspective, accessibility of dental services in Slovenia is not optimal and significant changes in terms of financing and organisation are required.Discussion and conclusion: We found that the lack of adequate human resources, insufficient health insurance and payment for services are the crucial factors in providing adequate access to dental health in Slovenia. In order to increase its accessibility, the dental programme needs to be expanded and the number of teams for its implementation increased.
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Arca, Muhammed, and Günay Saka. "Health Services Accessibility And Expectations of Disabled People." Eurasian Journal of Family Medicine 8, no. 2 (June 26, 2019): 69–77. http://dx.doi.org/10.33880/ejfm.2019080203.
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Aim: In this study, it was aimed to investigate the distribution of disability types, treatment and rehabilitation needs, utilization of the basic services provided, and determination of expectations of disabled persons. Methods: This descriptive study was carried out in Hazro district of Diyarbakır. Of the 1069 individuals screened by a cross-sectional study, 148 disabled individuals were identified. A face-to-face meeting was provided with the families of these disabled individuals. The demographic characteristics of the disabled person, information on the types of disability, the use of health services and the questionnaire form which asks the expectation status were used. Results: The prevalence of disability was 13.8%. 51.3% of the disabled were male, 48.2% were not literate and 16.7% did not have any social security. It was determined that 37.8% of people with disabilities did not receive treatment for their disability and 98.0% did not benefit from rehabilitation services. It was found that 70.9% of the disabled did not receive education, 60.1% of them did not know about vocational and skill courses and 51.4% of them could not benefit from public transportation services. Families stated that, the disabled people do not go to any institution or rehabilitation center with 44.8% because of absence in the close environment; 26.9% stated that they do not know if there is any. It was found that the most important expectation of 50% of disabled people and their families from institutions and organizations is to provide health services easily. Conclusion: Disabled persons have difficulty in accessing health services and cannot benefit from rehabilitation services. Basic services such as education, vocational courses and public transport are also insufficient. In this sense, health and social service institutions have important duties.
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Martin, Emma, and Gay Rabie. "Looking at the accessibility of sexual health services." British Journal of School Nursing 5, no. 10 (December 10, 2010): 508–11. http://dx.doi.org/10.12968/bjsn.2010.5.10.508.
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Edelman, Debra. "University Health Services Sponsoring Lesbian Health Workshops: Implications and Accessibility." Journal of American College Health 35, no. 1 (July 1986): 44–45. http://dx.doi.org/10.1080/07448481.1986.9938964.
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Kochergina, Tatiana, Maria Selezneva, and Tatiana Guseva. "Study on the accessibility of digital health tools." E3S Web of Conferences 402 (2023): 09018. http://dx.doi.org/10.1051/e3sconf/202340209018.
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The active transition to digital services due to quarantine restrictions suggests that there is a problem with the availability of digital tools for maintaining the health of Russians. The purpose of the article is to determine the demand for digital services operating in the field of health saving, as well as to identify the limitations of using these tools in modern conditions. The results of the study show that sites and mobile applications that allow receiving medical services remotely are in the greatest demand. The main limitations to the use of digital tools are doubts about the quality of the services provided and the availability of technological capabilities to use the services
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Mokhethi, Maluke, and Cheryl M. E. McCrindle. "The accessibility to oral health services in Lesotho’s public health sector." South African Dental Journal 77, no. 05 (August 11, 2022): 264–69. http://dx.doi.org/10.17159/2519-0105/2022/v77no5a2.
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Lesotho is a land-locked mountainous country in Southern Africa. Both geography and poverty impact on dental health in low-income patients. Information on the number and function of dentists and dental therapists in public hospitals, are lacking. The aim was to investigate accessibility to oral health services. Objectives were to investigate the number and geographical distribution of oral health personnel and document the availability of dental services in Lesotho. A cross-sectional mixed methods study design was used. Four dental therapists of the six employed by the government, participated in in-depth interviews. Questionnaires about access to oral health services were administered to government employed dentists. The Lesotho National Department of Oral Health provided information regarding dental patient statistics between 2017 and 2019. It was found that 20 dentists and 10 dental therapists provided limited dental services in public facilities. In 2017, 2018 and 2019; the annual numbers of dental patients were 85 776, 75 148 and 97 425 respectively. Approximately 40% of patients visited two hospitals in Maseru. It was concluded that there was a shortage of oral health personnel, resulting in inadequate access to dental services, particularly in rural areas.
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Fauziah, Nuraini. "Relationship Between Accessibility to Health Services with Exclusive Breastfeeding." Journal of Global Research in Public Health 8, no. 1 (June 28, 2023): 104–9. http://dx.doi.org/10.30994/jgrph.v8i1.442.
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Globally, the prevalence of exclusive breastfeeding is still less than 40%. Exclusive breastfeeding is the appropriate recommendation to build quality human resources. The infant mortality rate has not decreased according to the SDGs target. Neonatal death rate is 32/1000 live births. Difficulties in accessing health services can also be seen in Maternal and Child Health (MCH) program, where the MMR and IMR in several areas are still quite high. This study aims to determine the relationship between accessibility to health services related to exclusive breastfeeding. This study is a quantitative study with a cross-sectional analytic design. Primary data collection in the province of DKI Jakarta. Data collected and analyzed using SPSS 25 as univariate and bivariate analysis. The results showed that there was a relationship between the accessibility to health services with exclusive breastfeeding (p=0.040). Accessibility to health services is positively related to exclusive breastfeeding for infants. Ease of access to health services is the fulfillment of all items of access to health services that should be easily accessible to mothers. The item availability of health workers around the house (p=0.042) and health workers who examine mothers during childbirth (p=0.0001) had the greatest influence on access to health services so that it had a positive effect on exclusive breastfeeding. Ease of access to health services motivates and helps a mother to provide exclusive breastfeeding to her baby. We hope that access to health services and facilities can improve performance in providing easy access and the best services for mothers.
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Tsuji, Yoshimi, Tomohiro Hirao, Ai Fujikawa, Yoichi Hoshikawa, Akira Yoshioka, Takeshi Yoda, and Takeshi Suzue. "Disease-wide accessibility of the elderly in primary care setting: The relationship between geographic accessibility and utilization of outpatient services in Tokushima prefecture, Japan." Health 04, no. 06 (2012): 320–26. http://dx.doi.org/10.4236/health.2012.46053.
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Sandre, Anthony Robert, and K. Bruce Newbold. "Telemedicine: Bridging the Gap between Refugee Health and Health Services Accessibility in Hamilton, Ontario." Refuge: Canada's Journal on Refugees 32, no. 3 (November 23, 2016): 108–18. http://dx.doi.org/10.25071/1920-7336.40396.
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Refugees face considerable challenges upon seeking asylum in Canada, and accessing health care services remains a prominent issue. Recurrent themes in the literature outlining barriers to health-services accessibility include geographic, economic, and cultural barriers. Drawing on the experiences of service providers in Hamilton, Ontario, we explored the efficacy of telemedicine services in bridging the gap between refugee health and health services accessibility. Research methodology included structured interviews with clinicians who provide health-care services to refugees, complemented by a scoping literature review. The results of this exploratory study demonstrate the efficacy of telemedicine in encouraging dialogue and policy change in the greater health-care setting, and its potential to increase access to specialist health-care services.
