114 lines
3.8 KiB
YAML
114 lines
3.8 KiB
YAML
abstract: 'Background: Evidence suggests that there is a link between inequitable
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access to healthcare and inequitable distribution of illness. A recent
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World Health Organization report stated that there is a need for
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research and policy to address the critical role of health services in
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reducing inequities and preventing future inequities. The aim of this
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manuscript is to highlight disparities and differences in terms of the
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factors that distinguish between poor and good access to healthcare
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across six Asia-Pacific countries: Australia, Hong Kong, Japan, South
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Korea, Taiwan, and Thailand.
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Methods: A population survey was undertaken in each country. This paper
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is a secondary analysis of these existing data. Data were collected in
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each country between 2009 and 2010. Four variables related to
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difficulties in access to healthcare (distance, appointment, waiting
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time, and cost) were analysed using binomial logistic regression to
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identify socio- and demographic predictors of inequity.
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Results: Consistent across the findings, poor health and low income were
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identified as difficulties in access. Country specific indicators were
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also identified. For Thailand, the poorest level of access appears to be
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for respondents who work within the household whereas in Taiwan,
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part-time work is associated with difficulties in access. Within Hong
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Kong, results suggest that older (above 60) and retired individuals have
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the poorest access and within Australia, females and married individuals
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are the worst off.
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Conclusion: Recognition of these inequities, from a policy perspective,
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is essential for health sector policy decision-making. Despite the
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differences in political and economic climate in the countries under
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analysis, our findings highlight patterns of inequity which require
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policy responses. Our data should be used as a means of deciding the
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most appropriate policy response for each country which includes, rather
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than excludes, socially marginalised population groups. These findings
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should be of interest to those involved in health policy, but also in
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policy more generally because as we have identified, access to health
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care is influenced by determinants outside of the health system.'
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affiliation: 'Meyer, SB (Corresponding Author), Flinders Univ S Australia, Discipline
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Publ Hlth, Sturt Rd, Bedford Pk, SA 5042, Australia.
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Meyer, Samantha B.; Luong, Tini C. N.; Mamerow, Loreen; Ward, Paul R., Flinders
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Univ S Australia, Discipline Publ Hlth, Bedford Pk, SA 5042, Australia.'
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article-number: '238'
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author: Meyer, Samantha B. and Luong, Tini C. N. and Mamerow, Loreen and Ward, Paul
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R.
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author-email: samantha.meyer@flinders.edu.au
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author_list:
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- family: Meyer
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given: Samantha B.
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- family: Luong
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given: Tini C. N.
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- family: Mamerow
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given: Loreen
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- family: Ward
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given: Paul R.
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da: '2023-09-28'
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doi: 10.1186/1472-6963-13-238
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files: []
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issn: 1472-6963
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journal: BMC HEALTH SERVICES RESEARCH
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keywords: Equity; Access; Healthcare; Asia; Pacific; Social determinants; Policy
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keywords-plus: 'CROSS-SECTIONAL ANALYSIS; PRESCRIBING RATES; SOUTH-AUSTRALIA; EQUITY;
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CANCER; SERVICES; PARTICIPATION; INEQUALITIES; ASSOCIATION; POPULATION'
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language: English
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month: JUL 1
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number-of-cited-references: '77'
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orcid-numbers: 'Tisdall, Loreen/0000-0001-6303-6148
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Ward, Paul/0000-0002-5559-9714'
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papis_id: 0b2b3b580abfd6527f257eb3716427f7
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ref: Meyer2013inequitiesaccess
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researcherid-numbers: 'Ward, Paul R/A-1368-2008
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'
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times-cited: '29'
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title: 'Inequities in access to healthcare: analysis of national survey data across
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six Asia-Pacific countries'
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type: Article
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unique-id: WOS:000322757700001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '21'
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volume: '13'
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web-of-science-categories: Health Care Sciences \& Services
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year: '2013'
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