Evidence map›Paper›PMID 32821258›Full record

ArticleRevista panamericana de salud publica = Pan American journal of public health2020

Monitoring access barriers to health services in the Americas: a mapping of household surveys.

Natalia Houghton, Ernesto Bascolo, Amalia Del Riego

Abstract read
In one paragraph

Article in Revista panamericana de salud publica = Pan American journal of public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
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  3. Article
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  8. Using mixed methods to understand and tackle barriers to accessing health services.Revista panamericana de salud publica = Pan American journal of public health · 2023
    Article
  9. Content Validity of a Scale Designed to Measure the Access of Older Adults to Outpatient Health Services.International journal of environmental research and public health · 2022
    Article
  10. Article
  11. Article
  12. Leveraging household survey data to measure barriers to health services access in the Americas.Revista panamericana de salud publica = Pan American journal of public health · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Natalia HoughtonPan American Health Organization/World Health Organization Washington, DC United States of America Pan American Health Organization/World Health Organization, Washington, DC, United States of America.
Ernesto BascoloPan American Health Organization/World Health Organization Washington, DC United States of America Pan American Health Organization/World Health Organization, Washington, DC, United States of America.
Amalia Del RiegoPan American Health Organization/World Health Organization Washington, DC United States of America Pan American Health Organization/World Health Organization, Washington, DC, United States of America.

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectiveTo map the range of access barriers indicators for which data can be derived from household surveys in the Americas.

methodsA systematic mapping review study was conducted to identify access dimensions and indicators of access barriers for general health services already described in the literature; and identify whether data for those indicators could be derived from household surveys in the Americas and what was the methodology used in these surveys.

resultsThe study found 49 eligible surveys (287 datasets) from 31 countries in the Americas from which 23 measures of access barriers could be generated. These indicators measure self-reported access barriers for unmet healthcare needs through forgone care, as well as delayed care, unsatisfaction with care and experiences during health service provision. Multiple barriers could be identified, although there was marked heterogeneity in variables included and how barriers were measured.

conclusionsThis study identified tracer indicators that countries in the Americas could use to monitor the population that experience healthcare needs but fail to seek and obtain appropriate healthcare, and what the main barriers are. The surveys identified are well validated and allow the disaggregation of these indicators by equity stratifiers. Given the variability of the methodologies used in these surveys, comparability across countries could be limited. As such, their virtue lies in helping stakeholders compare levels of access barriers over time for a given country or a group of countries. Country buy-in will directly affect the extent to which access barriers data are collected, reported, and used.

Indexed as

AmericasHealth services accessibilitysustainable developmentuniversal health coverage

Identifiers

PMID32821258
PMCPMC7429929

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Registered trials

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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.