Accesibilidad urbana a la atención médica primaria: estudio comparativo de Canadá, EE.UU. y de Chile

Scarpaci, Joseph L.

doi:10.5354/0719-5370.1984.27685

Cited by 1 publication

(1 citation statement)

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“…Geographical distance has remained a longstanding barrier to healthcare within Chile. Scarpaci ( 40 ) observed that private healthcare was concentrated in areas with higher average household income among residents and in urban centers. While there has been an increase in the presence of primary care centers in Chile, the provision and follow-up related to hearing aids is still carried out by private companies with limited territorial presence (only one center for an entire region, in the case of Valparaíso).…”

Section: Discussionmentioning

confidence: 99%

Association between the home-to-healthcare center distance and hearing aid abandonment among older adults

Fuentes-López,

Galaz-Mella,

Ayala

et al. 2024

Front. Public Health

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BackgroundAccess to audiology services for older adults residing in sparsely populated regions is often limited compared to those in central urban areas. The geographic accessibility to follow-up care, particularly the influence of distance, may contribute to an increased risk of hearing aid abandonment.ObjectiveTo assess the association between the home-to-healthcare-calibration-center distance and hearing aid abandonment among older adults fitted in the Chilean public health system.Methods455 patients who received hearing aids from two public hospitals in two regions were considered. Univariate and multivariate Poisson regression models with robust variance estimation were used to analyze the association between the geographical distance and hearing aid abandonment, accounting for confounding effects.ResultsApproximately 18% of the sample abandoned the hearing aid, and around 50% reported using the hearing aid every day. A twofold increase in distance between home and the hearing center yielded a 35% (RR = 1.35; 95% CI: 1.04–1.74; p = 0.022) increased risk of hearing aid abandonment. Also, those in the second quintile had a 2.17 times the risk of abandoning the hearing aid compared to the first quintile (up to 2.3 km). Under the assumption that patients reside within the first quintile of distance, a potential reduction of 45% in the incidence of hearing aid abandonment would be observed. The observed risk remained consistent across different statistical models to assess sensitivity.ConclusionA higher distance between the residence and the healthcare center increases hearing aid abandonment risk. The association may be explained by barriers in purchasing supplies required to maintain the device (batteries, cleaning elements, potential repairs, or maintenance).

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Section: Discussionmentioning

confidence: 99%

Association between the home-to-healthcare center distance and hearing aid abandonment among older adults

Fuentes-López,

Galaz-Mella,

Ayala

et al. 2024

Front. Public Health

View full text Add to dashboard Cite

show abstract

Accesibilidad urbana a la atención médica primaria: estudio comparativo de Canadá, EE.UU. y de Chile

Abstract: Urban accesslblllty t o primary medlcal care: Comparatlve study o n Canada, USA. and Chlle

Cited by 1 publication

References 34 publications

Association between the home-to-healthcare center distance and hearing aid abandonment among older adults

Association between the home-to-healthcare center distance and hearing aid abandonment among older adults

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