Socioeconomic inequalities in access barriers to seeking health services in four Latin American countries
Objective. To present summary measures of socioeconomic inequalities in access barriers to health services in Colombia, El Salvador, Paraguay, and Peru. Methods. This cross-sectional study used data from nationally - representative household surveys in Colombia, El Salvador, Peru, and Paraguay to an...
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Pan American Health Organization
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Online Access: | https://doi.org/10.26633/RPSP.2020.11 https://doaj.org/article/b6ab8297ebf8443ea7ceba2ffd05a56d |
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ftdoajarticles:oai:doaj.org/article:b6ab8297ebf8443ea7ceba2ffd05a56d 2023-05-15T15:07:28+02:00 Socioeconomic inequalities in access barriers to seeking health services in four Latin American countries Natalia Houghton Ernesto Bascolo Amalia del Riego 2020-03-01T00:00:00Z https://doi.org/10.26633/RPSP.2020.11 https://doaj.org/article/b6ab8297ebf8443ea7ceba2ffd05a56d EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/51900 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2020.11 https://doaj.org/article/b6ab8297ebf8443ea7ceba2ffd05a56d Revista Panamericana de Salud Pública, Vol 44, Iss 11, Pp 1-9 (2020) health services accessibility socioeconomic gradient in health health care reform latin america colombia el salvador paraguay peru Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2020 ftdoajarticles https://doi.org/10.26633/RPSP.2020.11 2022-12-31T13:06:20Z Objective. To present summary measures of socioeconomic inequalities in access barriers to health services in Colombia, El Salvador, Paraguay, and Peru. Methods. This cross-sectional study used data from nationally - representative household surveys in Colombia, El Salvador, Peru, and Paraguay to analyze income-related inequalities in barriers to seeking health services. Households that reported having a health problem (disease/accident) and not seeking professional health care were considered to be facing access barriers. The measures of inequality were the slope index of inequality and relative index of inequality. Results. Inequality trends were mixed across the four countries. All showed improvement, but large inequality gaps persisted between the highest and lowest income quintiles, despite health care reforms. Relative inequality gaps were highest in Colombia (60%), followed by Paraguay (30%), Peru (20%), and El Salvador (20%). Conclusions. The effect of national policy initiatives on equity to accessing health services should be the object of future analysis. There is also a need for research on national and regional monitoring of access barriers and explanatory factors for why people do not seek care, even when having a health problem. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 44 1 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English Spanish Portuguese |
topic |
health services accessibility socioeconomic gradient in health health care reform latin america colombia el salvador paraguay peru Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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health services accessibility socioeconomic gradient in health health care reform latin america colombia el salvador paraguay peru Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Natalia Houghton Ernesto Bascolo Amalia del Riego Socioeconomic inequalities in access barriers to seeking health services in four Latin American countries |
topic_facet |
health services accessibility socioeconomic gradient in health health care reform latin america colombia el salvador paraguay peru Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. To present summary measures of socioeconomic inequalities in access barriers to health services in Colombia, El Salvador, Paraguay, and Peru. Methods. This cross-sectional study used data from nationally - representative household surveys in Colombia, El Salvador, Peru, and Paraguay to analyze income-related inequalities in barriers to seeking health services. Households that reported having a health problem (disease/accident) and not seeking professional health care were considered to be facing access barriers. The measures of inequality were the slope index of inequality and relative index of inequality. Results. Inequality trends were mixed across the four countries. All showed improvement, but large inequality gaps persisted between the highest and lowest income quintiles, despite health care reforms. Relative inequality gaps were highest in Colombia (60%), followed by Paraguay (30%), Peru (20%), and El Salvador (20%). Conclusions. The effect of national policy initiatives on equity to accessing health services should be the object of future analysis. There is also a need for research on national and regional monitoring of access barriers and explanatory factors for why people do not seek care, even when having a health problem. |
format |
Article in Journal/Newspaper |
author |
Natalia Houghton Ernesto Bascolo Amalia del Riego |
author_facet |
Natalia Houghton Ernesto Bascolo Amalia del Riego |
author_sort |
Natalia Houghton |
title |
Socioeconomic inequalities in access barriers to seeking health services in four Latin American countries |
title_short |
Socioeconomic inequalities in access barriers to seeking health services in four Latin American countries |
title_full |
Socioeconomic inequalities in access barriers to seeking health services in four Latin American countries |
title_fullStr |
Socioeconomic inequalities in access barriers to seeking health services in four Latin American countries |
title_full_unstemmed |
Socioeconomic inequalities in access barriers to seeking health services in four Latin American countries |
title_sort |
socioeconomic inequalities in access barriers to seeking health services in four latin american countries |
publisher |
Pan American Health Organization |
publishDate |
2020 |
url |
https://doi.org/10.26633/RPSP.2020.11 https://doaj.org/article/b6ab8297ebf8443ea7ceba2ffd05a56d |
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Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 44, Iss 11, Pp 1-9 (2020) |
op_relation |
https://iris.paho.org/handle/10665.2/51900 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2020.11 https://doaj.org/article/b6ab8297ebf8443ea7ceba2ffd05a56d |
op_doi |
https://doi.org/10.26633/RPSP.2020.11 |
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Revista Panamericana de Salud Pública |
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44 |
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