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Islam, Md Ziaul, Farhana Zaman, Sharmin Farjana, and Sharmin Khanam. "Accessibility to Health Care Services of Upazila Health Complex: Experience of Rural People." Journal of Preventive and Social Medicine 38, no. 2 (June 28, 2020): 30–37. http://dx.doi.org/10.3329/jopsom.v38i2.47862.
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Background: Upazila health complex (UHC) is the first referral health facility at primary level of health care delivery system in the country. Rural people attend the UHCs to meet their health care needs and demands. But accessibility of the rural people to the UHCs is still not up to the mark.
Objective: This study was conducted to assess accessibility of rural people to health care services of UHC.
Methods: The study was a cross-sectional study, which was conducted at the Kaliakair UHC of Gazipur district in Bangladesh during the period from January to December 2016. The study included 300 rural adults, who were selected systemically. Data were collected by face-to-face interview with the help of a semi-structured questionnaire. Prior to data collection, informed written consent was taken from each participant.
Results: The study revealed that males (51.3%) and females (48.7%) were very close in proportion with mean age of 35.73(±11.74) years. More than three fourth (77.3%) were married and 31.3% had primary education while 28.7% were illiterate. One third was housewives; average family size was 5.43 (±2.54) and average monthly family income was Tk.13920 (±10290.75). Around half of the participants choose the UHC for effective treatment and due to close distance from their residence while one third for low cost treatment and free of cost treatment. Around half of them didn‟t find any display board at the UHC. More than three fourth (82.0%) regarded doctor‟s behavior as „Good‟ while behavior of supporting staff was regarded „Good‟ by 66.0% participants. About half of the participants went to the UHC by rickshaw and 32.0% on foot. Average waiting time was 23.99 (±15.07) minutes to get access to treatment. Off all, 62.0% got full course of prescribed drugs but majority (71.3%) didn‟t get access to advised laboratory facility. Most (82.7%) could not be admitted in the hospital due to insufficient bed (24.2%) and inadequate treatment facility (22.6%), manpower (62.8%) and drug supply. Overall accessibility to UHC was „good‟ (21.3%) followed by „average‟ (31.3%) and „poor‟ (47.3%). It was found that females (53.3%) had significantly (p<0.05) poor accessibility to the UHC services than their counterpart males (41.1%). On the contrary, young adults, elderly, illiterate and primary education groups had significantly (p<0.05) „poor‟ accessibility to UHC services. Higher education (42.9% Masters and 36.4% Graduates) group had significantly „good‟ accessibility. More than half (53.1%) of the service holders and majority (60.0%) of higher income (Tk.30001-50000) group had had „average‟ and „good‟ accessibility respectively, which is statistically significant (p<0.05). Barriers to accessibility included long waiting time (67.0%), inadequate drug supply (62.0%), limited laboratory facility (40.0%), inadequate manpower (37.9%) and poor cooperation of the staff (32.0%) and communication (18.4%).
Conclusion: To improve accessibility of the rural people to the health care services of the UHC, associated problems must be overcome by effective measures and program interventions.
JOPSOM 2019; 38(2): 30-37
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Ayandiji, A. "Accessibility of youths to health care in Nigeria." Journal of Agriculture, Forestry and the Social Sciences 11, no. 2 (February 17, 2015): 92–97. http://dx.doi.org/10.4314/joafss.v11i2.9.
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The youths of Nigeria cover up to 60% of the entire Nigeria population. Youths are a symbol of a town or village with potentials to perform strenuous work and constitute essential human resources for development. Youths are not excluded from health issues facing the generality of the human population. This study examines the accessibility of youths to the various health facilities available, the cost of services provided and also the relationship between the health facilities available and the cost of services provided. The National baseline survey report of 2012 was used. Three States were randomly selected from each of the six geopolitical zones of the country. Majority of the respondents patronized public hospitals than other health institutions. Most youths claimed that the cost of services provided were moderate. There is a significant relationship between health care alternatives available and cost of services. There should be more sensitization for the youth to take their health seriously and patronize health facilities where adequate examination can be carried out.Key words: Youth, Accessibility, Nigeria.
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Al-Taiar, Abdullah, Allan Clark, Joseph C. Longenecker, and Christopher JM Whitty. "Physical accessibility and utilization of health services in Yemen." International Journal of Health Geographics 9, no. 1 (2010): 38. http://dx.doi.org/10.1186/1476-072x-9-38.
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Sui, Jinling, Guoqin Zhang, Tao Lin, Nicholas A. S. Hamm, Chunlin Li, Xian Wu, and Kaiqun Hu. "Quantitative Evaluation of Spatial Accessibility of Various Urban Medical Services Based on Big Data of Outpatient Appointments." International Journal of Environmental Research and Public Health 20, no. 6 (March 13, 2023): 5050. http://dx.doi.org/10.3390/ijerph20065050.
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Equity of urban medical services affects human health and well-being in cities and is important in building ‘just’ cities. We carried out a quantitative analysis of the spatial accessibility of medical services considering the diverse demands of people of different ages, using outpatient appointment big data and refining the two-step floating catchment area (2SFCA) method. We used the traditional 2SFCA method to evaluate the overall spatial accessibility of medical services of 504 communities in Xiamen city, considering the total population and the supply of medical resources. Approximately half the communities had good access to medical services. The communities with high accessibility were mainly on Xiamen Island, and those with low accessibility were further from the central city. The refined 2SFCA method showed a more diverse and complex spatial distribution of accessibility to medical services. Overall, 209 communities had high accessibility to internal medicine services, 133 to surgery services, 50 to gynecology and obstetrics services, and 18 to pediatric services. The traditional method may over-evaluate or under-evaluate the accessibility of different types of medical services for most communities compared with the refined evaluation method. Our study can provide more precise information on urban medical service spatial accessibility to support just city development and design.
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Jankowski, Piotr, and Blake Brown. "Health Care Accessibility Modeling: Effects of Change in Spatial Representation of Demand for Primary Health Care Services." Quaestiones Geographicae 33, no. 3 (September 1, 2014): 39–53. http://dx.doi.org/10.2478/quageo-2013-0028.
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Abstract Health care accessibility can be measured by the number of prospective patients who could reach a medical facility within a prescribed time limit. The representation of health care demand in estimating accessibility is an important consideration since different spatial aggregations of demand have different consequences with regard to accessibility estimates. This article examines the effects of aggregating population demand for primary health care, ranging from census tract to aggregated census block, on estimates of primary health care accessibility. Spatial representations of aggregated demand were incorporated into a location-allocation model in order to determine a measure of accessibility represented by the unmet demand for primary health care services. The model was implemented for the U.S. State of Idaho, based on the allocation of Idaho residents’ demand for primary health care to the state’s existing primary health care facilities. The results confirm a relationship between the level of demand aggregation and the level of potential accessibility. In case of a rural state such as Idaho the relationship is positive; higher levels of aggregation result in higher measures of accessibility.
