Evidence map›Paper›PMID 41354814›Full record

ArticleBMC health services research2025

Factors influencing healthcare access among older adults in Southeast Asia: a scoping review guided by the levesque framework.

Abhijith A Kumar, Anu Mohan, K Rakshitha, Priyobrat Rajkhowa, Teddy Andrews Jaihind Jothikaran, Lena Ashok, Asha Kamath

Abstract readScoping Review
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

7 authors.

Abhijith A Kumar *Department of Applied Statistics and Data Science, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India.ORCID https://orcid.org/0009-0000-0269-7364
Anu Mohan *Department of Social and Health Innovation, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India.ORCID https://orcid.org/0009-0008-4764-7502
K RakshithaDepartment of Global Public Health Policy and Governance, Prasanna School of Public Health, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, 576104, India.ORCID https://orcid.org/0000-0002-2148-9015
Priyobrat RajkhowaDepartment of Global Public Health Policy and Governance, Prasanna School of Public Health, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, 576104, India. priyobratrajkhowa@gmail.com.ORCID https://orcid.org/0000-0003-4282-7885
Teddy Andrews Jaihind JothikaranDepartment of Social and Health Innovation, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India. teddy.andrews@manipal.edu.ORCID https://orcid.org/0000-0002-9995-1492
Lena AshokDepartment of Social and Health Innovation, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India.ORCID https://orcid.org/0000-0003-2441-3224
Asha KamathDepartment of Applied Statistics and Data Science, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India.ORCID https://orcid.org/0000-0003-0727-8067

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to healthcare among the aging population in the WHO Southeast Asia (WHO-SEARO) encounters several challenges, resulting in unmet healthcare needs in this region. These challenges are associated with adverse health outcomes, including the growing prevalence of multimorbidity (also referred to as multiple long-term conditions), and heightened economic and systemic burdens on healthcare infrastructures.

methodThis study aimed to identify factors influencing healthcare access among older individuals in the WHO-SEARO, adopting a Scoping review methodology based on the Arksey and O'Malley Framework (2005) and the Levesque conceptual framework for access to healthcare.

resultsMultiple databases, including Scopus, PubMed, Web of Science, and CINAHL, were screened, resulting in the identification and analysis of 39 articles. The findings highlight significant progress in healthcare access among older adults in WHO-SEARO. However, inadequate health information, heightened economic dependency and treatment cost, limited accessibility and social support, often impede optimal healthcare utilization among older adults.

conclusionSustained and improved healthcare access for older adults demands prioritising proactive policies, targeted aged care incentives and, decentralized programs targeting older adults across different socio-demographic milieus.

Indexed as

Health Services AccessibilityAgedAsia, SoutheasternHumansMaleSocial SupportHealth care accessHealthcare utilizationLevesque frameworkOlder adultsWHO-Southeast Asia

Identifiers

PMID41354814
PMCPMC12797660

What OpenQuestion holds

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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.