Evidence map›Paper›PMID 34132244›Full record

ArticleAnales del sistema sanitario de Navarra2021

[Local perception of access to health services in rural areas. The case of the Navarrese Pyrenees].

E Sanz Tolosana, J Oliva Serrano

Abstract read
In one paragraph

Article in Anales del sistema sanitario de Navarra, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. [Rural relief].Atencion primaria · 2023
    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

2 authors.

E Sanz TolosanaI-COMMUNITAS. Institute for Advanced Social Research. Universidad Pública de Navarra. Pamplona. España.. elvira.sanz@unavarra.es.
J Oliva Serrano

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWhile there is a growing recognition of the inequities in health protection, the rural/urban disparity in access to health services is often ignored. Rural regions accumulate not only habitat effects (dispersion, population size) but also significant demographic imbalances (ageing) and obvious socio-economic disadvantages that define barriers to accessibility. This paper analyses local perceptions of access to health services in order to identify factors that facilitate and hinder continuous primary care and follow-up of referrals.

methodsQualitative study conducted in the valleys of Aezkoa, Salazar and Roncal (Navarre) between 2012 and 2016. Accessibility was analysed through seven dimensions: availability, geography, affordability, accommodation, timeliness, acceptability, and knowledge/awareness. A total of 21 in-depth interviews were carried out with experts (health care personnel), key informants (related to care and local development) and sociological profiles. The information collected was checked against a conceptual framework specifically designed to facilitate the evaluation of rural accessibility poli-cies.

resultsThe results showed the weight given to geo-graphy, the availability of services, as well as the aging sociological environment. Accessibility was defined as a function of time versus distance and the availability of mobility alternatives.

conclusionsIt is necessary to consider inclusive policies that address the particular features of rural populations and their territories. Ageing means a loss of general accessibility and influences demands for services. In rural and remote environments, people depend on private self-mobility as the main resource and strategy for access to health.

Indexed as

Health Services AccessibilityRural Health ServicesHealth ServicesHumansPerceptionQualitative ResearchRural Population

Identifiers

PMID34132244
PMCPMC10019552

What OpenQuestion holds

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LicenceCC BY-NC
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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.