Unmet Needs as Sociomedical Indicators

Carr, Willine; Wolfe, Samuel

doi:10.4324/9781315223711-3

Cited by 17 publications

(18 citation statements)

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“…The operationalisation of unmet need in this study, consistent with the definition of Carr and Wolfe [22], has two limitations. According to this definition, only objective clinically-assessed needs that are not satisfied by appropriate healthcare can be considered unmet.…”

Section: Discussionmentioning

confidence: 93%

“…Country-specific social and cultural factors (e.g., patient expectations) can influence the evaluation of unmet need [21]. Secondly, the definition of Carr and Wolfe [22] neglects unperceived (but objectively clinically grounded) unmet healthcare need [24]. Notwithstanding these two limitations, this definition is the most suitable method for measuring unmet healthcare need.…”

Section: Discussionmentioning

confidence: 99%

“…Carr and Wolfe [22] define unmet healthcare needs as ‘the differences, if any, between those services judged necessary to deal appropriately with defined health problems and those services actually being received […] an unmet need is the absence of any, or of sufficient, or of appropriate care and services’. This definition is the most suitable method for measuring unmet healthcare need.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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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“…Unmet health needs can be defined as the difference between services deemed necessary to deal with a defined health problem and the services actually received (Carr & Wolfe, 1976). This definition includes subjective aspects such as patient perception of quality of care (Allin, Grignon, & Le Grand, 2010) and differing social contexts that shape help-seeking behaviour (Wu et al, 2005), rather than regarding unmet health needs as merely barriers to health care access.…”

mentioning

confidence: 99%

Recent im/migration to Canada linked to unmet health needs among sex workers in Vancouver, Canada: Findings of a longitudinal study

Sou

Goldenberg

Duff

et al. 2017

Health Care for Women International

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Despite universal health care in Canada, sex workers (SW) and im/migrants experience suboptimal health care access. In this analysis, we examined the correlates of unmet health needs among SWs in Metro Vancouver over time. Data from a longitudinal cohort of women SWs (AESHA) was used. Of 742 SWs, 25.5% reported unmet health needs at least once over the 4-year study period. In multivariable logistic regression using generalized estimating equations, recent im/migration had the strongest impact on unmet health needs; long-term im/migration, policing, and trauma were also important determinants. Legal and social supports to promote im/migrant SWs’ access to health care are recommended.

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“…Several studies emphasise the role of met and unmet needs (Park et al., 2018) in informal care provision and informal caregivers’ quality of life—QoL (Alves et al., 2018; Black et al., 2013), but miss a consensus into unmet needs definition. For example, in the Carr and Wolfe (1976, p. 417) study, unmet needs were conceptualised as “the difference between services judged necessary to deal appropriately with health problems and services received”. Black et al.…”

Section: Introductionmentioning

confidence: 99%

Unmet needs of informal carers of the oldest old in Portugal

Alves

Ribeiro

Paúl

2020

Health Soc Care Community

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Developed countries face a fast ageing population and an increase in longevity, two aspects that pose several political, economic, social and health challenges due to the raise of morbidity and disability in later life. In Portugal, individuals aged 80 and older constitute 5.0% (532,219) of the total population (10,562,178) and 26.5% of the population aged 65+ (2,010,064; Brandão, Ribeiro, & Paúl, 2017). Projections for 2080 show a growth by 12.7% points of the oldest old population within the EU-28 (Eurostat, 2019). Specifically for Portugal (Instituto Nacional de Estatística, I. P., 2018), a growth of 12.0% is expected, rising to 17.0% the proportion of oldest-old in the total national population. Given these projections, it is essential to customise the support provided to meet the needs of this large and growing population. Trends show that living longer may lead to a long period of disability and frailty with increasing care demands (Alves, Teixeira,

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Unmet Needs as Sociomedical Indicators

Cited by 17 publications

References 0 publications

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

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

Recent im/migration to Canada linked to unmet health needs among sex workers in Vancouver, Canada: Findings of a longitudinal study

Unmet needs of informal carers of the oldest old in Portugal

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