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Hashtarkhani, Soheil, David L. Schwartz, and Arash Shaban-Nejad. "Enhancing Health Care Accessibility and Equity Through a Geoprocessing Toolbox for Spatial Accessibility Analysis: Development and Case Study." JMIR Formative Research 8 (February 21, 2024): e51727. http://dx.doi.org/10.2196/51727.
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Background Access to health care services is a critical determinant of population health and well-being. Measuring spatial accessibility to health services is essential for understanding health care distribution and addressing potential inequities. Objective In this study, we developed a geoprocessing toolbox including Python script tools for the ArcGIS Pro environment to measure the spatial accessibility of health services using both classic and enhanced versions of the 2-step floating catchment area method. Methods Each of our tools incorporated both distance buffers and travel time catchments to calculate accessibility scores based on users’ choices. Additionally, we developed a separate tool to create travel time catchments that is compatible with both locally available network data sets and ArcGIS Online data sources. We conducted a case study focusing on the accessibility of hemodialysis services in the state of Tennessee using the 4 versions of the accessibility tools. Notably, the calculation of the target population considered age as a significant nonspatial factor influencing hemodialysis service accessibility. Weighted populations were calculated using end-stage renal disease incidence rates in different age groups. Results The implemented tools are made accessible through ArcGIS Online for free use by the research community. The case study revealed disparities in the accessibility of hemodialysis services, with urban areas demonstrating higher scores compared to rural and suburban regions. Conclusions These geoprocessing tools can serve as valuable decision-support resources for health care providers, organizations, and policy makers to improve equitable access to health care services. This comprehensive approach to measuring spatial accessibility can empower health care stakeholders to address health care distribution challenges effectively.
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Battista, Geoffrey A., Brian H. Y. Lee, Jane Kolodinsky, and Sarah N. Heiss. "Exploring Transportation Accessibility to Health Care among Vermont's Rural Seniors." Transportation Research Record: Journal of the Transportation Research Board 2531, no. 1 (January 2015): 137–45. http://dx.doi.org/10.3141/2531-16.
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The aging baby boomer generation will have a profound impact on the demand for health care services in the United States. This impact will be felt strongly in rural areas, where the population in general is older and the supplies of health care services and alternative transportation are limited. This study employed a mixed-method approach to assess health care accessibility among seniors in the state of Vermont. A geographic information system was used to project health care accessibility according to the spatial characteristics of the health care and transportation systems. Subsequently, the mechanisms that shaped accessibility were assessed through semistructured interviews with 20 seniors and caregivers. The study found that health care accessibility varied among seniors, given the local health care supply, transportation, and individual resources at their disposal. Health care accessibility also was shaped by less tangible factors, which included social connectedness and personal preferences for care and transportation. The results suggested that mixed methods provided a more nuanced and valid perspective on health care accessibility. This perspective can better inform policy makers as they strive to accommodate rural senior preferences to age in place in a healthy manner.
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Tuczyńska, Magdalena, Maja Matthews-Kozanecka, Arkadiusz Nowak, and Ewa Baum. "How the COVID-19 Pandemic Affected the Accessibility and Quality of Health Services in Poland." Studies in Logic, Grammar and Rhetoric 66, no. 3 (December 1, 2021): 561–72. http://dx.doi.org/10.2478/slgr-2021-0032.
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Abstract The outbreak of the COVID-19 pandemic had an impact on the global economy, including the provision of health services, with medical facilities and patients cancelling or postponing medical appointments. An alternative to in-person appointments was through the available forms of telemedicine. Scientific reports around the world have suggested that the accessibility and quality of health services declined. The aim of this study was to investigate the accessibility and quality of health services in Poland and to verify whether there were differences between men and women in this respect. The study was based on the authors’ own survey questionnaire filled in by 265 respondents, including 181 women, 82 men, and 2 persons without a defined gender. The study revealed that during the COVID-19 pandemic, the accessibility and quality of health services declined. Additionally, women were more likely to use general and specialist health services than men, but a comparison of changes in the assessment of accessibility and quality of services by gender revealed no differences in the assessment of accessibility and quality.
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Chen, Yuehong, Yuyu Li, Guohao Wu, Fengyan Zhang, Kaixin Zhu, Zelong Xia, and Yu Chen. "Exploring Spatiotemporal Accessibility of Urban Fire Services Using Real-Time Travel Time." International Journal of Environmental Research and Public Health 18, no. 8 (April 15, 2021): 4200. http://dx.doi.org/10.3390/ijerph18084200.
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The accessibility of urban fire services is a critical indicator in evaluating fire services and optimizing fire resource allocation. However, previous studies have mainly concentrated on measuring the spatial accessibility of fire services, and little, if any, consideration has been paid to exploring the spatiotemporal dynamics of the accessibility of urban fire services. Therefore, we used real-time travel time to extend an existing spatial accessibility method to measure the spatiotemporal accessibility of fire services in a case study of Nanjing, China. The results show that (1) the overall accessibility of fire incidents and fire stations in Nanjing, China, is uneven, with relatively high accessibility in the southwest and northeast of the city center; (2) the number of fire incidents with low-level accessibility apparently increases in rush hours (i.e., 07:00–09:00 and 17:00–19:00 h) in the southeast and north of the city center, and the fire incidents with medium-level and high-level accessibility easily change to lower levels under the influence of traffic congestion, with fire incidents with medium-level accessibility being affected the most; (3) the accessibility of fire stations changes over time with an obvious W pattern, with lower accessibility during rush hours than at other times, and several fire stations in the city center present an asymmetric W pattern; (4) the accessibility decline ratio for fire stations in rush hours is greater in the city center than in urban suburbs, and the decline ratios are strongly related to the travel time increase and the percent increase in uncovered fire incidents during rush hours. The results and findings demonstrate that our method can be used to explore the spatiotemporal dynamics of the accessibility of fire services, and so can guide policymakers in improving fire services.
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Arrivillaga, Marcela. "Assesing Health Services in Colombia: Development of a Conceptual Framework and Measurement tools based on primary data." SAGE Open 11, no. 2 (April 2021): 215824402110168. http://dx.doi.org/10.1177/21582440211016844.
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Colombia has a mixed public-private health care system, and although official data indicate more than 95% of health coverage, research in this field has demonstrated the persistence of barriers to accessing health care services. This study aimed to analyze the conceptual framework of health services accessibility and develop measurement tools for its assessment using primary data and also to propose a method for ascertaining health services accessibility and availability using a territory-based approach. A mixed method study with concurrent design was carried out in four phases between 2014 and 2017. The starting points were a review of the literature and a documentary research that identified five conceptual frameworks for health services accessibility published between 1970 and 2013. It was found that the theoretical concept of health services availability has not been clear; the literature does not define it explicitly and does not differentiate it from the concept of health coverage. As a result, two measurement tools were developed: a Health Care Services Accessibility Household Survey and a Health Care Services Availability Questionnaire. These tools and the proposed method for ascertaining health services accessibility can be useful for government, institutions, and social and scientific organizations to monitor progress in guaranteeing the fundamental human right to health, declared in the Health Organic Law issued in 2015 in Colombia.
