ArticleBMJ open2021
Investigating unmet need for healthcare using the European Health Interview Survey: a cross-sectional survey study of Luxembourg.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Distribution, inequalities and associated factors of unmet medical needs among older adults: evidence from the national health service survey.BMC geriatrics · 2026Article
- Classifying Delayed Dental Care Using Machine Learning: A National Health Interview Survey Analysis.International dental journal · 2026Article
- Psychosocial and health-related determinants of self-reported unmet healthcare needs in Türkiye: evidence from a nation-wide survey.BMC health services research · 2026Article
- Unmet need for healthcare services among unemployed people - findings from a national survey in Finland.BMC health services research · 2025Article
- Therapy, Pills and Unmet Needs for Financial Reasons: Socioeconomic Inequalities and Inequities in Access to Mental Health Care in Spain 2014-2020.Applied health economics and health policy · 2025Article
- Unmet need for and barriers to receiving health care and social welfare services in Finland.Scandinavian journal of public health · 2025Article
- Health systems performance in health outcomes, health financing and COVID-19 pandemic: Lessons from 31 countries.PloS one · 2025Article
- Unmet health care needs among the working-age population: Evidence from the Great Recession in Spain (2008-2012).Anales del sistema sanitario de Navarra · 2024Article
- Self-medication among general population in the European Union: prevalence and associated factors.European journal of epidemiology · 2024Article
- Social disparities in access and quality of consultation in outpatient care in Germany.BMC primary care · 2024Article
- Article
- Characteristics of employment history and self-perceived barriers to healthcare access.European journal of public health · 2023Article
- Reconsidering the Use of Population Health Surveys for Monitoring of Mental Health.JMIR public health and surveillance · 2023Article
- Access to Healthcare and Health Literacy in Croatia: Empirical Investigation.Healthcare (Basel, Switzerland) · 2023Article
- Region of birth differences in healthcare navigation and optimisation: the interplay of racial discrimination and socioeconomic position.International journal for equity in health · 2022Article
- Inequality in Healthcare Utilization in Italy: How Important Are Barriers to Access?International journal of environmental research and public health · 2022Article
- Unmet healthcare needs in Southeastern Europe: a systematic review.The journal of medicine accessReview
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesWe investigate the prevalence of unmet need arising from wait times, distance/transportation and financial affordability using the European Health Interview Survey. We explore associations between individual characteristics and the probability of reporting unmet need.
designCross-sectional survey conducted between February and December 2014. SETTING AND
participants4004 members of the resident population in private households registered with the health insurance fund in Luxembourg aged 15 years and over. OUTCOME MEASURES: Six binary variables that measured unmet need arising from wait time, distance/transportation and affordability of medical, dental and mental healthcare and prescribed medicines among those who reported a need for care.
resultsThe most common barrier to access arose from wait times (32%) and the least common from distance/transportation (4%). Dental care (12%) was most often reported as unaffordable, followed by prescribed medicines (6%), medical (5%) and mental health (5%) care. Respondents who reported bad/very bad health were associated with a higher risk of unmet need compared with those with good/very good health (wait: OR 2.41, 95% CI 1.53 to 3.80, distance/transportation: OR 7.12, 95% CI 2.91 to 17.44, afford medical care: OR 5.35, 95% CI 2.39 to 11.95, afford dental care: OR 3.26, 95% CI 1.86 to 5.71, afford prescribed medicines: OR 2.22, 95% CI 1.04 to 4.71, afford mental healthcare: OR 3.58, 95% CI 1.25 to 10.30). Income between the fourth and fifth quintiles was associated with a lower risk of unmet need for dental care (OR 0.29, 95% CI 0.16 to 0.53), prescribed medicines (OR 0.38, 95% CI 0.17 to 0.82) and mental healthcare (OR 0.17, 95% CI 0.05 to 0.61) compared with income between the first and second quintiles.
conclusionsRecent and planned reforms to address waiting times and financial barriers to accessing healthcare may help to address unmet need. In addition, policy-makers should consider additional policies targeted at high-risk groups with poor health and low incomes.
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