Evidence map›Paper›PMID 35459253›Full record

ArticleInternational journal for equity in health2022

Identifying health care access barriers in southern rural Ecuador.

Anthony Brusnahan, Majo Carrasco-Tenezaca, Benjamin R Bates, Rosellen Roche, Mario J Grijalva

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal for equity in health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
5.3field-weighted citation impact, top 5% of its field
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

11 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

5 authors at 4 institutions in 2 countries.

Anthony BrusnahanInfectious and Tropical Disease Institute, Department of Biomedical Sciences, Heritage College of Osteopathic Medicine 204 Grosvenor Hall, Ohio University, Athens, OH, 45701, USA.
Majo Carrasco-TenezacaInfectious and Tropical Disease Institute, Department of Biomedical Sciences, Heritage College of Osteopathic Medicine 204 Grosvenor Hall, Ohio University, Athens, OH, 45701, USA.
Benjamin R BatesInfectious and Tropical Disease Institute, Department of Biomedical Sciences, Heritage College of Osteopathic Medicine 204 Grosvenor Hall, Ohio University, Athens, OH, 45701, USA.
Rosellen RocheInfectious and Tropical Disease Institute, Department of Biomedical Sciences, Heritage College of Osteopathic Medicine 204 Grosvenor Hall, Ohio University, Athens, OH, 45701, USA.
Mario J GrijalvaInfectious and Tropical Disease Institute, Department of Biomedical Sciences, Heritage College of Osteopathic Medicine 204 Grosvenor Hall, Ohio University, Athens, OH, 45701, USA. grijalva@ohio.edu.ORCID 0000-0003-1964-1425
Pontificia Universidad Católica del Ecuador · ECOhio University · USOsteopathic Heritage Foundation · USScripps College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to professional health care providers in Loja Province, Ecuador can be difficult for many citizens. The Health Care Access Barrier Model (HCAB) was established to provide a framework for classification, analysis, and reporting of modifiable health care access barriers. This study uses the HCAB Model to identify barriers and themes impacting access to health care access in southern rural Ecuador.

methodsThe research team interviewed 22 participants and completed 15 participant observation studies in the study area. Interviews and a single focus group session of artisans were recorded and transcribed from Spanish to English, and thematic analysis was performed.

resultsThe thematic analysis found financial, structural, and cognitive health care access barriers. Cost of medications, transportation, missed responsibilities at work and home, difficulty scheduling appointments, and misconceptions in health literacy were the predominant themes contributing to health care access. These pressure points provide insight on where actions may be taken to alleviate access barriers.

conclusionModifiable health care access barriers outlined in the HCAB are evident in the study area. Further research and implementation of programs to resolve these barriers, such as the creation of health care subcenters and/or mobile clinic, insurance coverage of specialized care, increasing availability and accessibility to affordable transportation, improving roadways, introduction of a 24/7 call center to schedule medical visits, monetary incentive for primary care physicians to practice in rural and underserved areas, provision of affordable work equipment, and emphasizing the improvement of health care literacy through education, may diminish current barriers, identify additional barriers, and improve overall health in the rural area of Loja, Ecuador and similar rural regions around the world.

Indexed as

Health Services AccessibilityRural PopulationEcuadorFocus GroupsHumansMobile Health UnitsAccess to health careCognitive barriersEcuadorFinancial barriersHealth care access barrier modelHealth literacyRural populationStructural barriersUnderserved population

Identifiers

PMID35459253
PMCPMC9027412
OpenAlexW4224213611

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.