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Liu, Huijun, Lun Hai, Min Zhao, and Hui Wang. "Does Maintaining High Accessibility to Medical Care Services Increase Psychological Well-Being of Chinese Older Adults?" Health & Social Care in the Community 2024 (January 24, 2024): 1–11. http://dx.doi.org/10.1155/2024/3011392.
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Objective. The health benefits of medical care services for older adults have been well known. This study aims to identify trajectories of medical care accessibility and their impacts on Chinese older adults’ psychological well-being to enrich findings on health outcomes of medical care accessibility. Methods. This study included 2660 participants aged 65 years and older from the 2005–2018 Chinese Longitudinal Healthy Longevity Survey, and this paper used the latent class growth model to analyze the heterogeneous trajectories of medical care accessibility among Chinese older adults. Ordinary least squares (OLS) regression was also used to explore whether the trajectories of medical care accessibility impact the psychological well-being of Chinese older adults and its heterogeneity among different subgroups of older adults. Results. Three distinct trajectories of medical care accessibility “maintaining high accessibility” (n = 2230, 84.1%), “medium to high accessibility” (n = 222, 8.10%), and “high to low accessibility” (n = 208, 7.80%) were identified, respectively. Regression results show that older adults maintaining high accessibility to medical care reported well psychological well-being. This result was particularly evident among older adults in urban and eastern areas. Discussion. Our findings highlight the importance of maintaining high accessibility to medical care and reducing inequalities in the accessibility to medical care for increasing psychological well-being of Chinese older adults.
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Naing, Sa Hlyan Htet, Sang-Arun Isaramalai, and Phen Sukmag. "Policy Literacy, Barriers, and Gender Impact on Accessibility to Healthcare Services under Compulsory Migrant Health Insurance among Myanmar Migrant Workers in Thailand." Journal of Environmental and Public Health 2020 (December 29, 2020): 1–8. http://dx.doi.org/10.1155/2020/8165492.
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Accessibility to health service and experience of healthcare are important factors for public health policymaking. The current study aimed to describe the status of accessibility and barriers to getting care as well as policy literacy among Myanmar migrant workers and ultimately to identify the predictors of accessibility to healthcare services among this population through Thailand’s Compulsory Migrant Health Insurance (CMHI). A cross-sectional survey was used to collect data from 240 Myanmar migrant workers who were 18 years or older, resided in Songkhla Province, and had Compulsory Migrant Health Insurance. The instrument was a set of questionnaires consisting of a Personal Data Form, Policy Literacy Questionnaire, Barriers to Get Care Questionnaire, and Accessibility to Healthcare Services Questionnaire. Descriptive statistics, correlation analysis, and multiple regression analysis were used to analyze data. The majority of participants had a high level of policy literacy (36.3%), barriers to get care (34.2%), and accessibility to health care services (35.8%). Policy literacy (β = 0.35, p < 0.001 ), barriers to get care (β = −0.32, p < 0.001 ), and gender ( p < 0.001 ) were significant predictors of accessibility to healthcare services and could explain 43.2% of the total variance. To increase the accessibility to healthcare services among migrant workers with Compulsory Migrant Health Insurance, public health policymakers are recommended to cooperate more with healthcare staff and the workers’ employers to enhance the distribution of information about the health insurance to decrease barriers to get care.
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Valladares-garrido, Mario J., Laura M. Ccosco-blas, Paula Gutiérrez, Paola J. Ramos-rupay, Alix X. Rivera-pinto, Andrea S. Velarde-Tello, Deyanira Vertiz-cuadra, and Fiorella Inga-berrospi. "Factors Associated with Accessibility in Seven Peruvian Primary Health Care Facilities." Pakistan Journal of Medical and Health Sciences 15, no. 8 (August 30, 2021): 2301–6. http://dx.doi.org/10.53350/pjmhs211582301.
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Introduction: There is limited evidence on factors associated with access to health primary health care services in users of marginal urban areas of Lima, Peru. Objective: To determine factors associated with access to primary health care services in Lima, Peru. Material and Methods: Cross-sectional study in users treated at seven primary health care facilities in a marginal urban area of Lima, Peru in 2019. A questionnaire was used to measure accessibility to health services; demographic and socioeconomic factors and characteristics of health services were investigated as well. Simple and multiple regression analyses were performed, estimating prevalence ratios. Results: Out of a total of 150 participants, 85.2% had access to health services. Female gender was positively associated with access to health services (aPR:1.17, 95% CI:1.11-1.23). Secondary education (aPR:0.65, 95% CI:0.44-0.98) and higher technical education or armed forces (aPR:0.64, 95%CI:0.46-0.89) were negatively associated with access to health services. On the other hand, we found that waiting time for care reduces the possibility of accessing health care; in case wait time is more than 30 minutes (aPR:0.83, 95% CI: 0.77-0.95), more than one hour (RPa:0.85, CI95%:0.75-0.95) and more than two hours (RPa:0.84, CI95%:0.75-0.93). Conclusions: The majority of users treated at the Primary Health Care facilities had access to health services. Having a higher educational level and reporting a longer waiting time for care were associated with a lower frequency of accessibility, while being a woman was associated with a higher frequency of accessibility. Key words: Health services, primary health care, health services accessibility, delivery of health care, public health.
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Ferreira, Rita, Nuno Marques da Costa, and Eduarda Marques da Costa. "Accessibility to urgent and emergency care services in low-density territories: the case of Baixo Alentejo, Portugal." Ciência & Saúde Coletiva 26, suppl 1 (June 2021): 2483–96. http://dx.doi.org/10.1590/1413-81232021266.1.40882020.
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Abstract Access to health care is a sensitive issue in low population density territories, as these areas tend to have a lower level of service provision. One dimension of access is accessibility. This paper focuses on measuring the accessibility to urgent and emergency care services in the Portuguese region of Baixo Alentejo, a territory characterized by low population density. Data for the calculation of accessibility is the road network, and the methodology considers the application of a two-level network analyst method: time-distance by own mean (car or taxi) to the urgent care services and the time distance to emergency services as a way to get assistance and to go to urgent care services. While urgent care accessibility meets the requirements stipulated in the Integrated Medical Emergency System’s current legislative framework, the simulation of different scenarios of potential accessibility shows intra-regional disparities. Some territories have a low level of accessibility. Older adults, the poorly educated, and low-income population, also have the lowest levels of accessibility, which translates into dually disadvantageous situation since the potential users of emergency services are most likely to belong to this group of citizens.
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Borboudaki, Lena, Manolis Linardakis, Ioanna Tsiligianni, and Anastas Philalithis. "Utilization of Health Care Services and Accessibility Challenges among Adults Aged 50+ before and after Austerity Measures across 27 European Countries: Secular Trends in the SHARE Study from 2004/05 to 2019/20." Healthcare 12, no. 9 (April 30, 2024): 928. http://dx.doi.org/10.3390/healthcare12090928.
