Is geographical distance a barrier in the use of public primary health services among rural and urban young adults? Experience from Northern Finland

Lankila, Tiina; Näyhä, Simo; Rautio, Arja; Rusanen, Jarmo; Taanila, Anja; Koiranen, Markku

doi:10.1016/j.puhe.2015.10.020

Cited by 21 publications

(13 citation statements)

References 20 publications

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“…Similar studies were analysed by many authors, e.g. Lankila et al (2015), Dussault & Franceschini (2006) and Anand & Bärnighausen (2004).…”

Section: Methodological Approachmentioning

confidence: 61%

“…In case of women the most suitable model for intended analysis was the random effects model. Lankila et al (2015) stated that the longer distance to health centre services may be the obstacle in health care use. It may affect the decision of ill patients negatively, so they will not visit the doctor even they´re not in good health condition.…”

Section: Discussionmentioning

confidence: 99%

“…Many of them don´t include social and economic situation of citizens, however the amenable mortality is connected to social status of citizens (Nolte & McKee, 2004). Access to healthcare is inevitable element in improvement of health level of country (Lankila et al 2015;Kunst et al 1988a). Good health care accessibility is key element of lowering the avoidable mortality.…”

Section: Literature Reviewmentioning

confidence: 99%

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The impact of healthcare availability on the amenable mortality: Country study

Gavurová¹,

Tóth²,

Čiutienė³

et al. 2019

Economics &Amp; Sociology

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This study aims to provide information on the relationship between the accessibility of healthcare and avoidable mortality. Many of the general indicators such as health care expenditures, mortality, life expectancy are insufficient in comparing the national healthcare systems, because they explain only a small amount of diversity caused by socioeconomic factors. The study is based on the panel data analysis for the period from 1998 to 2015 in Slovak republic. As the indicator that takes into account socioeconomic factors and represents the level of provided healthcare, the depended variable is avoidable mortality. Independent variables represent the availability of healthcare in regions. Models were estimated separately for women and men. The results demonstrate differences between sexes, lower amenable mortality in case of women, correlated to availability of practitioners, dentists, specialists, pharmacies and gynecologists. For men, there is evidence of a relation between amenable mortality and the accessibility of specialists, pediatricians, practitioners and pharmacies.

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“…Similar studies were analysed by many authors, e.g. Lankila et al (2015), Dussault & Franceschini (2006) and Anand & Bärnighausen (2004).…”

Section: Methodological Approachmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

See 1 more Smart Citation

The impact of healthcare availability on the amenable mortality: Country study

Gavurová¹,

Tóth²,

Čiutienė³

et al. 2019

Economics &Amp; Sociology

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“…Distance and transport costs have also been linked to low acceptability of treatment in rural areas especially where patients have to go to hospitals to receive care [ 30 ]. These costs have also been reported outside the task-sharing literature and have been shown to have a negative impact on patients’ uptake of services in various countries such as Kenya [ 31 ], Uganda, Liberia, Nepal [ 32 ], Bangladesh [ 33 ] and Finland [ 34 ]. Perhaps in Kenya, a successful task-sharing scale-up model may involve capacity building for most IHPs, who are spread across villages, to promote accessibility, as well as providing emergency transport services such as motorbikes or ambulances for severe cases.…”

Section: Discussionmentioning

confidence: 92%

Mental health treatment in Kenya: task-sharing challenges and opportunities among informal health providers

Musyimi

Mutiso

Ndetei

et al. 2017

Int J Ment Health Syst

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BackgroundThe study was conducted to explore challenges faced by trained informal health providers referring individuals with suspected mental disorders for treatment, and potential opportunities to counter these challenges.MethodsThe study used a qualitative focus group approach. It involved community health workers, traditional and faith healers from Makueni County in Kenya. Ten Focus Group Discussions were conducted in the local language, recorded and transcribed verbatim and translated. Using a thematic analysis approach, data were entered into NVivo 7 for analysis and coding.ResultsResults demonstrate that during the initial intake phase, challenges included patients’ mistrust of informal health providers and cultural misunderstanding and stigma related to mental illness. Between initial intake and treatment, challenges related to resource barriers, resistance to treatment and limitations of the referral system. Treatment infrastructure issues were reported during the treatment phase. Various suggestions for solving these challenges were made at each phase.ConclusionsThese findings illustrate the commitment of informal health providers who have limited training to a task-sharing model under difficult situations to increase patients’ access to mental health services and quality care. With the identified opportunities, the expansion of this type of research has promising implications for rural communities.

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“…A recent study from Northern Finland indicated that there are regional differences between rural and urban areas in the use of health care services and in well-being [ 6 ]. However, while poisoning related mortality is a significant problem in Finland, regional differences in poisonings have not been studied [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Fatal poisonings in Northern Finland: causes, incidence, and rural-urban differences

Koskela

Raatiniemi

Bakke

et al. 2017

Scand J Trauma Resusc Emerg Med

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BackgroundIn this study we evaluate differences between rural and urban areas in the causes and incidence of fatal poisonings.MethodsData from all fatal poisonings that occurred in Northern Finland from 2007 to 2011 were retrieved from Cause of Death Registry death certificates provided by Statistics Finland. The demographics and causes of fatalities were compared between rural and urban areas. Incidences were calculated based on the population data.ResultsThere were a total of 684 fatal poisonings during the study period and 57.9% (n = 396) occurred in the urban population. Ethanol was the most common primary poisoning agent in cases of fatal poisoning, accounting for 47.5% of cases in urban areas and 68.1% in rural areas (P < 0.001). Fatal poisonings caused by psychoactive pharmaceutical products and opioids were more common in urban areas (28.3% compared to 18.0%, P < 0.001).The crude incidence of fatal poisonings in the study area was 18.8 (17.4–20.2) per 100,000 inhabitants per year and there was no difference in incidence between urban and rural areas. In the youngest age group (15 to 24 years), the incidence of fatal poisonings observed in urban areas was two times higher than that in rural areas.DiscussionHigher rate of fatal ethanol poisonings in rural areas could be linked to higher alcohol consumption in rural areas and also differences in drinking behaviour. Higher incidence of poisoning suicides in urban areas could be due to availability of different toxic agents as a suicidal method. Preventive measures could be key in reducing the number of fatal poisonings in both areas, as most of the fatal poisonings still occur outside hospital.ConclusionThere was a higher rate of fatal ethanol poisoning in rural areas and higher rate of fatal poisoning related to psychoactive pharmaceutical products and opioids in urban areas. There were twice as many fatal poisonings in the youngest age group (15–24 years) in urban areas compared to rural areas, and suicide was more common in urban areas.

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Is geographical distance a barrier in the use of public primary health services among rural and urban young adults? Experience from Northern Finland

Cited by 21 publications

References 20 publications

The impact of healthcare availability on the amenable mortality: Country study

The impact of healthcare availability on the amenable mortality: Country study

Mental health treatment in Kenya: task-sharing challenges and opportunities among informal health providers

Fatal poisonings in Northern Finland: causes, incidence, and rural-urban differences

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