2023-09-28 14:46:10 +00:00
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abstract: 'Background During the COVID-19 pandemic the utilization of health
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services has changed. People were living in a very different social,
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economic and epidemiological context. Unmet health care is expected to
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happen. The purposes of this work are i) to compare the differences
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between unmet care across countries, ii) to find the main factors which
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are associated with unmet health care, which includes giving up and
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postponing medical care, as well as denial of medical care provision by
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the health services, and iii) to determine if health systems''
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characteristics and government decisions on lockdown were related to
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unmet care. Methods We have used the most recent dataset collected by
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the SHARE-COVID Survey during the summer of 2020. These data cover all
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EU countries and are applied to people over 50. We have estimated a set
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of logistic regressions to explain unmet health care. Results The
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results indicate that women, people who are slightly younger, with
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higher education and income, who find it hard to make ends meet each
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month, and people with poorer health were more likely to experience
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unmet health care. We also found that in health systems with high
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out-of-pocket payments people are more likely to give up health care
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while in countries with previous high levels of unmet health needs this
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likelihood was the opposite; people in countries with a high number of
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beds per capita and with a Beveridge-type health system were reporting
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less postponement of health care. Conclusion Some policy measures may be
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suggested such as social and economic measures to mitigate loss of
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income, expansion of the points and forms of access to health care to
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improve utilisation.'
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affiliation: 'Tavares, AI (Corresponding Author), Lisbon Sch Econ \& Management, ISEG,
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Lisbon, Portugal.
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Tavares, AI (Corresponding Author), Univ Coimbra, Ctr Studies \& Res Hlth, CEISUC,
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Coimbra, Portugal.
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Tavares, Aida Isabel, Lisbon Sch Econ \& Management, ISEG, Lisbon, Portugal.
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Tavares, Aida Isabel, Univ Coimbra, Ctr Studies \& Res Hlth, CEISUC, Coimbra, Portugal.'
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article-number: '182'
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author: Tavares, Aida Isabel
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author-email: atavares@iseg.ulisboa.pt
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author_list:
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- family: Tavares
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given: Aida Isabel
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da: '2023-09-28'
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doi: 10.1186/s12913-022-07563-9
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eissn: 1472-6963
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files: []
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journal: BMC HEALTH SERVICES RESEARCH
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keywords: Unmet health care; COVID-19 pandemic; Europe; SHARE
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keywords-plus: INCOME-RELATED INEQUALITIES; MEDICAL-CARE; ACCESS; SERVICES
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language: English
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month: FEB 12
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number: '1'
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number-of-cited-references: '50'
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orcid-numbers: Tavares, AIsabel/0000-0003-3487-1202
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papis_id: 1e212d2531f569050d3d76d471f480cc
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ref: Tavares2022oldereuropeans
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researcherid-numbers: Tavares, AIsabel/HPG-6135-2023
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times-cited: '9'
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title: Older Europeans' experience of unmet health care during the COVID-19 pandemic
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(first wave)
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000754206300002
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usage-count-last-180-days: '1'
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usage-count-since-2013: '5'
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volume: '22'
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web-of-science-categories: Health Care Sciences \& Services
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year: '2022'
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