Breaking down the barriers to universal health coverage

Sakolsatayadorn, Piyasakol; Chan, Margaret

doi:10.2471/blt.17.190991

Cited by 10 publications

(10 citation statements)

References 11 publications

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“…To achieve Universal Health Coverage, the health needs of vulnerable groups must be met. 9 In Japan, national statistics suggest that older people seek health care more frequently and have less income than younger generations, 10 which can make them susceptible to access barriers. A Japanese study has revealed older people’s experience of being prevented from seeking health care was significantly greater in a low-income group than in middle- and high-income groups.…”

Section: Introductionmentioning

confidence: 99%

Social Support and Access to Health Care Among Older People in Japan: Japan Gerontological Evaluation Study (JAGES)

Higuchi

Suzuki

Ashida

et al. 2018

Asia Pac J Public Health

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We investigated cross-sectional associations between social support and access to health care among older Japanese people. From larger cohort datasets of community-dwelling people aged 65 years or older, 23 079 respondents were extracted. We summarized patterns of social support by gender and age group, then analyzed associations between social support and the experience of unmet health care needs, as a negative indicator of access. Adjusting for socioeconomic factors, multiple logistic regression identified that respondents who received instrumental support were less likely to experience unmet health care needs except males aged 65 to 69 years. The effect of receiving instrumental social support was larger than for household income and similar to anxiety about unexpected expenses. In the low-income group, these findings were highlighted among females aged 65 to 69 years and males aged 70 years and older. In addition to redistribution of financial resources, facilitating suitable social support may contribute to alleviating the access gap among older people.

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Section: Introductionmentioning

confidence: 99%

Social Support and Access to Health Care Among Older People in Japan: Japan Gerontological Evaluation Study (JAGES)

Higuchi

Suzuki

Ashida

et al. 2018

Asia Pac J Public Health

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“…Therefore, oral health education programs by oral health professionals regarding proper oral health behaviors, such as regular dental service attendance, appropriate oral hygiene practices, and dental care benefits, should be implemented for disabled individuals, including their care givers. Moreover, for breaking down the barriers to UC, 32 policy makers in Thailand oral health system should be alerted to the explicit barriers reported such that equitable and equal dental services for disabled individuals can be developed.…”

Section: Discussionmentioning

confidence: 99%

Perspectives and experiences of Thai adults using wheelchairs regarding barriers of access to dental services: a mixed methods study

Sermsuti-anuwat¹,

Pongpanich²

2018

PPA

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PurposeTo explore the perspectives and experiences of Thai wheelchair users regarding barriers of access to dental services and report potential solutions in terms of customer satisfaction.Participants and methodsWe conducted a 2-phase cross-sectional study with quantitative and qualitative components at a community club for individuals with disabilities in Pathum Thani province, Thailand, in February 2018. In quantitative phase, participants were interviewed using a structured questionnaire that consisted of 1) questions on demographic characteristics and 2) adapted questions that were based on the modified Penchansky and Thomas dimensions of access. Enter method of binary logistic regression analysis was used. Regarding qualitative phase, focus group discussions were conducted using the themes of a semi-structured discussion guide. Thematic analysis was used.ResultsA total of 156 wheelchair users participated in the quantitative phase. Most study participants had not attended dental care services in the previous year (78.2%). Multivariate analysis found a statistically significant association that indicated that participants who had education level ≤primary education were 3.5 times more likely to had not attended a dental appointment in the previous year (P=0.003). In the qualitative phase, 33 participants were included in 3 focus groups (each comprising 11 participants), they were wheelchair users with education >primary, who did not go to see a dentist in the previous 12 months. Findings of the 3 focus groups suggest generally negative views about Thai dental services for all dimensions of access.ConclusionThis study reflects the unheard voices of wheelchair users and provides rigorous evidence in Thai context that difficulties of access to dental services persist. Policy makers and oral health professionals in oral health system should be alerted to the explicit barriers reported, such that equitable and equal dental services for disabled individuals can be developed.

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“…All wounds "count" and the patient's priority "I want to have my skin closed" (independent of the cause) is respected and promoted. This follows the broad understanding of universal health coverage [17]. The population impact lies in the rapid closure of a substantial proportion of wounds at the community level [18].…”

Section: Thomas Junghanssmentioning

confidence: 91%

Thermotherapy of Buruli Ulcer

Junghanss

2019

Buruli Ulcer

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Breaking down the barriers to universal health coverage

Cited by 10 publications

References 11 publications

Social Support and Access to Health Care Among Older People in Japan: Japan Gerontological Evaluation Study (JAGES)

Social Support and Access to Health Care Among Older People in Japan: Japan Gerontological Evaluation Study (JAGES)

Perspectives and experiences of Thai adults using wheelchairs regarding barriers of access to dental services: a mixed methods study

Thermotherapy of Buruli Ulcer

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