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This study aimed to assess and compare the utilization of preventive and other health services and the cost or availability in different regions of Europe, before and during the economic crisis. The data used in the study were obtained from Wave 8 of the Survey of Health, Ageing and Retirement in Europe (2019/2020) and Wave 1 data (2004/5), with a sample size of 46,106 individuals aged ≥50 across 27 countries, adjusted to represent a population of N = 180,886,962. Composite scores were derived for preventive health services utilization (PHSU), health care services utilization (HCSU), and lack of accessibility/availability in health care services (LAAHCS). Southern countries had lower utilization of preventive services and higher utilization of other health services compared to northern countries, with a significant lack of convergence. Moreover, the utilization of preventive health services decreased, whereas the utilization of secondary care services increased during the austerity period. Southern European countries had a significantly higher prevalence of lack of accessibility. An increase in the frequency of lack of accessibility/availability in health care services was observed from 2004/5 to 2019/20. In conclusion, our findings suggest that health inequalities increase during crisis periods. Therefore, policy interventions could prioritize accessibility and expand health coverage and prevention services.
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Kibret, Getiye Dejenu, Daniel Demant, and Andrew Hayen. "Geographical accessibility of emergency neonatal care services in Ethiopia: analysis using the 2016 Ethiopian Emergency Obstetric and Neonatal Care Survey." BMJ Open 12, no. 6 (June 2022): e058648. http://dx.doi.org/10.1136/bmjopen-2021-058648.
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IntroductionAccess to emergency neonatal health services has not been explored widely in the Ethiopian context. Accessibility to health services is a function of the distribution and location of services, including distance, travel time, cost and convenience. Measuring the physical accessibility of health services contributes to understanding the performance of health systems, thereby enabling evidence-based health planning and policies. The physical accessibility of Ethiopian health services, particularly emergency neonatal care (EmNeC) services, is unknown.ObjectiveTo analyse the physical accessibility of EmNeC services at the national and subnational levels in Ethiopia.MethodsWe analysed the physical accessibility of EmNeC services within 30, 60 and 120 min of travel time in Ethiopia at a national and subnational level. We used the 2016 Ethiopian Emergency Obstetric and Neonatal Care survey in addition to several geospatial data sources.ResultsWe estimated that 21.4%, 35.9% and 46.4% of live births in 2016 were within 30, 60 and 120 min of travel time of fully EmNeC services, but there was considerable variation across regions. Addis Ababa and the Hareri regional state had full access (100% coverage) to EmNeC services within 2 hours travel time, while the Afar (15.3%) and Somali (16.3%) regional states had the lowest access.ConclusionsThe physical access to EmNeC services in Ethiopia is well below the universal health coverage expectations stated by the United Nations. Increasing the availability of EmNeC to health facilities where routine delivery services currently are taking place would significantly increase physical access. Our results reinforce the need to revise service allocations across administrative regions and consider improving disadvantaged areas in future health service planning.
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Fauk, Nelsensius Klau, Maria Silvia Merry, Theodorus Asa Siri, Fabiola Tazrina Tazir, Mitra Andhini Sigilipoe, Kristin Oktanita Tarigan, and Lillian Mwanri. "Facilitators to Accessibility of HIV/AIDS-Related Health Services among Transgender Women Living with HIV in Yogyakarta, Indonesia." AIDS Research and Treatment 2019 (July 1, 2019): 1–10. http://dx.doi.org/10.1155/2019/6045726.
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The study aimed to explore facilitators or enabling factors that enhance accessibility (defined as the opportunity to be able to use) to HIV/AIDS-related health services among HIV positive transgender women, also known as Waria in Yogyakarta, Indonesia. A qualitative study employing one-on-one in-depth interviews was conducted from December 2017 to February 2018. Participants were HIV positive Waria recruited using purposive and snowball sampling techniques. Data were analysed using the framework analysis for qualitative research. The findings showed that participants’ knowledge of HIV/AIDS and the availability of HIV/AIDS-related health services were enablers to the services accessibility. Emotional support from fellow Waria displayed in various ways, such as kind and caring attention, attentive listening, and encouraging words, was an important social support that played a role in supporting Waria’s accessibility to the services. HIV/AIDS-related health service information shared personally or jointly by fellow Waria and instrumental support including helping each other to collect antiretroviral (ARV) from hospitals or community health centres, contacting ambulance in emergency situations, accompanying each other to health service facilities, and helping those without the health insurance to receive free health services were also the social support enabling accessibility to the services among the study participants. Appraisal support such as providing constructive feedback and affirmation was another enabling factor to Waria’s accessibility to the services. The findings indicate the needs to broadly disseminate information and educate Waria populations and their significant others about HIV/AIDS and related health services to raise their awareness of HIV/AIDS and acceptance of HIV/AIDS positive individuals. Educating and broadly disseminating this information in other settings in the country will also increase accessibility to the HIV/AIDS services among Waria, their families, and communities addressing the currently existing inequities in health. The findings also reinforce the importance of the establishment of Waria peer-support groups within Waria communities and the involvement of Waria in HIV/AIDS activities and programs, which may increase their awareness of HIV/AIDS, and accessibility to HIV/AIDS-related health services.
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Jonsson, Marika, Stefan Johansson, Dena Hussain, Jan Gulliksen, and Catharina Gustavsson. "Development and Evaluation of eHealth Services Regarding Accessibility: Scoping Literature Review." Journal of Medical Internet Research 25 (August 17, 2023): e45118. http://dx.doi.org/10.2196/45118.
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Background Accessibility is acknowledged as a key to inclusion in the Convention of Rights for People with Disabilities. An inaccessible design can result in exclusion from eHealth and cause disability among people who have impairments. Objective This scoping literature review aimed to investigate how eHealth services have been developed and evaluated regarding accessibility for people with impairments. Methods In line with Arksey and O’Malley’s framework for scoping studies and using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR), we conducted a search in 4 databases (PubMed, Scopus, IEEE, and Web of Science) in October 2020 and an update of the search in June 2022. The search strategy was structured according to the PICO model as follows: Population/Problem, digital accessibility for users with impairment; Intervention, health care delivered by any digital solution; Comparison, not applicable; Outcome, use of and adherence to (1) Web Content Accessibility Guidelines (WCAG), (2) other accessibility guidelines, and (3) other means, for designing or evaluating accessibility in eHealth services. A Boolean search was conducted by combining terms related to accessibility and eHealth. All authors participated in screening abstracts according to the eligibility criteria. Each publication, containing a potentially relevant abstract, was read (full text) and assessed for eligibility by 2 authors independently and pairwise. Publications deemed eligible were read by all authors and discussed for consensus. Results A total of 8643 publications were identified. After abstract screening, 131 publications remained for full-text reading. Of those, 116 publications were excluded as they did not meet the eligibility criteria. Fifteen publications involving studies of 12 eHealth services were included in the study. Of the 15 publications, 2 provided a definition of accessibility, 5 provided an explanation of accessibility, and 8 did not provide any explanation. Five publications used the WCAG to evaluate accessibility when developing eHealth services. One publication used International Organization for Standardization (ISO) 29138, ISO 2941, and ISO/International Electrotechnical Commission (IEC) 30071-1 standards together with the Spanish Association for Standardization (UNE) 139803 standard. Eleven publications used other means to address accessibility, including text-level grading; literature review about accessibility; user tests, focus groups, interviews, and design workshops with target groups of patients, relatives, and health care professionals; and comparative analysis of existing technical solutions to provide information about useful requirements. Conclusions Although a clear definition of accessibility can enhance operationalization and thus measurability when evaluating accessibility in eHealth services, accessibility was insufficiently defined in most of the included studies. Further, accessibility guidelines and standards were used to a very limited extent in the development and evaluation of eHealth services. Guidelines for developing complex interventions that include guidance for accessibility are motivated to ensure that accessibility will be considered systematically in eHealth services.
