ArticleRevista panamericana de salud publica = Pan American journal of public health2020
Leveraging household survey data to measure barriers to health services access in the Americas.
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 20 papers.
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Who cites it
20 citing papers in PubMed.
- Problems in accessing healthcare among women in India: a district-level change analysis, 2016-2021.BMC public health · 2026Article
- Public-private mix in health systems and repercussions for health inequalities in Latin American countries: A scoping review protocol.PloS one · 2026Article
- [Fragmentation, heterogeneity, and challenges facing the Argentine healthcare system in the context of emerging ultraliberal reforms].Cadernos de saude publica · 2026Article
- Public-private configuration in health systems and inequalities in Latin America: a scoping review.Cadernos de saude publica · 2026Article
- Data on the use of traditional and complementary medicine, WHO Region of the Americas.Bulletin of the World Health Organization · 2025Article
- Socioeconomic and geographic disparities in psychiatric outcomes under Colombia's universal healthcare system.Psychological medicine · 2025Article
- Digital transformation to overcoming access barriers.Revista panamericana de salud publica = Pan American journal of public health · 2025Article
- Article
- To what extent did households in developing countries forgo needed healthcare during the COVID-19 pandemic? Repeated survey estimates from 25 countries in 2020 and 2021.BMJ public health · 2024Article
- Evaluating Access to Health Care in Mothers and Caregivers of Children under Five Years of Age in Rural Communities of Yucatán, Mexico.International journal of environmental research and public health · 2024Article
- Barriers to healthcare utilization among married women in Afghanistan: the role of asset ownership and women's autonomy.BMC public health · 2024Article
- The Pan American Health Organization: 120 years in the Americas hemisphere.Lancet regional health. Americas · 2023Article
- Inequalities in unmet need for health care services and medications in Brazil: a decomposition analysis.Lancet regional health. Americas · 2023Article
- Persistent inequalities in health care services utilisation in Brazil (1998-2019).International journal for equity in health · 2023Article
- Using mixed methods to understand and tackle barriers to accessing health services.Revista panamericana de salud publica = Pan American journal of public health · 2023Article
- Universal prenatal screening: a initiative from Guanajuato, Mexico to improve equity in perinatal healthcare.Frontiers in medicine · 2023Article
- Foregone healthcare during the COVID-19 pandemic: early survey estimates from 39 low- and middle-income countries.Health policy and planning · 2022Article
- [Barriers to access to health services for women and children in Latin AmericaBarreiras de acesso aos serviços de saúde para mulheres e crianças na América Latina].Revista panamericana de salud publica = Pan American journal of public health · 2022Article
- COVID-19 and inequities in the Americas: lessons learned and implications for essential health services.Revista panamericana de salud publica = Pan American journal of public health · 2021Article
- [Sustainable Development Goals: impact of lack of financial protection in health in Latin American and Caribbean countriesObjetivos de Desenvolvimento Sustentável: impacto da falta de proteção financeira em saúde nos países da América Latina e do Caribe].Revista panamericana de salud publica = Pan American journal of public health · 2021Article
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Funding
Abstract
objectiveTo identify advantages and challenges of using household survey data to measure access barriers to health services in the Americas and to report findings from most recent surveys.
methodsDescriptive cross-sectional study using data retrieved from publicly available nationally representative household surveys carried out in 27 countries of the Americas. Values for indicators of access barriers for forgone care were generated using available datasets and reports from the countries. Results were disaggregated by wealth quintiles according to income or asset-based wealth levels.
resultsMost surveys were similar in general approach and in the categories of their content. However, country-specific questionnaires varied by country, which hindered cross-country comparisons. On average, about one-third of people experienced multiple barriers to forgone appropriate care. There was great variability between countries in the experience of these barriers, although disparities were relatively consistent across countries. People in the poorest wealth quintile were more likely to experience barriers related to acceptability issues, financial and geographic access, and availability of resources.
conclusionsThe analysis indicates major inequalities by wealth status and uneven progress in multiple access barriers that hinder progress towards the goals of equity as part of the Sustainable Development Goals and universal health in the Americas. Access barriers were multiple, which highlights the need for integrated and multisectoral approaches to tackle them. Given the variability between instruments across countries, future efforts are needed to standardize questionnaires and improve data quality and availability for regional monitoring of access barriers.
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