ArticleHealth expectations : an international journal of public participation in health care and health policy2022
Identifying local barriers to access to healthcare services in Chile using a communitarian approach.
Article in Health expectations : an international journal of public participation in health care and health policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Prevalence and Impact of Urinary Incontinence on the Capacity and Performance of Chilean Women: A Secondary Analysis of the III Estudio Nacional de la Discapacidad en Chile National Survey.International urogynecology journal · 2026Article
- Comparative analysis of COVID-19 diagnoses and mortality among hospitalized indigenous and non-indigenous populations in Chile: 2020-2021.BMC public health · 2024Observational
- Identifying local barriers to access to healthcare services in Chile using a communitarian approach.Health expectations : an international journal of public participation in health care and health policy · 2022Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPrevious research has used proxy variables or a unique construct to quantify healthcare access. However, there is a need for a different model that can handle this multivariable problem. This study seeks to develop a way to measure access to the local healthcare system with higher local resolution.
methodsA new survey was developed based on communitarian claims, following a behavioural model and an ontological framework. The survey was used to identify local barriers to healthcare services and the local preferences for priority settings. The results were analysed using multiattribute utility functions and individual weights were assigned by a panel of experts. National and regional indexes of access to healthcare were developed.
resultsThe survey contained seven modules and 104 questions. It was conducted on 1885 participants at 42 rural and 231 urban locations in three regions of Chile. The total disutility of the identified barriers to healthcare access at the national level was low (0.1448; values ranged between 0 and 1, with 1 representing a higher barrier) and was higher in the northern region (0.1467). The barriers associated with the health-policy component showed the highest disutility value, and specific barriers for each community were identified.
conclusionsThese results have the potential to improve health decision-making in Chile and can be used to assess the impacts of new health policy reforms. Although this model was tested in Chile, it can be adapted for use in any other country. PATIENT OR PUBLIC CONTRIBUTION: Participants contributed to this study by completing a survey, participating in general talks and receiving brochures with the results obtained from this study.
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