Health care resource allocation and individuals’ health care needs: examining the degree of fit

Litaker, David; Love, Thomas E.

doi:10.1016/j.healthpol.2004.11.010

Cited by 39 publications

(58 citation statements)

References 55 publications

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“…To our knowledge, there is no prior evidence of such correlation in developing countries; prior evidence collected in developed countries has, however, yielded mixed results. Two studies in the United States revealed no association between supply of health care resources and unmet health needs [42], [47], while another study from the same country concluded that higher densities of paediatricians are associated with a lower prevalence of perforated appendicitis. A study in South Korea found a positive and significant relationship between the number of regional hospital beds in the private sector and unmet needs for healthcare but no associative relationship between density of public health providers and unmet needs [36].…”

Section: Discussionmentioning

confidence: 99%

Unmet Needs for Cardiovascular Care in Indonesia

Maharani

Tampubolon

2014

PLoS ONE

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BackgroundIn the past twenty years the heaviest burden of cardiovascular diseases has begun to shift from developed to developing countries. However, little is known about the real needs for cardiovascular care in these countries and how well those needs are being met. This study aims to investigate the prevalence and determinants of unmet needs for cardiovascular care based on objective assessment.Methods and FindingsMultilevel analysis is used to analyse the determinants of met needs and multilevel multiple imputation is applied to manage missing data. The 2008 Indonesian Family Life Survey (IFLS4) survey is the source of the household data used in this study, while district data is sourced from the Ministry of Health and Ministry of Finance. The data shows that nearly 70% of respondents with moderate to high cardiovascular risk failed to receive cardiovascular care. Higher income, possession of health insurance and residence in urban areas are significantly associated with met needs for cardiovascular care, while health facility density and physician density show no association with them.ConclusionsThe prevalence of unmet needs for cardiovascular care is considerable in Indonesia. Inequality persists as a factor in meeting needs for cardiovascular care as the needs of people with higher incomes and those living in urban areas are more likely to be met. Alleviation of poverty, provision of health care insurance for the poor, and improvement in the quality of healthcare providers are recommended in order to meet this ever-increasing need.

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Section: Discussionmentioning

confidence: 99%

Unmet Needs for Cardiovascular Care in Indonesia

Maharani

Tampubolon

2014

PLoS ONE

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“…In urban areas, some authors have pointed out that provider-to-population ratios in neighbourhoods have significant limitations, as these measures do not account for patient border crossing, which commonly occurs in small geographic areas, such as urban census blocks (Guagliardo, 2004). Some authors have therefore suggested considering the distribution of health-care opportunities within a spatial unit larger than the neighbourhood (such as a county), which would be more in line with the exposures supply-related characteristics of the health-care system (Litaker and Love, 2005).…”

Section: Methodological Commentsmentioning

confidence: 99%

The combined effects of activity space and neighbourhood of residence on participation in preventive health-care activities: The case of cervical screening in the Paris metropolitan area (France)

et al. 2010

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To cite this version:Julie Vallée, Emmanuelle Cadot, Francesca Grillo, Isabelle Parizot, Pierre Chauvin. The combined effects of activity space and neighbourhood of residence on participation in preventive health-care activities: The case of cervical screening in the Paris metropolitan area (France).. Health Place, Elsevier, 2010, 16 (5) AbstractEstimates from multilevel regression of 1768 women living in the Paris metropolitan area showed that women who reported concentrating their daily activities in their perceived neighbourhood of residence had a statistically greater likelihood of not having undergone cervical screening during the previous two years. Furthermore, the characteristics of the administrative neighbourhood of residence (such as the practitioner density or the proportion of residents with a recent preventive consultation) had a statistically greater impact in terms of delayed cervical screening on women who concentrated the vast majority of their daily activities within their perceived neighbourhood of residence than among those who did not.The residential environment might promote or damage, to a greater extent, the health behaviour of people whose daily activities are concentrated within their perceived neighbourhood, since we can assume that their exposure to their neighbourhood characteristics is stronger.It could thus be useful to study more often the combined effects of activity space and neighbourhood of residence on participation in preventive health-care activities.Keywords activity space; daily mobility; neighbourhood of residence; cross-level interaction; preventive health care.2

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“…Firstly, most of the existing literature on unmet need comprises single-country studies (conducted mainly in the US and Canada). In addition, few of these studies are based on general population groups [28, 37], while most focus on specific patient groups [27, 38–42], thereby limiting the generalisability of their findings. Moreover, only a limited number of studies with international comparisons have been conducted [6, 27, 43, 44].…”

Section: Introductionmentioning

confidence: 99%

Do We Reap What We Sow? Exploring the Association between the Strength of European Primary Healthcare Systems and Inequity in Unmet Need

et al. 2017

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Access to healthcare is inequitably distributed across different socioeconomic groups. Several vulnerable groups experience barriers in accessing healthcare, compared to their more wealthier counterparts. In response to this, many countries use resources to strengthen their primary care (PC) system, because in many European countries PC is the first entry-point to the healthcare system and plays a central role in the coordination of patients through the healthcare system. However it is unclear whether this strengthening of PC leads to less inequity in access to the whole healthcare system. This study investigates the association between strength indicators of PC and inequity in unmet need by merging data from the European Union Statistics on Income and Living Conditions database (2013) and the Primary Healthcare Activity Monitor for Europe (2010). The analyses reveal a significant association between the Gini coefficient for income inequality and inequity in unmet need. When the Gini coefficient of a country is one SD higher, the social inequity in unmet need in that particular country will be 4.960 higher. Furthermore, the accessibility and the workforce development of a country’s PC system is inverse associated with the social inequity of unmet need. More specifically, when the access- and workforce development indicator of a country PC system are one standard deviation higher, the inequity in unmet healthcare needs are respectively 2.200 and 4.951 lower. Therefore, policymakers should focus on reducing income inequality to tackle inequity in access, and strengthen PC (by increasing accessibility and better-developing its workforce) as this can influence inequity in unmet need.

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Health care resource allocation and individuals’ health care needs: examining the degree of fit

Cited by 39 publications

References 55 publications

Unmet Needs for Cardiovascular Care in Indonesia

Unmet Needs for Cardiovascular Care in Indonesia

The combined effects of activity space and neighbourhood of residence on participation in preventive health-care activities: The case of cervical screening in the Paris metropolitan area (France)

Do We Reap What We Sow? Exploring the Association between the Strength of European Primary Healthcare Systems and Inequity in Unmet Need

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