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Sutan, Rosnah, and Pinta Pudiyanti Siregar. "Reproductive health practices and use of health services among immigrant Indonesian women working in Malaysia." Revista de Saúde Pública 56 (June 24, 2022): 55. http://dx.doi.org/10.11606/s1518-8787.2022056003811.
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OBJECTIVE To describe the reproductive health practices of immigrant Indonesian women working in Malaysia and their accessibility to health services. METHODS A cross-sectional study using a validated self-administered questionnaire was conducted with 593 immigrant Indonesian workers who stayed in Malaysia for at least six months and within the reproductive age group. RESULTS About 13.5% of the respondents have used health facilities for reproductive health-related problems. Less than half of the respondents preferred to use public health facilities. Only 15% used treatment available in health facilities related to irregular menstrual cycles (34.6%), severe dysmenorrhea (58.7%) and nonspecific symptoms related to menstruation (31.7%). Family planning services were the most required health service. However, only 31.5% met the needs for family planning services. One-third of the respondents had sexual reproductive health problems and required treatment, but only 9.9% sought reproductive health services when needed. CONCLUSIONS Strategies to improve the accessibility to sexual reproductive health services requires a collaboration between the Indonesian government representatives in Malaysia and non-governmental organizations to address the reproductive health issues among immigrant Indonesian women in Malaysia. Health policy related to immigrant workers is needed in order to enhance the accessibility to women’s health needs for universal health coverage.
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Hu, Jinrong, Yuyuan Zhang, Le Wang, and Victor Shi. "An Evaluation Index System of Basic Elderly Care Services Based on the Perspective of Accessibility." International Journal of Environmental Research and Public Health 19, no. 7 (April 2, 2022): 4256. http://dx.doi.org/10.3390/ijerph19074256.
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Population aging has become more and more severe in many countries. As a result, the demand for basic elderly care services has risen. The establishment of an evaluation index system for basic elderly care services can provide guidelines for governments to improve the quality of such services. Based on the “5A” theoretical analysis framework of Penchansky and Thomas, this paper introduces the concept of “accessibility” into evaluation. The “accessibility” model of services, through a literature review, field research, and three rounds of expert correspondence, consists of three first-level indicators, including the accessibility of home-based community elderly care services, the accessibility of institutional elderly care services, and the accessibility of administrative services. The evaluation index system of 15 s-level indicators and 70 third-level indicators, using AHP to determine the weight value of each indicator, provides a quantitative basis for the quality evaluation and improvement of basic elderly care services. Based on our quantitative results, policy recommendations are put forward: strengthen the support for the human and financial resources of community home-based elderly care services; improve the affordability of basic elderly care services; increase the types and numbers of institutional elderly care service projects; improve the availability and adaptability of institutional elderly care services; improve the accessibility of administrative services so that elderly care service institutions and elderly care administrative agencies can establish an effective communication and feedback mechanism.
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Lee, Sangwan. "Spatial and Socioeconomic Inequalities in Accessibility to Healthcare Services in South Korea." Healthcare 10, no. 10 (October 17, 2022): 2049. http://dx.doi.org/10.3390/healthcare10102049.
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This study explored questions of (1) whether certain areas of South Korea experienced inequal accessibility to public health centers, private hospitals/clinics, and general hospitals by car and public transportation using gaussian mixture models (GMM) and (2) whether socially disadvantaged socioeconomic groups faced disproportionate burdens on accessibility to the multi-tier healthcare services employing ordinary least square regression models (OLS). This study used nationwide accessibility indicators in South Korea measured by Korea Transport Institute in 2019. The main findings were as follows: First, the results of the GMM indicate that the degree of accessibility to healthcare services was significantly lower in rural, mountainous, and seaside locations compared to metropolitan areas. Second, there was more considerable inequality in public transportation accessibility than car accessibility. Third, the findings of the OLS reveal a significant relationship between accessibility indicators and socioeconomic variables, such as age, gender, disability, and residential location, which indicates socioeconomic inequality in accessibility in South Korea. This study contributes to shedding light on understanding the spatial and socioeconomic inequality in accessibility across the nation and offering policy implications.
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Shah, Tayyab Ikram, Scott Bell, and Kathi Wilson. "Spatial Accessibility to Health Care Services: Identifying under-Serviced Neighbourhoods in Canadian Urban Areas." PLOS ONE 11, no. 12 (December 20, 2016): e0168208. http://dx.doi.org/10.1371/journal.pone.0168208.
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Põlluste, Kaja, Ruth Kalda, and Margus Lember. "Accessibility and Use of Health Services Among Older Estonian Population." Central European Journal of Public Health 17, no. 2 (June 1, 2009): 64–70. http://dx.doi.org/10.21101/cejph.a3509.
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Ahern, A., and J. Hine. "Accessibility of Health Services for Aged People in Rural Ireland." International Journal of Sustainable Transportation 9, no. 5 (November 20, 2014): 389–95. http://dx.doi.org/10.1080/15568318.2013.800926.
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Zhang, Jiawei, Peien Han, Yan Sun, Jingyu Zhao, and Li Yang. "Assessing Spatial Accessibility to Primary Health Care Services in Beijing, China." International Journal of Environmental Research and Public Health 18, no. 24 (December 14, 2021): 13182. http://dx.doi.org/10.3390/ijerph182413182.
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Primary health care has been emphasized as a pillar of China’s current round of health reforms throughout the previous decade. The purpose of this study is to analyze the accessibility of primary health care services in Beijing and to identify locations with a relative scarcity of health personnel. Seven ecological conservation districts, which are relatively underdeveloped, were selected in the study. The Gini coefficient and Lorenz curve, as well as the shortest trip time and modified two-step floating catchment area (M2SFCA) approach, are used to quantify inequalities in primary health care resources and spatial accessibility. The Gini coefficient of primary medical services was calculated as high as 0.705, showing a significant disparity in primary care services. A total of 81.22% of communities reached the nearest primary care institution within 15 min. The average accessibility of primary healthcare services, as measured by the number of health professionals per 1000 population, was 2.34 in the 1715 communities of seven ecological conservation districts. Three hundred and ninety-one communities (22.80%) were identified with relatively low accessibility. More primary health professionals should be allocated to Miyun, Mentougou, and Changping Districts. Overall, the primary healthcare resources were distributed unevenly in most districts. According to our study, expanding primary healthcare institutions, increasing the number of competent health professionals, and enhancing road networks will all be effective ways to increase spatial accessibility and reduce primary healthcare service disparity in Beijing.
