Identifying local barriers to access to healthcare services in Chile using a communitarian approach.
Introduction: Previous research has used proxy variables or a unique construct to quantify healthcare access. However, there is a need for a different model that can handle this multivariable problem. This study seeks to develop a way to measure access to the local healthcare system with higher loca...
| Publicado en: | Health Expectations Vol. 25; no. 1; pp. 254 - 264 |
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| Autores principales: | , |
| Formato: | equations & formulas research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=155283443&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155283443 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Feb2022 vid: 25 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 155283443 152875495 155283443 155283443 10.1111/hex.13371 155283443 ppf: 254 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Identifying local barriers to access to healthcare services in Chile using a communitarian approach. aug: au: Núñez, Alicia Manzano, Carlos A. affil: Department of Management Control and Information System, University of Chile, Santiago, Chile sug: subj: Health Services Accessibility Chile Community Health Services Consumer Participation Human Chile Surveys Conceptual Framework Rural Areas Urban Areas Health Policy Focus Groups Interviews Questionnaires Stratified Random Sample Analysis of Variance Data Analysis Software Health Resource Utilization Consumer Satisfaction Insurance Coverage ab: Introduction: Previous research has used proxy variables or a unique construct to quantify healthcare access. However, there is a need for a different model that can handle this multivariable problem. This study seeks to develop a way to measure access to the local healthcare system with higher local resolution. Methods: A new survey was developed based on communitarian claims, following a behavioural model and an ontological framework. The survey was used to identify local barriers to healthcare services and the local preferences for priority settings. The results were analysed using multiattribute utility functions and individual weights were assigned by a panel of experts. National and regional indexes of access to healthcare were developed. Results: The survey contained seven modules and 104 questions. It was conducted on 1885 participants at 42 rural and 231 urban locations in three regions of Chile. The total disutility of the identified barriers to healthcare access at the national level was low (0.1448; values ranged between 0 and 1, with 1 representing a higher barrier) and was higher in the northern region (0.1467). The barriers associated with the health‐policy component showed the highest disutility value, and specific barriers for each community were identified. Conclusions: These results have the potential to improve health decision‐making in Chile and can be used to assess the impacts of new health policy reforms. Although this model was tested in Chile, it can be adapted for use in any other country. Patient or Public Contribution: Participants contributed to this study by completing a survey, participating in general talks and receiving brochures with the results obtained from this study. pubtype: Academic Journal doctype: equations & formulas research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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