Equity of access to health care for older adults in four major Latin American cities La equidad del acceso de adultos mayores a la atención de salud en cuatro grandes ciudades latinoamericanas
OBJECTIVES: To identify if older adults have equitable access to health services in four major Latin American cities and to determine if the inequities that are found follow the patterns of economic inequality in each of the four nations studied. METHODS: Data from persons age 60 and over in the cit...
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Pan American Health Organization
2005
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ftdoajarticles:oai:doaj.org/article:0db41ac162a84cef93260d26b532095b 2023-05-15T15:19:21+02:00 Equity of access to health care for older adults in four major Latin American cities La equidad del acceso de adultos mayores a la atención de salud en cuatro grandes ciudades latinoamericanas Steven P. Wallace Verónica F. Gutiérrez 2005-06-01T00:00:00Z https://doaj.org/article/0db41ac162a84cef93260d26b532095b EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892005000500012 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/0db41ac162a84cef93260d26b532095b Revista Panamericana de Salud Pública, Vol 17, Iss 5-6, Pp 394-409 (2005) Anciano ancianos de 80 años y más servicios de salud para ancianos accesibilidad a los servicios de salud factores socioeconómicos política de salud América Latina Aged 80 and over health services for the aged health services accessibility socioeconomic factors health policy Latin America Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2005 ftdoajarticles 2022-12-31T06:29:54Z OBJECTIVES: To identify if older adults have equitable access to health services in four major Latin American cities and to determine if the inequities that are found follow the patterns of economic inequality in each of the four nations studied. METHODS: Data from persons age 60 and over in the cities of São Paulo, Brazil (n = 2 143); Santiago, Chile (n = 1 301); Mexico City, Mexico (n = 1 247); and Montevideo, Uruguay (n = 1 450) were collected through a collaboration led by the Pan American Health Organization. For our study, three process indicators of access (availability, accessibility, and acceptability) and one indicator of actual health services use (visit to a medical doctor in the past 12 months) were analyzed by wealth quintiles, health insurance type, education, health status, and demographic characteristics. RESULTS: Each of the four cities had a different level of access to care, and those levels of access were only weakly related to per capita national wealth. Given the relatively high level of wealth inequality in Brazil and the lower level in Uruguay, older persons in São Paulo had better-than-expected equity in access to care, while older persons in Montevideo had less equity than expected. Inequity in Mexico City was driven primarily by low levels of health insurance coverage. In Santiago, inequity followed socioeconomic status more than it did health insurance. CONCLUSIONS: In the four cities studied, health insurance and the operation of health systems mediate the link between economic inequality and inequitable access to health care. Therefore, special attention needs to be paid to equity of access in health services, independent of differences in economic inequality and national wealth. OBJETIVOS: Determinar si los adultos mayores tienen un acceso equitativo a los servicios de salud en cuatro grandes ciudades latinoamericanas y si las faltas de equidad observadas reflejan los patrones de desigualdad económica en cada uno de los países estudiados. MÉTODOS: Se obtuvieron datos de personas ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Uruguay |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Anciano ancianos de 80 años y más servicios de salud para ancianos accesibilidad a los servicios de salud factores socioeconómicos política de salud América Latina Aged 80 and over health services for the aged health services accessibility socioeconomic factors health policy Latin America Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Anciano ancianos de 80 años y más servicios de salud para ancianos accesibilidad a los servicios de salud factores socioeconómicos política de salud América Latina Aged 80 and over health services for the aged health services accessibility socioeconomic factors health policy Latin America Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Steven P. Wallace Verónica F. Gutiérrez Equity of access to health care for older adults in four major Latin American cities La equidad del acceso de adultos mayores a la atención de salud en cuatro grandes ciudades latinoamericanas |
topic_facet |
Anciano ancianos de 80 años y más servicios de salud para ancianos accesibilidad a los servicios de salud factores socioeconómicos política de salud América Latina Aged 80 and over health services for the aged health services accessibility socioeconomic factors health policy Latin America Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVES: To identify if older adults have equitable access to health services in four major Latin American cities and to determine if the inequities that are found follow the patterns of economic inequality in each of the four nations studied. METHODS: Data from persons age 60 and over in the cities of São Paulo, Brazil (n = 2 143); Santiago, Chile (n = 1 301); Mexico City, Mexico (n = 1 247); and Montevideo, Uruguay (n = 1 450) were collected through a collaboration led by the Pan American Health Organization. For our study, three process indicators of access (availability, accessibility, and acceptability) and one indicator of actual health services use (visit to a medical doctor in the past 12 months) were analyzed by wealth quintiles, health insurance type, education, health status, and demographic characteristics. RESULTS: Each of the four cities had a different level of access to care, and those levels of access were only weakly related to per capita national wealth. Given the relatively high level of wealth inequality in Brazil and the lower level in Uruguay, older persons in São Paulo had better-than-expected equity in access to care, while older persons in Montevideo had less equity than expected. Inequity in Mexico City was driven primarily by low levels of health insurance coverage. In Santiago, inequity followed socioeconomic status more than it did health insurance. CONCLUSIONS: In the four cities studied, health insurance and the operation of health systems mediate the link between economic inequality and inequitable access to health care. Therefore, special attention needs to be paid to equity of access in health services, independent of differences in economic inequality and national wealth. OBJETIVOS: Determinar si los adultos mayores tienen un acceso equitativo a los servicios de salud en cuatro grandes ciudades latinoamericanas y si las faltas de equidad observadas reflejan los patrones de desigualdad económica en cada uno de los países estudiados. MÉTODOS: Se obtuvieron datos de personas ... |
format |
Article in Journal/Newspaper |
author |
Steven P. Wallace Verónica F. Gutiérrez |
author_facet |
Steven P. Wallace Verónica F. Gutiérrez |
author_sort |
Steven P. Wallace |
title |
Equity of access to health care for older adults in four major Latin American cities La equidad del acceso de adultos mayores a la atención de salud en cuatro grandes ciudades latinoamericanas |
title_short |
Equity of access to health care for older adults in four major Latin American cities La equidad del acceso de adultos mayores a la atención de salud en cuatro grandes ciudades latinoamericanas |
title_full |
Equity of access to health care for older adults in four major Latin American cities La equidad del acceso de adultos mayores a la atención de salud en cuatro grandes ciudades latinoamericanas |
title_fullStr |
Equity of access to health care for older adults in four major Latin American cities La equidad del acceso de adultos mayores a la atención de salud en cuatro grandes ciudades latinoamericanas |
title_full_unstemmed |
Equity of access to health care for older adults in four major Latin American cities La equidad del acceso de adultos mayores a la atención de salud en cuatro grandes ciudades latinoamericanas |
title_sort |
equity of access to health care for older adults in four major latin american cities la equidad del acceso de adultos mayores a la atención de salud en cuatro grandes ciudades latinoamericanas |
publisher |
Pan American Health Organization |
publishDate |
2005 |
url |
https://doaj.org/article/0db41ac162a84cef93260d26b532095b |
geographic |
Arctic Uruguay |
geographic_facet |
Arctic Uruguay |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 17, Iss 5-6, Pp 394-409 (2005) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892005000500012 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/0db41ac162a84cef93260d26b532095b |
_version_ |
1766349532320235520 |