ArticleInternational journal of environmental research and public health2015
Access disparity and health inequality of the elderly: unmet needs and delayed healthcare.
Article in International journal of environmental research and public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Disability transitions and life expectancy: a national longitudinal study on social isolation and loneliness in China.Global health action · 2026Article
- The impact of physical activity on health inequality among older adults: evidence from China.BMC geriatrics · 2026Article
- The role of cardiovascular risk factors on educational and regional inequalities in mortality in Spain 2016-2022: An analysis using multiple causes of death.SSM - population health · 2026Article
- Insights from older adults in North Carolina: Understanding social determinants of health through focus groups.Journal of health equity · 2026Article
- Social Environmental Factors Associated with Depression Among Older Adults in Busan, South Korea: Based on the 2023 Korea Community Health Survey.Healthcare (Basel, Switzerland) · 2025Article
- Exploring palliative care access among older adults in Saudi Arabia: implications for nursing practice.BMC nursing · 2025Article
- Inspecting the "health poverty trap" mechanism: self-reinforcing effect and endogenous force.BMC public health · 2024Article
- Birth Cohort Colorectal Cancer (CRC): Implications for Research and Practice.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2024Review
- Out-of-pocket pharmaceutical expenditure and its determinants among Iranian households with elderly members: a double-hurdle model.Cost effectiveness and resource allocation : C/E · 2024Article
- Universal health coverage in the context of population ageing: catastrophic health expenditure and unmet need for healthcare.Health economics review · 2024Article
- Algorithmic fairness in artificial intelligence for medicine and healthcare.Nature biomedical engineering · 2023Review
- Identifying the Group Vulnerable to Unmet Medical Needs Due to Food Security: According to Children in the Household.Healthcare (Basel, Switzerland) · 2023Article
- How Well Did the Healthcare System Respond to the Healthcare Needs of Older People with and without Dementia during the COVID-19 Pandemic? The Perception of Healthcare Providers and Older People from the SI4CARE Project in the ADRION Region.Geriatrics (Basel, Switzerland) · 2023Article
- Factors Associated with the Delay in Seeing a Doctor: Evidence of Chinese Middle-Aged and Older Adults.Journal of multidisciplinary healthcare · 2023Article
- Visual impairment and falls among older adults and elderly: evidence from longitudinal study of ageing in India.BMC public health · 2022Article
- The association between healthcare needs, socioeconomic status, and life satisfaction from a Chinese rural population cohort, 2012-2018.Scientific reports · 2022Article
- Availability and Affordability of Primary Health Care Among Vulnerable Populations in Urban Kumasi Metropolis: Family Health Perspective.Health equity · 2022Article
- Barriers of health equity in the Iranian health system from the medical ethics viewpoint.Journal of medical ethics and history of medicine · 2022Article
- Analysis of variation in pre-procedural fasting duration for common inpatient gastrointestinal procedures.Translational gastroenterology and hepatology · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The purpose of this study is to investigate healthcare access disparity that will cause delayed and unmet healthcare needs for the elderly, and to examine health inequality and healthcare cost burden for the elderly. To produce clear policy applications, this study adapts a modified PRECEDE-PROCEED model for framing theoretical and experimental approaches. Data were collected from a large collection of the Community Tracking Study Household Survey 2003-2004 of the USA. Reliability and construct validity are examined for internal consistency and estimation of disparity and inequality are analyzed by using probit/ols regressions. The results show that predisposing factors (e.g., attitude, beliefs, and perception by socio-demographic differences) are negatively associated with delayed healthcare. A 10% increase in enabling factors (e.g., availability of health insurance coverage, and usual sources of healthcare providers) are significantly associated with a 1% increase in healthcare financing factors. In addition, information through a socio-economic network and support system has a 5% impact on an access disparity. Income, health status, and health inequality are exogenously determined. Designing and implementing easy healthcare accessibility (healthcare system) and healthcare financing methods, and developing a socio-economic support network (including public health information) are essential in reducing delayed healthcare and health inequality.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.