PNS40 Socioeconomic Factors and Insurance Coverage As Predictors of Access to Healthcare Among Women in Ethiopia

2021 ◽  
Vol 24 ◽  
pp. S179
Author(s):  
E.E. Ali ◽  
G. Asmamaw
Keyword(s):  
Socioeconomic Factors ◽  
Insurance Coverage ◽  
Access To Healthcare

Socioeconomic factors associated with limb salvage versus amputation for adult extremity bone sarcomas in patients with insurance coverage

2021 ◽  
pp. 101664
Author(s):  
Matthew T. Houdek ◽  
Michael B. Stuart ◽  
Elizabeth P. Wellings ◽  
Eric R. Wagner ◽  
Dennis Asante ◽  
...  
Keyword(s):  
Socioeconomic Factors ◽  
Limb Salvage ◽  
Insurance Coverage ◽  
Factors Associated ◽  
Bone Sarcomas

scholarly journals Gender and access to healthcare in Greece

2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Niki Kalavrezou
Keyword(s):  
Health System ◽  
Socioeconomic Factors ◽  
National Health ◽  
National Health System ◽  
Access To Healthcare ◽  
Healthcare Sector ◽  
Men And Women

<p>Access to the healthcare sector can<br />be mediated by a signifi cant number<br />of socioeconomic factors, giving rise<br />to inequalities among different social<br />groups. Gender consists one of the abovementioned<br />socioeconomic factors, with<br />women generally considered to be in less<br />advantaged position than men regarding this<br />particular issue. In this article we examine<br />the fi nancial, cultural and geographical<br />inequalities in access to healthcare between<br />men and women in Greece. We argue<br />that the signifi cant problems faced by the<br />National Health System in Greece are<br />refl ected, among other things, in the intense<br />presence of gender-related inequalities in<br />access to healthcare. The problem is further<br />intensifi ed by the absence of administrative<br />provisions and of a comprehensive policy of<br />dealing with this particular issue.</p>

scholarly journals Counties with Lower Insurance Coverage and Housing Problems Are Associated with Both Slower Vaccine Rollout and Higher COVID-19 Incidence

Vaccines ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 973
Author(s):  
Gregory Donadio ◽  
Mayank Choudhary ◽  
Emily Lindemer ◽  
Colin Pawlowski ◽  
Venky Soundararajan
Keyword(s):  
Socioeconomic Factors ◽  
Insurance Coverage ◽  
Vaccination Rate ◽  
Incidence Rates ◽  
P Value ◽  
Strongly Correlated ◽  
Marginalized Communities ◽  
Vaccination Rates ◽  
Using Data ◽  
The Impact

Equitable vaccination distribution is a priority for outcompeting the transmission of COVID-19. Here, the impact of demographic, socioeconomic, and environmental factors on county-level vaccination rates and COVID-19 incidence changes is assessed. In particular, using data from 3142 US counties with over 328 million individuals, correlations were computed between cumulative vaccination rate and change in COVID-19 incidence from 1 December 2020 to 6 June 2021, with 44 different demographic, environmental, and socioeconomic factors. This correlation analysis was also performed using multivariate linear regression to adjust for age as a potential confounding variable. These correlation analyses demonstrated that counties with high levels of uninsured individuals have significantly lower COVID-19 vaccination rates (Spearman correlation: −0.460, p-value: <0.001). In addition, severe housing problems and high housing costs were strongly correlated with increased COVID-19 incidence (Spearman correlations: 0.335, 0.314, p-values: <0.001, <0.001). This study shows that socioeconomic factors are strongly correlated to both COVID-19 vaccination rates and incidence rates, underscoring the need to improve COVID-19 vaccination campaigns in marginalized communities.

The Impacts of Health Insurance Coverage on Access to Healthcare in Children Entering Kindergarten

2013 ◽  
Vol 18 (7) ◽  
pp. 1753-1764 ◽  
Author(s):  
Amanda Haboush-Deloye ◽  
Spencer Hensley ◽  
Masaru Teramoto ◽  
Tara Phebus ◽  
Denise Tanata-Ashby
Keyword(s):  
Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Access To Healthcare

scholarly journals Inequality in healthcare use among older people in Colombia

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Jorge Garcia-Ramirez ◽  
Zlatko Nikoloski ◽  
Elias Mossialos
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Healthcare Utilization ◽  
Insurance Coverage ◽  
Wealth Quintile ◽  
The Elderly ◽  
Health Insurance Coverage ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
Healthcare Use

Abstract Background Since the early 1990s, Colombia has made great strides in extending healthcare coverage to its population. In order to measure the impact of these efforts, it is important to assess whether the introduction of universal health coverage has translated into equitable access to healthcare in the country, particularly for the elderly. Thus, in this study we assessed the inequality in utilization of health services among elderly patients in Colombia. In addition, we identified the determinants of healthcare utilization. Methods We analyzed the 2015 Colombian health, well-being and aging study (SABE). To classify determinants of healthcare use into predisposing, enabling and need factors, we employed the Anderson framework of healthcare utilization. Use of outpatient, inpatient and preventive health services constituted the dependent variables. We performed multivariate logistic regressions, estimated concentration indexes (CI) and performed decomposition analyses of the CIs to determine the contribution of various determinants to inequality of healthcare utilization. Results The study sample included 23,694 adults over 60-years-old. Wealth quintile, urban dwelling, health insurance type and multimorbidity predicted the utilization of all types of healthcare services except for hospitalization. Aside from inpatient care, pro-rich inequality in utilization of healthcare services was present. Wealth quintile and type of health insurance were the largest contributors to pro-rich inequality in use of preventive services. Conclusions While there has been progress in health insurance coverage for the elderly in Colombia, there are still equality challenges in the delivery of healthcare, especially for preventive and outpatient care. These inequalities are driven by individual characteristics such as wealth, urban residence, type of health insurance carried, and presence of multimorbidity. To address this issue, the Colombian health system should extend health insurance coverage to uninsured populations, as well as reduce barriers of access to healthcare services among poorest and the rural population receiving subsidized insurance.

