Understanding how low-income communities gain access to healthcare services: A qualitative study in São Paulo, Brazil

Guimarães, Thiago André; Lucas, Karen; Timms, Paul

doi:10.1016/j.jth.2019.100658

Cited by 40 publications

(29 citation statements)

References 41 publications

(59 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Geographical exclusion occurs when a person's residence location prevents him/her from accessing transport services, or the transport system does not connect to the places that the person wants to access. People living in regions distant from CBD in monocentric cities or activities are more likely to be accessibility disadvantaged (Delbosc & Currie, 2011;Guimarães et al, 2019;Jaramillo et al, 2012). The low urban density is (Currie, 2010;Marquet et al, 2017;Pyrialakou et al, 2016).…”

Section: Accessibility As a Human Capability And The Trse Dimensionsmentioning

confidence: 99%

“…Also, the emergence of new mobility services may cause a lock-out of places (ex: sparsely populated and remote areas) where these services cannot be accessed due to nonoperability (Groth, 2019;Lucas, 2019). Other elements of the built environment, such as connectivity of streets and sidewalks, sidewalks, and bicycle paths infrastructure, may influence the ease of access (Guimarães et al, 2019;Ma et al, 2018;Oviedo & Sabogal, 2020).…”

Section: Accessibility As a Human Capability And The Trse Dimensionsmentioning

confidence: 99%

See 1 more Smart Citation

Understanding transport-related social exclusion through the lens of capabilities approach

Luz

Portugal

2021

Transport Reviews

View full text Add to dashboard Cite

Section: Accessibility As a Human Capability And The Trse Dimensionsmentioning

confidence: 99%

Section: Accessibility As a Human Capability And The Trse Dimensionsmentioning

confidence: 99%

Understanding transport-related social exclusion through the lens of capabilities approach

Luz

Portugal

2021

Transport Reviews

View full text Add to dashboard Cite

“…The greater concern of the low-income consumers may be due to less access to information from education, public and online media than medium-and high-income ones. Furthermore, low-income individuals are more afraid of getting sick because they have difficulty accessing and receiving quality healthcare services [39]. Otherwise, the medium-income consumers (>5-10 BMW) demonstrated a greater concern about health risks from UStreated foods than low-income ones.…”

Section: Effects Of Socioeconomic Characteristics and Frequency Of Consumption Of Industrialized Products On Consumers' Associationsmentioning

confidence: 99%

What Do Consumers Think About Foods Processed by Ultraviolet Radiation and Ultrasound?

Monteiro

Deliza

Mársico

et al. 2022

Foods

View full text Add to dashboard Cite

This study aimed to investigate Brazilian consumers’ perception concerning foods processed by ultraviolet (UV) radiation and ultrasound (US) and define consumer segments considering their socioeconomic characteristics and eating habits towards industrialized products through free word association tasks answered by 1004 participants via an online platform. UV- and US-treated foods were more frequently related to unfamiliar words/terms (21.51 and 36.95%) and negative associations (36.25 and 26.70%) than positive ones (29.89 and 24.20%), respectively. Unfamiliarity and health risk concerns were more reported for US-treated foods by women aged 18–25 and ≥46 with low income, and low and frequent industrialized products consumption, as well as for UV-treated foods by consumers ≤35 years old with low and medium income, and low and frequent industrialized products consumption. This indicates that more clear and trustworthy information is needed before introducing these products in the Brazilian market, mainly for potential target consumer groups identified in this study.

show abstract

“…Nevertheless, these supply ratios still contain some important limitations, because several variations in accessibility within bordering areas are ignored by these ratios. Based on these common ratios, this approach implies that all physicians are created as having equal access and that all communities have the same health needs, regardless of demographics and other conditions regarding access; however, in reality, they are impacted by several factors, such as barriers or conditions to travel, particularly for specific vulnerable populations [21,41,42]. Furthermore, when predefined units are large, most area-based measurements cannot reflect important factors for smaller units within the neighborhood, which may evaluate differences in access within the area [43,44].…”

Section: Introductionmentioning

confidence: 99%

Disparities in Healthcare Services and Spatial Assessments of Mobile Health Clinics in the Border Regions of Thailand

Sritart

Tuntiwong

Miyazaki

et al. 2021

IJERPH

View full text Add to dashboard Cite

Reducing the disparities in healthcare access is one of the important goals in healthcare services and is significant for national health. However, measuring the complexity of access in truly underserved areas is the critical step in designing and implementing healthcare policy to improve those services and to provide additional support. Even though there are methods and tools for modeling healthcare accessibility, the context of data is challenging to interpret at the local level for targeted program implementation due to its complexity. Therefore, the purpose of this study is to develop a concise and context-specific methodology for assessing disparities for a remote province in Thailand to assist in the development and expansion of the efficient use of additional mobile health clinics. We applied the geographic information system (GIS) methodology with the travel time-based approach to visualize and analyze the concealed information of spatial data in the finer analysis resolution of the study area, which was located in the border region of the country, Ubon Ratchathani, to identify the regional differences in healthcare allocation. Our results highlight the significantly inadequate level of accessibility to healthcare services in the regions. We found that over 253,000 of the population lived more than half an hour away from a hospital. Moreover, the relationships of the vulnerable residents and underserved regions across the province are underlined in the study and substantially discussed in terms of expansion of mobile health delivery to embrace the barrier of travel duration to reach healthcare facilities. Accordingly, this research study addresses regional disparities and provides valuable references for governmental authorities and health planners in healthcare strategy design and intervention to minimize the inequalities in healthcare services.

show abstract

Understanding how low-income communities gain access to healthcare services: A qualitative study in São Paulo, Brazil

Abstract: This is a repository copy of Understanding how low-income communities gain access to healthcare services: A qualitative study in São Paulo, Brazil.

Cited by 40 publications

References 41 publications

Understanding transport-related social exclusion through the lens of capabilities approach

Understanding transport-related social exclusion through the lens of capabilities approach

What Do Consumers Think About Foods Processed by Ultraviolet Radiation and Ultrasound?

Disparities in Healthcare Services and Spatial Assessments of Mobile Health Clinics in the Border Regions of Thailand

Contact Info

Product

Resources

About