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Rahman, Listy Handayani, Kamrin, Farit Rezal, Muhammad Al Rajab, and Noviani Munsir. "The relationship of health workers availability & accessibility with the utilization of health services in the working area of Nambo health center and Soropia health center (case study: Urban and rural coastal health center) southeast Sulawesi province, I." World Journal of Advanced Research and Reviews 21, no. 1 (January 30, 2024): 560–66. http://dx.doi.org/10.30574/wjarr.2024.21.1.0026.
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The level of public health is starting to improve, but it has not yet reached the entire population. This condition is caused by the capacity of health workers, the maternal referral system, and the management of maternal and child health services, as well as reproductive health services, which have not run optimally because the distribution of health workers, especially doctors, is not yet available in all Community Health Centers. Data from the Health Human Resources Information System, in 2022 there will still be 4.0% of Community Health Centers without doctors. Apart from that, the community's ability to reach health service facilities is the cause of low health service coverage. This research aims to determine the relationship between the availability of health workers and accessibility with the utilization of health services in the working areas of the Nambo Health Center and Soropia Health Center, Southeast Sulawesi Province in 2023. Method: The type of research used is descriptive quantitative with a cross-sectional study approach, namely looking for the relationship between the availability of health workers and accessibility and the utilization of health services in the working areas of the Nambo Health Center and Soropia Health Center (case study: Urban Coastal and Rural Coastal Health Centers). The number of samples in this research was 1,040 people consisting of 535 urban coastal respondents and 505 rural coastal respondents. The sampling techniques are purposive sampling and accidental sampling. Result: The research results show that there is a significant relationship between the availability of Health Personnel in Health Facilities and the utilization of Health services with a ρvalue (0.000) <0.05 and there is no significant relationship between accessibility and the utilization of Health services with a ρvalue (0.175>0.05). Conclusion: There is a significant relationship between the availability of health workers and there is no significant relationship between accessibility and utilization of health services in the coastal areas of the Nambo Health Center and Soropia Health Center, Southeast Sulawesi Province. Therefore, the Health Service needs to consider policies regarding placement, workload analysis and even distribution of health workers so that the workload of officers is not too high and can provide maximum health services and increase public knowledge by carrying out health promotions or providing health education to the public regarding services. available at the Community Health Center.
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Yufa, Shafira Putri, and Diansanto Prayoga. "Factors that Affect Demand Creation for Health Services: Literature Review." Media Publikasi Promosi Kesehatan Indonesia (MPPKI) 7, no. 6 (June 1, 2024): 1385–94. http://dx.doi.org/10.56338/mppki.v7i6.5214.
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Introduction: The prosperity of the country is represented by a healthy society. The existence of a demand for public health services is greatly influenced by quality and fair health providers, so that based on the aspect of being a health provider they are able to provide health services when there is an increase in demand from the community. Objective: The aim of this literature review is to determine the variables that influence demand for health services. The findings of this literature study are expected to be a starting point for future studies and to provide insight into health service quality management in various health service providers. Method: . This article was written using a literature review, namely an international literature search carried out using databases such as ScienceDirect and Proquest. Inclusion criteria include articles that discuss community demand for health services. Result: Article search results show that there are 7 (seven) related studies. Gender, place of residence, level of education, employment before retirement, age, health financing, technology, norms, values, and accessibility are several factors that influence people's demand for health services. This study reveals these factors. Additionally, this study emphasizes accessibility factors, which significantly influence the demand and allocation of health promotion services. This is because health services are considered emergency and require improvement in the available health centers. Conclusion: Based on the results of the review, it can be concluded that there are several factors that influence the creation of demand or demand for health services at the Community Health Center. Factors such as gender, place of residence, education level, employment before retirement, age, health financing, heat waves, technology, values and norms, and accessibility significantly influence the demand for and allocation of health promotion services.
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Delva, Nicholas, Simon Patry, Peter Chan, Murray Enns, Jeanne Ferguson, Ian Gilron, Caroline Gosselin, et al. "Geographic Accessibility of ECT Services in Canada." Journal of ECT 25, no. 2 (June 2009): 149. http://dx.doi.org/10.1097/01.yct.0000344114.66628.b5.
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Cuervo, Luis Gabriel, Ciro Jaramillo, Daniel Cuervo, Eliana Martínez-Herrera, Janet Hatcher-Roberts, Luis Fernando Pinilla, María Olga Bula, et al. "Dynamic geographical accessibility assessments to improve health equity: protocol for a test case in Cali, Colombia." F1000Research 11 (November 28, 2022): 1394. http://dx.doi.org/10.12688/f1000research.127294.1.
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This protocol proposes an approach to assessing the place of residence as a spatial determinant of health in cities where traffic congestion might impact health services accessibility. The study provides dynamic travel times presenting data in ways that help shape decisions and spur action by diverse stakeholders and sectors. Equity assessments in geographical accessibility to health services typically rely on static metrics, such as distance or average travel times. This new approach uses dynamic spatial accessibility measures providing travel times from the place of residence to the health service with the shortest journey time. It will show the interplay between traffic congestion, accessibility, and health equity and should be used to inform urban and health services monitoring and planning. Available digitised data enable efficient and accurate accessibility measurements for urban areas using publicly available sources and provide disaggregated sociodemographic information and an equity perspective. Test cases are done for urgent and frequent care (i.e., repeated ambulatory care). Situational analyses will be done with cross-sectional urban assessments; estimated potential improvements will be made for one or two new services, and findings will inform recommendations and future studies. This study will use visualisations and descriptive statistics to allow non-specialized stakeholders to understand the effects of accessibility on populations and health equity. This includes “time-to-destination” metrics or the proportion of the people that can reach a service by car within a given travel time threshold from the place of residence. The study is part of the AMORE Collaborative Project, in which a diverse group of stakeholders seeks to address equity for accessibility to essential health services, including health service users and providers, authorities, and community members, including academia.
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Frota, Natasha Marques, Thiago Moura de Araújo, Lívia Moreira Barros, Joselany Áfio Caetano, and Zélia Maria de Sousa Araújo Santos Santos. "Accessibility of hypertensive users to health units and treatment adherence." Rev Rene 14, no. 4 (2013): 730–39. http://dx.doi.org/10.15253/2175-6783.2013000400009.
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We aimed to analyze the accessibility of hypertensive users to the health system with focus on treatment adherence. A cross-sectional study with quantitative approach was conducted in four Family Health Basic Units of Fortaleza-CE, Brazil. The sample consisted of 400 users. Data collection happened through a form applied from May to August 2011. About 97.5% of users were older than 40 years, and 67.2% were female. The accessibility to the referral service occurred in 47.2% of users to secondary care, of which 101 (25.2%) were referred to Emergency Units, and 88 (22.0%) were admitted to Inpatient Units. Most hypertensive patients adhered to healthy habits, except the use of dietetic sweeteners (36.0%) and physical exercise (35.0%). The hypertensive patients had good treatment adherence and difficulty in accessibility regarding counter-referral services to secondary and tertiary care services.
