ArticleBMC health services research2006
Assessment of health care needs and utilization in a mixed public-private system: the case of the Athens area.
Article in BMC health services research, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
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Who cites it
38 citing papers in PubMed.
- Article
- Article
- Determinants of Access to Health Care Among Women in East African Countries: A Multilevel Analysis of Recent Demographic and Health Surveys from 2008 to 2017.Risk management and healthcare policy · 2020Article
- Health-related quality of life in adult population before and after the onset of financial crisis: the case of Athens, Greece.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019Article
- Hospitalization Services Utilization Between Permanent and Migrant Females in Underdeveloped Rural Regions and Contributing Factors-A Five-Time Data Collection and Analysis.International journal of environmental research and public health · 2019Article
- Health services utilisation and responsiveness profiles in Iran: a provincial household study.Family medicine and community health · 2019Article
- Health services utilization among slum dwellers: An experience from Iran.Journal of education and health promotion · 2019Article
- Self-rated Health Among Saudi Women: Association with Morbidity, Lifestyle, and Psychosocial Factors.Journal of epidemiology and global health · 2018Article
- Social determinants of self-rated health among Japanese mothers of children with disabilities.Preventive medicine reports · 2018Article
- Do private hospitals outperform public hospitals regarding efficiency, accessibility, and quality of care in the European Union? A literature review.The International journal of health planning and management · 2018Review
- Inequalities in the utilization of health care services in a transition European country: results from the national population health survey.International journal of public health · 2018Article
- Equity in health care: An urban and rural, and gender perspective; the Suriname Health Study.AIMS public health · 2018Article
- The effect on the patient flow in a local health care after implementing reverse triage in a primary care emergency department: a longitudinal follow-up study.Scandinavian journal of primary health care · 2017Observational
- What limits the utilization of health services among china labor force? analysis of inequalities in demographic, socio-economic and health status.International journal for equity in health · 2017Article
- SOCIO-DEMOGRAPHIC AND LIFESTYLE CORRELATES OF SELF-PERCEIVED HEALTH STATUS IN A POPULATION-BASED SAMPLE OF ALBANIAN ADULT MEN AND WOMEN.Materia socio-medica · 2016Article
- Factors Affecting Health Care Utilization in Tehran.Global journal of health science · 2015Article
- The long walk to universal health coverage: patterns of inequities in the use of primary healthcare services in Enugu, Southeast Nigeria.BMC health services research · 2014Article
- Public assessment of key performance indicators of healthcare in a Canadian province: the effect of age and chronic health problems.SpringerPlus · 2014Article
- Equity in GP and specialist contacts by older persons in Belgium.International journal of public health · 2013Article
- Assessment of perceived health status among primary care patients in Southern Italy: findings from a cross-sectional survey.Health and quality of life outcomes · 2013Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGiven the public-private mix of the Greek health system, the purpose of this study was to assess whether variations in the utilisation of health services, both primary and inpatient care, were associated with underlying health care needs and/or various socio-economic factors.
methodsData was obtained from a representative sample (N = 1426) residing in the broader Athens area (response rate 70.6%). Perceived health-related quality of life (HRQOL), as measured by the physical and mental summary component scores of the SF-36 Health Survey, was used as a proxy of health care need. Health care utilization was measured by a) last-month visits to public sector physicians, b) last-month visits to private sector physicians, c) last-year visits to hospital emergency departments and d) last-year hospital admissions. Statistical analysis involved the implementation of logistic regression models.
resultsHealth care need was the factor most strongly associated with all measures of health care utilization, except for visits to public physicians. Women, elderly, less wealthy and individuals of lower physical health status visited physicians contracted to their insurance fund (public sector). Women, well educated and those once again of lower physical health status were more likely to visit private providers. Visits to hospital emergency departments and hospital admissions were related to need and no socio-economic factor was related to the use of those types of care.
conclusionThis study has demonstrated a positive relationship between health care need and utilisation of health services within a mixed public-private health care system. Concurrently, interesting differences are evident in the utilization of various types of services. The results have potential implications in health policy-making and particularly in the proper allocation of scarce health resources.
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