An investigation of the effect of accessibility to General Practitioner services on healthcare utilisation among older people

Mohan, Gretta; Nolan, Alexis; Lyons, Seán

doi:10.1016/j.socscimed.2018.11.028

Cited by 23 publications

(15 citation statements)

References 38 publications

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“…These involve methods, such as gravity models, that move beyond provider-to-population ratios to combine the dimensions of availability (level of supply) and accessibility (distance/time between patient location and healthcare supply), within the broader concept of access. Advances made in geocoding have facilitated this type of research in many countries, including Ireland (Mohan et al, 2019). Siegel et al (2016) used an 'improved gravity model' to examine spatial accessibility of a range of ambulatory and inpatient services in Germany.…”

Section: Measuring Geographic Equity In Supplymentioning

confidence: 99%

“…Layte et al, 2009;Teljeur et al, 2010Teljeur et al, , 2014. There has also been analysis of spatial accessibility in the supply of GPs in Ireland (Mohan et al, 2019;Teljeur et al, 2010;Morrissey et al, 2008) but to date extending this type of analysis to other non-acute healthcare services in Ireland is hindered by the absence of adequately geocoded data. Teljeur et al (2010) used a gravity model to examine the geographic distribution of GPs in Ireland taking account of the distribution of deprivation.…”

Section: Measuring Equity In Access In the Irish Contextmentioning

confidence: 99%

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Geographic profile of healthcare needs and non-acute healthcare supply in Ireland

Smith¹,

Walsh²,

Wren³

et al. 2019

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The mission of the Economic and Social Research Institute is to advance evidencebased policymaking that supports economic sustainability and social progress in Ireland. ESRI researchers apply the highest standards of academic excellence to challenges facing policymakers, focusing on 12 areas of critical importance to 21st Century Ireland.The Institute was founded in 1960 by a group of senior civil servants led by Dr T.K. Whitaker, who identified the need for independent and in-depth research analysis to provide a robust evidence base for policymaking in Ireland.Since then, the Institute has remained committed to independent research and its work is free of any expressed ideology or political position. The Institute publishes all research reaching the appropriate academic standard, irrespective of its findings or who funds the research.The quality of its research output is guaranteed by a rigorous peer review process. ESRI researchers are experts in their fields and are committed to producing work that meets the highest academic standards and practices.The work of the Institute is disseminated widely in books, journal articles and reports. ESRI publications are available to download, free of charge, from its website. Additionally, ESRI staff communicates research findings at regular conferences and seminars.The ESRI is a company limited by guarantee, answerable to its members and governed by a Council, comprising 14 members who represent a cross-section of ESRI members from academia, civil services, state agencies, businesses and civil society. The Institute receives an annual grant-in-aid from the Department of Public Expenditure and Reform to support the scientific and public interest elements of the Institute's activities; the grant accounted for an average of 30 per cent of the Institute's income over the lifetime of the last Research Strategy. The remaining funding comes from research programmes supported by government departments and agencies, public bodies and competitive research programmes.

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Section: Measuring Geographic Equity In Supplymentioning

confidence: 99%

Section: Measuring Equity In Access In the Irish Contextmentioning

confidence: 99%

Geographic profile of healthcare needs and non-acute healthcare supply in Ireland

Smith¹,

Walsh²,

Wren³

et al. 2019

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“…The most highly disputed issue in the studies is distance or appropriate location. Another important issue is that patients prefer physicians they can reach via their own transport or public transport vehicles [18][19][20]. Other factors are parking area [19,20] and transport fee [21,22].…”

Section: Discussionmentioning

confidence: 99%

Factors affecting the decision to change the family physician

Topak¹,

Demirci²

2019

fmpcr

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Background. Some studies on the decision of patients to choose their primary healthcare physician demonstrate that the ability to choose their physician is associated with increased patient satisfaction, confidence in the doctor and quality healthcare. Objectives. The study was aimed at evaluating factors effecting the decision to change the family physician. Material and methods. In the study, a questionnaire was used to examine the socio-demographic characteristics of the individuals, and the EUROPEP scale was used to measure the satisfaction with primary health services. Moreover, the Individual Innovativeness Scale was used in order to evaluate the innovativeness of individuals. Results. In people who apply to change their family physician, satisfaction with the previous family physician was found to be 69%. Distance (52.7%), education (25.8%) and gender (16%) were declared as the most important reasons to change the family physician. An individual's innovation seeking behavior did not affect on their decisions to change the physician. Conclusions. In the present study, patient satisfaction was lower than the results reported in previous studies. Distance, education and gender are at the forefront in family physician preference. Patients prioritize receiving service from trained family physicians. These issues should be taken into account while planning the future of family practice.

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“…Andersen's health care services utilization framework [25][26][27] is a useful and widely used framework for investigating health care service utilization by middle-aged and older adults [28][29][30].…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…Andersen’s health care services utilization framework [ 25 , 26 , 27 ] is a useful and widely used framework for investigating health care service utilization by middle-aged and older adults [ 28 , 29 , 30 ]. The aim of this theoretical framework is to discover potential factors that either impede or facilitate timely utilization of health services across populations through various individual, social, and contextual factors [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

Eye Examination Recency among African American Older Adults with Chronic Medical Conditions

et al. 2020

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Background: Pervasive racial and economic inequalities have a disproportionate impact on health care utilization among African Americans. One area where we see such disparities is in the recency of eye examinations among the economically disadvantaged. However, our current understanding of the barriers and facilitators of eye examinations in underserved African-American older adults is limited. Aims: Building on Andersen’s model of health service use and using an exploratory approach; we tested various demographic, social, and health factors that were associated with eye examination among underserved middle-aged and older adults in South Los Angeles. We examined predisposing characteristics, enabling factors, and need-for-care characteristics. Methods: With a cross-sectional design, we conducted this survey on a convenience sample of (n = 740) non-institutionalized African-American older adults who were 55+ years old and residing in South Los Angeles, CA, USA. Data were collected on demographic factors, continuity of care, access to care, self-rated health, chronic medical conditions, and depressive symptoms. The outcome was recency of eye examination. Multivariate regression was used for data analysis. Results: 59% of the participants had received at least one eye examination during the last 12 months. A total of 17% had an eye examination within the last two years. Notably, 26% of diabetic participants did not have an eye examination within the last two years. One out of four participants indicated that, within the last two years, no provider ever recommended that they receive an eye examination. Age, education, continuity of medical care, accessibility of medical care, satisfaction with medical care, providers’ recommendation for eye examination, self-rated health, and a diagnosis of hypertension and diabetes mellitus were predictors of eye examination recency. Overall, our analysis indicates that these enabling factors accounted for most of the variance in the recency of eye examinations. Conclusion: A large proportion of underserved African-American middle-aged and older adults in South Los Angeles do not comply with the recommended annual eye examination. This is, in part, because about one-third of them have not received an eye exam recommendation from their health care providers. However, a wide range of factors such as age, education, continuity of care, satisfaction with access, self-rated health, and a diagnosis of hypertension and diabetes mellitus, also influence whether or not African-American middle-aged and older adults receive an eye examination. Programs should address a wide range of multi-level factors to tackle this health inequality.

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An investigation of the effect of accessibility to General Practitioner services on healthcare utilisation among older people

Cited by 23 publications

References 38 publications

Geographic profile of healthcare needs and non-acute healthcare supply in Ireland

Geographic profile of healthcare needs and non-acute healthcare supply in Ireland

Factors affecting the decision to change the family physician

Eye Examination Recency among African American Older Adults with Chronic Medical Conditions

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