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Florentianus, Tat, and Bait M. Maria. "The Effect of Accessibility on Performance of Maternal and Child Health Policy Implementation in East Nusa Tenggara Province, Indonesia." Global Journal of Health Science 11, no. 11 (September 30, 2019): 180. http://dx.doi.org/10.5539/gjhs.v11n11p180.
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BACKGROUND: The fact shows that the performance of health service policy implementation from the output aspect (out put) and the outcome (out comes) policy has not been in line with expectations. This condition will also have a direct influence on the Human Development Index in East Nusa Tenggara Province, where the position of East Nusa Tenggara is still in the order of 32 out of 34 provinces in Indonesia, which ranges from 68.77. The main purpose of this study was to identify the health service accessibility in East Nusa Tenggara. Furthermore, this study also intended to find out the performance of policy implementation and was to identify the effect of accessibility of health sevices on the performance of policy implementation on mothers and children in East Nusa Tenggara.
SUBJECT & METHOD: This research is a quantitative study, conducted in 11 districts, 104 community healths services, and has 235 health workers as respondents in East Nusa Tenggara Province of Indonesia.
RESULT: The results of the study on conditions of accessibility and networking in maternal and child health services in East Nusa Tenggara Province are still lacking (mean 2.7), meaning that conditions of accessibility in East Nusa Tenggara Province do not support the implementation of MCH policies. The performance of MCH policy implementation in East Nusa Tenggara Province is in the 3.36 category, meaning that the targets of MCH services that have been made have not been maximally realized. There is a correlation between accessibility conditions and the performance of MCH policy implementation (p = 0.00), the correlation coefficient of 0.429 shows that this correlation is quite strong, although not very strong. This correlation shows a positive relationship which means that if the accessibility conditions are easier, it will improve the performance of MCH policy implementation. The effect of accessibility on policy performance has been carried out partial linear regression test (t test), found t count = 19.0115 > t table 1.97 means that there is a significant influence on the condition of accessibility to the performance of MCH policies in East Nusa Tenggara Province.
CONCLUSION: Accessibility to health services in East Nusa Tenggara Province is still lacking, the policy implementation performance is good and there is a significant and positive influence between service accessibility and policy implementation performance.
RECOMENDATION: The government is expected to be more serious in efforts to open the accessibility of health services and set more realistic targets that could be achieved.
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AlFanatseh, AbedAlhameed, and Shahed Saqallah. "Evaluation of Accessibility to Public Services in the City of Aqaba Using Geographic Information Systems." Journal of Geography and Geology 13, no. 2 (November 29, 2021): 17. http://dx.doi.org/10.5539/jgg.v13n2p17.
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In this study, we identify methods of measuring accessibility to public services in the city of Aqaba. Accessibility is an indicator of the efficiency of their spatial distribution in relation to residential neighborhoods in the city. Administrative, commercial, educational, health and entertainment services were selected for a case study because they are the most important services. We used spatial analysis tools in Arc Map within the geographic information systems (GIS) environment to measure direct distances between neighborhood centres and public services and to determine the number of services within specific ranges (1,000 m, 500 m, 200 m), using the three most common methods of measuring accessibility: the distance to the nearest service, the number of services within a certain distance or time, and the average distance for all services. The results of this research indicate that educational services have the highest degree of accessibility, followed by slight differences among recreational, administrative, and commercial services. Health services lag further behind.
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Ramírez-Saltos, Domenica, Patricia Acosta-Vargas, Gloria Acosta-Vargas, Marco Santórum, Mayra Carrion-Toro, Manuel Ayala-Chauvin, Esteban Ortiz-Prado, Verónica Maldonado-Garcés, and Mario González-Rodríguez. "Enhancing Sustainability through Accessible Health Platforms: A Scoping Review." Sustainability 15, no. 22 (November 14, 2023): 15916. http://dx.doi.org/10.3390/su152215916.
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The digital transformation of healthcare platforms has ushered in a new era of accessibility, making health information and services widely available. This comprehensive scoping review delves into the accessibility landscape of health platforms by analyzing 29 carefully selected research articles. These studies employ automated tools and manual evaluations to evaluate platform accessibility comprehensively. This study revealed that (52%) of these articles are based on automated methods, while 34% combine automated and manual approaches. Most studies show compliance with the latest versions of the Web Content Accessibility Guidelines (WCAG), with a significant focus (70%) on compliance with level A. This study reveals recurring issues within the perceivable operable, understandable, and robust categories, underscoring the pressing need for strict the accessibility testing of health platforms. This study demonstrates substantial agreement between raters, reinforced by a Cohen’s kappa coefficient of 0.613, indicating their reliability in classifying the articles. Future efforts should persist in refining accessibility standards, advocating for compliance with the WCAG, exploring innovative methods to assess the accessibility of healthcare platforms, and conducting user-centered research. This review highlights the paramount importance of ensuring equitable access to health information and services for people, regardless of their abilities or conditions, which resonates significantly with the issue of sustainability in healthcare and its socioeconomic and environmental implications.
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Orach, Christopher Garimoi, Juliet Faith Aporomon, Nelson Musoba, and Lukwiya Micheal. "Accessibility and availability of health care services to internally displaced persons, in Kitgum and Pader districts, northern Uganda." Health 05, no. 09 (2013): 1433–42. http://dx.doi.org/10.4236/health.2013.59195.
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Khongthanachayopit, Suprawee, and Wongsa Laohasiriwong. "Accessibility to health services among migrant workers in the Northeast of Thailand." F1000Research 6 (June 22, 2017): 972. http://dx.doi.org/10.12688/f1000research.11651.1.
Full textAbstract:
Background. There is an increasing trend of trans-border migration from neighboring countries to Thailand. According to human rights laws, everyone must have access to health services, even if they are from other nationalities. However, a small minority of health personnel in Thailand discriminate against immigrant workers, as they are from a lower financial bracket. Methods. This cross-sectional study aims to determine the prevalence of accessibility to health services and factors associated with access to health services among migrant workers who work along the Northeast border of Thailand. A total of 621 legal migrant workers were randomly selected to respond to a structured questionnaire about the satisfaction of health services, using the 5As of health services: availability; accessibility; accommodation; affordability; acceptability. Associations between independent variables and access to health services were analysed using multiple logistic regression analysis. Results. The results indicated that the majority of these registered migrant workers were female (63.9%) with an average age of 29± 8.61 years old, and were married (54.3%). Most of the workers worked at restaurants (80%), whereas only 20% were in agricultural sectors. Only 14% (95% CI: 11-17%) of migrant workers had access to health services. The factors that were significantly associated with accessibility to health service experienced ill health during the past one year (OR = 2.48; 95%CI; 1.54–3.97; p-value<0.001); have been married (OR = 2.32; 95% CI: 1.40 – 3.90; p-value <0.001). Conclusions. Most of the migrant workers could not access health services. The ones who did access health services were married or ill.