Equity of access to health care services:

Goddard, Maria; Smith, Peter

doi:10.1016/s0277-9536(00)00415-9

Cited by 510 publications

(438 citation statements)

References 54 publications

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“…Neither of these, however, may be an appropriate indicator. Access to care and treatment outcome is determined by a complex interplay of patient and health-provider-related factors including patient health belief model, significant others, language, socioeconomic status and availability of local health services [12].…”

Section: Discussionmentioning

confidence: 99%

Investigating urban–rural disparities in tuberculosis treatment outcome in England and Wales

Abubakar¹,

Crofts²,

Gelb³

et al. 2007

Epidemiol. Infect.

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SUMMARYThe purpose of this study was to compare the occurrence of tuberculosis (TB) and the outcome of treatment between TB patients living in urban and rural areas. Cases of TB reported from 2001 to 2003 in England and Wales were assigned to a rural or urban area classification. The outcome of interest, non-completion of treatment, was investigated to determine the odds ratio for urban vs. rural residence. The effects of age, sex, ethnicity, place of birth, time since arrival in the United Kingdom, disease site, isoniazid resistance and previous diagnosis were adjusted for by multivariable logistic regression. Crude odds ratios showed a significantly higher level of treatment non-completion in rural areas. These results became non-significant (OR 1 . 02, 95 % CI 0 . 83-1 . 26, P=0 . 82) after adjusting for the confounding effects of ethnic group and age. In England and Wales residence in a rural location is not an independent determinant of TB treatment outcome failure.

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Section: Discussionmentioning

confidence: 99%

Investigating urban–rural disparities in tuberculosis treatment outcome in England and Wales

Abubakar¹,

Crofts²,

Gelb³

et al. 2007

Epidemiol. Infect.

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“…Efetivar o direito constitucional ao acesso universal e integral envolve determinantes inúmeros e complexos aos quais diferentes estudiosos tem se debruçado (Thiede;McIntyre, 2008;Donabedian, 2003;Goddard;Smith, 2001;Martins, 2004;Andersen, 1995;Penchansky;Thomas, 1981;Donabedian, 1973). A própria definição do termo acessibilidade conta com diferentes abordagens: Frenk (1985 apud Martins, 2004, p. 193) utiliza esse termo abordando características da oferta e da população.…”

Section: Introductionunclassified

Fatores que influenciam o acesso aos serviços de saúde na visão de profissionais e usuários de uma unidade básica de referência

2015

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This study aims to analyze the users' access to health services in a Basic Reference Unit (UBR) in a municipality of the metropolitan area of Belo Horizonte, Minas Gerais. The semi-structured interviews and questionnaire were conducted with 15 health professionals and 38 users respectively. The interviews addressed the local service, the health team, the users and the health services delivery network's characteristics. The questionnaire addressed users' sociodemographic and health characteristics. The interviews and questionnaires results analysis were presented on structural (financing, coverage), relational (comprehension of the health-illness process) and operational (service organization) dimensions. In the structural dimension, it was observed that the health system underfunding is a difficulty to the health services access and to the Family Health Strategy (ESF) implementation. In the relational dimension, it was observed that the lack of alignment regarding the structure and the health system operational flow impact negatively on the relationship between health professional and user. On the operational dimension, the health professionals and users reported significant shortcomings, such as the ESF coverage, appointment scheduling, reception, geographical barriers, referral and counter referral. The information obtained in this study is important to understand the factors associated to the health services access for the subject population and to help the developing strategies to improve the access.

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“…Studies indicate that in several host countries, even in those where access to health care is guaranteed, immigrant women do not regularly benefit of the health care services available and often are not covered by services for information, prevention and treatment (Fennelly 2004;Goddard and Smith 2001; The Portuguese Constitution establishes that all citizens -including immigrants -have the right to be attended in National Health Service (NHS) and in principle, health care should be available to every person according to need, irrespective of nationality, legal status or any other criterion. According to current legislation, persons without a NHS card (those without a residency or work visa) or who do not pay social security must pay the full fare for services.…”

Section: Introductionmentioning

confidence: 99%

Immigrant women’s perceptions and experiences of health care services: Insights from a focus group study

2010

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Equity of access to health care services:

Cited by 510 publications

References 54 publications

Investigating urban–rural disparities in tuberculosis treatment outcome in England and Wales

Investigating urban–rural disparities in tuberculosis treatment outcome in England and Wales

Fatores que influenciam o acesso aos serviços de saúde na visão de profissionais e usuários de uma unidade básica de referência

Immigrant women’s perceptions and experiences of health care services: Insights from a focus group study

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