Insurance coverage and access to healthcare in the Baltimore Pediatric Eye Disease Study

2013 ◽  
Vol 17 (1) ◽  
pp. e19
Author(s):  
Kathryn S. Klein ◽  
Joanne Katz ◽  
James M. Tielsch ◽  
David S. Friedman ◽  
Michael X. Repka
Keyword(s):  
Insurance Coverage ◽  
Access To Healthcare ◽  
Eye Disease ◽  
Disease Study

scholarly journals Changes in Perceived Accessibility to Healthcare from the Elderly between 2005 and 2014 in China: An Oaxaca–Blinder Decomposition Analysis

2019 ◽  
Vol 16 (20) ◽  
pp. 3824 ◽  
Author(s):  
Zhang ◽  
Liu ◽  
Liu
Keyword(s):  
Insurance Coverage ◽  
Decomposition Analysis ◽  
The Elderly ◽  
Access To Healthcare ◽  
Lower Income ◽  
Enabling Factors ◽  
Explanatory Variables ◽  
Healthy Longevity ◽  
Policy Interventions ◽  
Over Time

Elderly people are characterized with high needs for healthcare, accompanied by high barriers in access to healthcare. This study aimed to identify temporal changes in access to healthcare and determinants of such changes from the elderly in China, over the period between 2005 and 2014. Two waves (2005 and 2014) of data were extracted from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), measuring changes in perceived accessibility to healthcare when needed by the elderly (≥65 years). The effects of the explanatory variables (need, predisposing and enabling factors) on the changes were divided into two components using the Oaxaca–Blinder decomposition method: (1) the endowment portion as a result of distribution differences of the explanatory variables and (2) the coefficient portion as a result of differential responses of the dependent variable to the explanatory variables. Perceived accessibility to healthcare from the elderly increased from 89.6% in 2005 to 96.7% in 2014. The coefficient portion (82%) contributed more to the change than the endowment portion (63%) after adjustments for a negative interaction effect (−45%) between the two. Lower perceived accessibility was associated with older age, lower income, lower affordability of daily expenses and lower insurance coverage. But the coefficient effects suggested that their impacts on perceived accessibility to healthcare declined over time. By contrast, the impacts of gender and out-of-pocket payment ratio for medical care on perceived accessibility to healthcare increased over time. Perceived accessibility to healthcare from the elderly improved between 2005 and 2014. Gender gaps are closing. But the increased effect of out-of-pocket medical payments on perceived accessibility to healthcare deserves further investigation and policy interventions.

scholarly journals Forgoing healthcare during the COVID-19 pandemic in Geneva, Switzerland – a cross-sectional population-based study

2021 ◽  
Author(s):  
Lakshmi Krishna Menon ◽  
Viviane Richard ◽  
Carlos de Mestral ◽  
Helene Baysson ◽  
Ania Wisniak ◽  
...  
Keyword(s):  
Adult Population ◽  
Insurance Coverage ◽  
Healthcare Providers ◽  
Health Insurance Coverage ◽  
Population Based ◽  
Access To Healthcare ◽  
Poor Health ◽  
List Type ◽  
Cross Sectional ◽  
Logistic Regression Models

AbstractBackgroundHealth systems around the world continue to navigate through operational challenges surfaced by the COVID-19 pandemic; these have implications for access to healthcare. In this study, we estimate the prevalence and reasons for forgoing healthcare during the pandemic in Geneva, Switzerland; a country with a universal and mandatory private health insurance coverage.MethodsParticipants from a randomly selected population-based sample of the adult population living in the Canton of Geneva completed an online socio-demographic and lifestyle questionnaire between November 2020 and January 2021. The prevalence and reasons for forgoing healthcare since the beginning of the COVID-19 pandemic were examined descriptively, and logistic regression models were used to assess determinants for forgoing healthcare.ResultsThe study included 5,397 participants, among which 8.0% reported having forgone healthcare since the beginning of the COVID-19 pandemic; participants with a disadvantaged financial situation (OR=2.04; 95% CI: 1.56-2.65), and those reporting an average (OR=2.55; 95% CI: 1.94-3.32) or poor health (OR=4.40; 95% CI: 2.40-7.68) were more likely to forgo healthcare. The most common reasons to forgo healthcare were appointment cancellations by healthcare providers (53.9%), fear of infection (35.3%), and personal organizational issues (11.1%).ConclusionOur paper highlights the effects of the COVID-19 pandemic on access to healthcare and identifies population sub-groups at-risk for forgoing healthcare. These results necessitate public health efforts to ensure equitable and accessible healthcare as the COVID-19 pandemic continues.Highlights8% of the Geneva, Switzerland, adults renounced healthcare in the COVID-19 pandemicMain forgoing healthcare reasons are appointment cancellation and fear of infectionUnderprivileged participants with poor health are more likely to forgo healthcare

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