scholarly journals An analysis of perceived access to health care in Europe: How universal is universal coverage?

Health Policy ◽  
2015 ◽  
Vol 119 (9) ◽  
pp. 1133-1144 ◽  
Author(s):  
Jonathan Cylus ◽  
Irene Papanicolas
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Universal Coverage ◽  
Access To Health ◽  
Perceived Access

scholarly journals Perceptions of Health Care Use in Germany during the COVID-19 Pandemic

2020 ◽  
Vol 17 (24) ◽  
pp. 9351
Author(s):  
André Hajek ◽  
Freia De Bock ◽  
Lothar H. Wieler ◽  
Philipp Sprengholz ◽  
Benedikt Kretzler ◽  
...  
Keyword(s):  
Health Care ◽  
Regression Analysis ◽  
Medical Care ◽  
Access To Health Care ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
Health Care Use ◽  
Access To Health ◽  
Using Data ◽  
Perceived Access

This paper examined the determinants of perceived access to health care use during the COVID-19 pandemic in Germany using data from two waves (8 and 16) of the COVID-19 Snapshot Monitoring (COSMO). Descriptive and regression analysis were used. In wave 8, we found that about 60% of the individuals rather disagreed about having had problems accessing medical care. Furthermore, 73% of the individuals rather disagreed to having experienced health deteriorations due to restrictions on the availability of medical care. Moreover, 85% of the individuals were rather optimistic about future access to healthcare services. Overall, slightly better past and future access to healthcare services has been reported in wave 16. Several determinants were identified in regression analysis. In conclusion, data suggest that perceived past and future access to healthcare services during the COVID-19 pandemic is reasonably good.

scholarly journals Perceived Access to Health Care Services and Relevance of Telemedicine during the COVID-19 Pandemic in Germany

2021 ◽  
Vol 18 (14) ◽  
pp. 7661
Author(s):  
Lukas Reitzle ◽  
Christian Schmidt ◽  
Francesca Färber ◽  
Lena Huebl ◽  
Lothar Heinz Wieler ◽  
...  
Keyword(s):  
Health Care ◽  
General Practitioner ◽  
Medical Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Hospital Admissions ◽  
Cross Sectional ◽  
Access To Health ◽  
Perceived Access ◽  
The Impact

During the COVID-19 pandemic in Germany, non-pharmaceutical interventions were imposed to contain the spread of the virus. Based on cross-sectional waves in March, July and December 2020 of the COVID-19 Snapshot Monitoring (COSMO), the present study investigated the impact of the introduced measures on the perceived access to health care. Additionally, for the wave in December, treatment occasion as well as utilization and satisfaction regarding telemedicine were analysed. For 18–74-year-old participants requiring medical care, descriptive and logistic regression analyses were performed. During the less strict second lockdown in December, participants reported more frequently ensured access to health care (91.2%) compared to the first lockdown in March (86.8%), but less frequently compared to July (94.2%) during a period with only mild restrictions. In December, main treatment occasions of required medical appointments were check-up visits at the general practitioner (55.2%) and dentist (36.2%), followed by acute treatments at the general practitioner (25.6%) and dentist (19.0%), treatments at the physio-, ergo- or speech therapist (13.1%), psychotherapist (11.9%), and scheduled hospital admissions or surgeries (10.0%). Of the participants, 20.0% indicated utilization of telemedical (15.4% telephone, 7.6% video) consultations. Of them, 43.7% were satisfied with the service. In conclusion, for the majority of participants, access to medical care was ensured during the COVID-19 pandemic; however, access slightly decreased during phases of lockdown. Telemedicine complemented the access to medical appointments.

scholarly journals ADOLESCENTS' PERCEIVED ACCESS TO HEALTH CARE. † 20

1996 ◽  
Vol 39 ◽  
pp. 6-6 ◽  
Author(s):  
Jonathan D Klein ◽  
Luisa Scott ◽  
Marjorie Allan ◽  
Gabriel Maines ◽  
Andrea Jones
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Access To Health ◽  
Perceived Access

scholarly journals Access to health care among people with foreign background and the general population in Finland

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
H Kuusio ◽  
A Seppänen ◽  
E Lilja ◽  
T Vehko ◽  
S Jokela ◽  
...  
Keyword(s):  
Health Care ◽  
General Population ◽  
Access To Care ◽  
Marital Status ◽  
Access To Health Care ◽  
Language Skills ◽  
Perceived Health ◽  
Access To Health ◽  
Perceived Access

