Evidence map›Paper›PMID 38245748›Full record

ArticleInternational journal for equity in health2024

Socioeconomic inequalities in the use of medical consultation services in Peru, 2019.

Renato Díaz-Ruiz, Rodrigo Vargas-Fernández, Carlos Rojas-Roque, Akram Hernández-Vásquez

Abstract read
In one paragraph

Article in International journal for equity in health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Short-Term Repeat Healthcare Visits and Area-Level Inequalities in a Primary Care-Centered Health System.International journal of environmental research and public health · 2026
    Article
  4. Trends and Factors Associated with the Non-Use of Formal Health Services in Peru, 2015-2024.International journal of environmental research and public health · 2026
    Article
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  12. Observational
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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

4 authors.

Renato Díaz-RuizUniversidad Científica del Sur, Lima, Peru. 100085200@cientifica.edu.pe.ORCID 0000-0002-3369-3881
Rodrigo Vargas-FernándezUniversidad Científica del Sur, Lima, Peru.ORCID 0000-0002-3310-8689
Carlos Rojas-RoqueUniversity of York, York, UK.ORCID 0000-0002-1474-1550
Akram Hernández-VásquezUniversidad Científica del Sur, Lima, Peru.ORCID 0000-0003-1431-2526

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocioeconomic inequalities in the population influence access to health services and constitute a challenge for health systems, especially in low- and middle-income countries. In Peru, an increase in the use of medical services has been estimated; however, the study of inequalities in the use of medical services is limited. Therefore, the objective of this research was to analyze and decompose socioeconomic inequalities in the use of medical consultation services in Peru.

methodsA cross-sectional analytical study was conducted using data from the National Household Survey 2019. The outcome variable was the use of a consultation attended by a physician in the last 4 weeks in persons who presented symptom or discomfort, illness, relapse of chronic disease and/or accident. Concentration curves and Erreygers concentration indices were used to determine socioeconomic inequalities, and a generalized linear regression model was used for the decomposition analysis of inequalities.

resultsA total of 52,715 persons were included in the study. The frequency of medical consultation was 25.4% (95% confidence interval: 24.8 - 26.1%). In the inequality analysis, it was found that the use of medical consultations was concentrated among the wealthiest individuals. The main contributing factors were having another type of health insurance (social health insurance [EsSalud], private health insurance, health provider, the Armed Forces, and the Police), residing in an urban area, belonging to the richest wealth quintile, having a chronic disease, and residing in the highlands of Peru.

conclusionsBased on our findings, government institutions seeking to achieve equitable access to health services should consider the main factors contributing to this inequality in the formulation of strategies to lessen the negative impact of inadequate disease control in the population.

Indexed as

Family CharacteristicsHealth Services AccessibilityChronic DiseaseCross-Sectional StudiesHumansPeruSocioeconomic FactorsAmbulatory careHealth servicesPeruSocioeconomic disparities in Health

Identifiers

PMID38245748
PMCPMC10800043

What OpenQuestion holds

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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.