Matches in SemOpenAlex for { <https://semopenalex.org/work/W4327590939> ?p ?o ?g. }
- W4327590939 abstract "Ensuring access to healthcare services is a key element to achieving the Sustainable Development Goal 3 of promoting healthy lives and well-being for all through Universal Health Coverage (UHC). However, in the context of low- and middle-income countries, most studies focused on financial protection measured through catastrophic health expenditures (CHE), or on health services utilization among specific populations exhibiting health needs (such as pregnancy or recent sickness).This study aims at building an individual score of perceived barriers to medical care (PBMC) in order to predict primary care utilization (or non-utilization). We estimate the score on six items: (1) knowing where to go, (2) getting permission, (3) having money, (4) distance to the facility, (5) finding transport, and (6) not wanting to go alone, using individual data from 1787 adult participants living in rural Senegal. We build the score via a stepwise descendent explanatory factor analysis (EFA), and assess its internal consistency. Finally, we assess the construct validity of the factor-based score by testing its association (univariate regressions) with a wide range of variables on determinants of healthcare-seeking, and evaluate its predictive validity for primary care utilization.EFA yields a one-dimensional score combining four items with a 0.7 Cronbach's alpha indicating good internal consistency. The score is strongly associated-p-values significant at the 5% level-with determinants of healthcare-seeking (including, but not limited to, sex, education, marital status, poverty, and distance to the health facility). Additionally, the score can predict non-utilization of primary care at the household level, utilization and non-utilization of primary care following an individual's episode of illness, and utilization of primary care during pregnancy and birth. These results are robust to the use of a different dataset.As a valid, sensitive, and easily documented individual-level indicator, the PBMC score can be a complement to regional or national level health services coverage to measure health services access and predict utilization. At the individual or household level, the PBMC score can also be combined with conventional metrics of financial risk protection such as CHE to comprehensively document deficits in, and progress towards UHC." @default.
- W4327590939 created "2023-03-17" @default.
- W4327590939 creator A5024763793 @default.
- W4327590939 creator A5073519621 @default.
- W4327590939 date "2023-03-16" @default.
- W4327590939 modified "2023-10-17" @default.
- W4327590939 title "Predicting health services utilization using a score of perceived barriers to medical care: evidence from rural Senegal" @default.
- W4327590939 cites W1681695349 @default.
- W4327590939 cites W1964218847 @default.
- W4327590939 cites W1994657580 @default.
- W4327590939 cites W2003044746 @default.
- W4327590939 cites W2004583761 @default.
- W4327590939 cites W2014717023 @default.
- W4327590939 cites W2050786840 @default.
- W4327590939 cites W2052572881 @default.
- W4327590939 cites W2106098322 @default.
- W4327590939 cites W2106698616 @default.
- W4327590939 cites W2122276692 @default.
- W4327590939 cites W2124808906 @default.
- W4327590939 cites W2125849337 @default.
- W4327590939 cites W2133836299 @default.
- W4327590939 cites W2139726867 @default.
- W4327590939 cites W2160643014 @default.
- W4327590939 cites W2519206875 @default.
- W4327590939 cites W2772759979 @default.
- W4327590939 cites W2774462176 @default.
- W4327590939 cites W2789892463 @default.
- W4327590939 cites W2793075493 @default.
- W4327590939 cites W2805505463 @default.
- W4327590939 cites W2952323954 @default.
- W4327590939 cites W2963214005 @default.
- W4327590939 cites W2995833317 @default.
- W4327590939 cites W3012521998 @default.
- W4327590939 cites W3017365466 @default.
- W4327590939 cites W3025973870 @default.
- W4327590939 cites W3044230702 @default.
- W4327590939 cites W3083086902 @default.
- W4327590939 cites W3111997111 @default.
- W4327590939 cites W3119863583 @default.
- W4327590939 cites W3122579140 @default.
- W4327590939 cites W3135896300 @default.
- W4327590939 cites W3152833875 @default.
- W4327590939 cites W3157453738 @default.
- W4327590939 cites W3185084229 @default.
- W4327590939 cites W3194007985 @default.
- W4327590939 cites W3208009183 @default.
- W4327590939 cites W3216623474 @default.
- W4327590939 cites W4200437595 @default.
- W4327590939 cites W4229335008 @default.
- W4327590939 cites W4311897415 @default.
- W4327590939 doi "https://doi.org/10.1186/s12913-023-09192-2" @default.
- W4327590939 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36927564" @default.
- W4327590939 hasPublicationYear "2023" @default.
- W4327590939 type Work @default.
- W4327590939 citedByCount "0" @default.
- W4327590939 crossrefType "journal-article" @default.
- W4327590939 hasAuthorship W4327590939A5024763793 @default.
- W4327590939 hasAuthorship W4327590939A5073519621 @default.
- W4327590939 hasBestOaLocation W43275909391 @default.
- W4327590939 hasConcept C106906290 @default.
- W4327590939 hasConcept C137992405 @default.
- W4327590939 hasConcept C138816342 @default.
- W4327590939 hasConcept C145642194 @default.
- W4327590939 hasConcept C151730666 @default.
- W4327590939 hasConcept C159110408 @default.
- W4327590939 hasConcept C160735492 @default.
- W4327590939 hasConcept C162324750 @default.
- W4327590939 hasConcept C165957694 @default.
- W4327590939 hasConcept C171606756 @default.
- W4327590939 hasConcept C189326681 @default.
- W4327590939 hasConcept C2775944032 @default.
- W4327590939 hasConcept C2779343474 @default.
- W4327590939 hasConcept C2781354955 @default.
- W4327590939 hasConcept C2908647359 @default.
- W4327590939 hasConcept C49453240 @default.
- W4327590939 hasConcept C50522688 @default.
- W4327590939 hasConcept C512399662 @default.
- W4327590939 hasConcept C518773536 @default.
- W4327590939 hasConcept C70410870 @default.
- W4327590939 hasConcept C71924100 @default.
- W4327590939 hasConcept C86803240 @default.
- W4327590939 hasConcept C99454951 @default.
- W4327590939 hasConceptScore W4327590939C106906290 @default.
- W4327590939 hasConceptScore W4327590939C137992405 @default.
- W4327590939 hasConceptScore W4327590939C138816342 @default.
- W4327590939 hasConceptScore W4327590939C145642194 @default.
- W4327590939 hasConceptScore W4327590939C151730666 @default.
- W4327590939 hasConceptScore W4327590939C159110408 @default.
- W4327590939 hasConceptScore W4327590939C160735492 @default.
- W4327590939 hasConceptScore W4327590939C162324750 @default.
- W4327590939 hasConceptScore W4327590939C165957694 @default.
- W4327590939 hasConceptScore W4327590939C171606756 @default.
- W4327590939 hasConceptScore W4327590939C189326681 @default.
- W4327590939 hasConceptScore W4327590939C2775944032 @default.
- W4327590939 hasConceptScore W4327590939C2779343474 @default.
- W4327590939 hasConceptScore W4327590939C2781354955 @default.
- W4327590939 hasConceptScore W4327590939C2908647359 @default.
- W4327590939 hasConceptScore W4327590939C49453240 @default.
- W4327590939 hasConceptScore W4327590939C50522688 @default.
- W4327590939 hasConceptScore W4327590939C512399662 @default.