Abstract Background Prior studies suggest that people with foreign background (PFB) often face problems in access to health care, although access to care may vary between the different PFB groups. This study explores 1) the potential differences in perceived access to care between different PFB groups and the general population, and 2) if marital status, education, employment, self-perceived health, long-term illness, length of stay, age moved to Finland or language skills are associated with access to care among PFB. Methods The data were gathered from the cross-sectional survey on well-being among the PFB (FinMONIK), conducted in Finland 2018. Its random sample consisted of 12 877 persons, aged 18-64 years and the response rate was 53%. Three items were used to assess perceived access to care: I was able to contact the place of care smoothly, I was able to make an appointment without undue delay and I was examined without undue delay (e.g. laboratory tests, X-ray, ultrasound). Logistic regression was used to test which factors were associated with accesses to care, adjusted for age, sex and region. Results After controlling for age, sex and region, the results showed significant differences in access to care among different migrant groups and the general population (p < 0.001). Of those of Estonian background 37% felt that access to care was smooth while only 17% of those coming from Middle-East, and 26% of the general population. Employed persons, persons who had good self-perceived health, and people with no long-term illness, and those who had lived in Finland less than five years, had better access to health care. Marital status, education, language skills and age moved to Finland, were not associated with access to care. Conclusions Large inequities in access to care were identified among people with foreign background. Access to services seems to be better for employed persons and those who have good self-perceived health. Key messages Special attention should be given to improve access to care among non-employed migrants. Migrants should not be considered as a uniform group when planning services.

Adolescents' perceived access to health care

1996 ◽  
Vol 18 (2) ◽  
pp. 150
Author(s):  
Jonathan D. Klein ◽  
Lusia Scott ◽  
Marjorie Allan ◽  
Gabriel Maines ◽  
Andrea Jones
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Access To Health ◽  
Perceived Access

scholarly journals Assessment of Perceived Health Care Access in a Rural Community in Rizal: A Cross-sectional Study

2019 ◽  
Vol 1 (2) ◽  
pp. 100-109
Author(s):  
Kathyrine Calong Calong ◽  
Judalyn Comendador
Keyword(s):  
Health Care ◽  
Rural Community ◽  
Health Care Access ◽  
Access To Health Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Access ◽  
Access To Health ◽  
Perceived Access

Background: Access to health care is considered a basic right and integral to human life. However, this still remains a challenge especially in developing countries where the majority of the poor reside and suffer from a disproportionate amount of disease. The study determined the six key components of health care access: approachability, availability, accessibility, affordability, acceptability, and accommodation, as perceived by a rural community in Taytay, Rizal, Philippines. Methods: This descriptive-cross sectional study included a convenience sample of 62 participants. The Perceived Access to Health Care Instrument was utilized. Frequency, percentage, mean, standard deviation, and univariate linear regression were used to analyze the data. Results: The study revealed that health care access in terms of approachability was rated as good, whereas availability was rated as good, and accessibility was rated as fair. On the other hand, the affordability of health care services was rated as good, the acceptability was rated as good while the accommodation was rated as fair. It was also revealed that none of the demographic profiles significantly predicted the perceived access to health care Conclusion: Assessment of health care access is an important measure of health care equity and despite several factors previously shown to affect health care access, the results of this study showed that the participants have good access to health care in their community

scholarly journals Psychometric evaluation of the perceived access to health care questionnaire

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sara-Sadat Hoseini-Esfidarjani ◽  
Reza Negarandeh ◽  
Farzaneh Delavar ◽  
Leila Janani
Keyword(s):  
Health Care ◽  
Content Validity ◽  
Access To Health Care ◽  
Intraclass Correlation ◽  
Face Validity ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Initial Questionnaire ◽  
Access To Health ◽  
Perceived Access

Abstract Background and objective Access to health care is a universal concern. Therefore, this study was conducted to develop a questionnaire to assess the Perceived Access to Health care based on Penchansky and Thomas’s definition of access and the assessment of its psychometric properties. Method The initial questionnaire contains 31 items developed based on a deductive approach with an extensive review of the related literature. Content validity, face validity, construct validity, internal consistency, and instrument reliability were further examined. Data analysis was conducted using SPSS software version 24, R software version 4, and lavaan package. Results The initial questionnaire was examined using qualitative content validity, and the necessary modifications were applied to each item. The content validity ratio (CVR) was approved in 30 items with a value greater than 0.78, and one item with a CVR value lower than 0.78 was removed. In the case of the content validity index (CVI), 29 items were approved with a CVI value of greater than 0.79, and one item with a CVI value between 0.70 and 0.79 was revised. In qualitative face validity, all items were approved by a panel of experts and the participants. All 30 items with an impact score index higher than 1.5 were approved for the next steps. The confirmatory factor analysis results showed that the six-factor model of access to health care has an appropriate fit. Cronbach’s alpha coefficient for the questionnaire was calculated 0.86. The value of Cronbach’s alpha for the dimensions of availability, accessibility, affordability, accommodation, acceptability, and awareness were 0.61, 0.76, 0.66, 0.60, 0.80, and 0.76, respectively. The Intraclass Correlation Index (ICC) value for reliability (test-retest) of the whole instrument was calculated 0.94 using the two-way mixed absolute agreement method. Conclusion The success of health programs depends on eliminating barriers to access to provided health care services. One of the most critical barriers to understanding access is a perception of limited access. This questionnaire might be used further to understand perceived health care access in different global contexts.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

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