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Leveraging household survey data to measure barriers to health services access in the Americas
OBJECTIVE. To identify advantages and challenges of using household survey data to measure access barriers to health services in the Americas and to report findings from most recent surveys. METHODS. Descriptive cross-sectional study using data retrieved from publicly available nationally representa...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Organización Panamericana de la Salud
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7429927/ https://www.ncbi.nlm.nih.gov/pubmed/32821260 http://dx.doi.org/10.26633/RPSP.2020.100 |
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author | Báscolo, Ernesto Houghton, Natalia Del Riego, Amalia |
author_facet | Báscolo, Ernesto Houghton, Natalia Del Riego, Amalia |
author_sort | Báscolo, Ernesto |
collection | PubMed |
description | OBJECTIVE. To identify advantages and challenges of using household survey data to measure access barriers to health services in the Americas and to report findings from most recent surveys. METHODS. Descriptive cross-sectional study using data retrieved from publicly available nationally representative household surveys carried out in 27 countries of the Americas. Values for indicators of access barriers for forgone care were generated using available datasets and reports from the countries. Results were disaggregated by wealth quintiles according to income or asset-based wealth levels. RESULTS. Most surveys were similar in general approach and in the categories of their content. However, country-specific questionnaires varied by country, which hindered cross-country comparisons. On average, about one-third of people experienced multiple barriers to forgone appropriate care. There was great variability between countries in the experience of these barriers, although disparities were relatively consistent across countries. People in the poorest wealth quintile were more likely to experience barriers related to acceptability issues, financial and geographic access, and availability of resources. CONCLUSIONS. The analysis indicates major inequalities by wealth status and uneven progress in multiple access barriers that hinder progress towards the goals of equity as part of the Sustainable Development Goals and universal health in the Americas. Access barriers were multiple, which highlights the need for integrated and multisectoral approaches to tackle them. Given the variability between instruments across countries, future efforts are needed to standardize questionnaires and improve data quality and availability for regional monitoring of access barriers. |
format | Online Article Text |
id | pubmed-7429927 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Organización Panamericana de la Salud |
record_format | MEDLINE/PubMed |
spelling | pubmed-74299272020-08-18 Leveraging household survey data to measure barriers to health services access in the Americas Báscolo, Ernesto Houghton, Natalia Del Riego, Amalia Rev Panam Salud Publica Original Research OBJECTIVE. To identify advantages and challenges of using household survey data to measure access barriers to health services in the Americas and to report findings from most recent surveys. METHODS. Descriptive cross-sectional study using data retrieved from publicly available nationally representative household surveys carried out in 27 countries of the Americas. Values for indicators of access barriers for forgone care were generated using available datasets and reports from the countries. Results were disaggregated by wealth quintiles according to income or asset-based wealth levels. RESULTS. Most surveys were similar in general approach and in the categories of their content. However, country-specific questionnaires varied by country, which hindered cross-country comparisons. On average, about one-third of people experienced multiple barriers to forgone appropriate care. There was great variability between countries in the experience of these barriers, although disparities were relatively consistent across countries. People in the poorest wealth quintile were more likely to experience barriers related to acceptability issues, financial and geographic access, and availability of resources. CONCLUSIONS. The analysis indicates major inequalities by wealth status and uneven progress in multiple access barriers that hinder progress towards the goals of equity as part of the Sustainable Development Goals and universal health in the Americas. Access barriers were multiple, which highlights the need for integrated and multisectoral approaches to tackle them. Given the variability between instruments across countries, future efforts are needed to standardize questionnaires and improve data quality and availability for regional monitoring of access barriers. Organización Panamericana de la Salud 2020-08-17 /pmc/articles/PMC7429927/ /pubmed/32821260 http://dx.doi.org/10.26633/RPSP.2020.100 Text en https://creativecommons.org/licenses/by-nc-nd/3.0/igo/legalcode This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. No modifications or commercial use of this article are permitted. In any reproduction of this article there should not be any suggestion that PAHO or this article endorse any specific organization or products. The use of the PAHO logo is not permitted. This notice should be preserved along with the article’s original URL. |
spellingShingle | Original Research Báscolo, Ernesto Houghton, Natalia Del Riego, Amalia Leveraging household survey data to measure barriers to health services access in the Americas |
title | Leveraging household survey data to measure barriers to health services access in the Americas |
title_full | Leveraging household survey data to measure barriers to health services access in the Americas |
title_fullStr | Leveraging household survey data to measure barriers to health services access in the Americas |
title_full_unstemmed | Leveraging household survey data to measure barriers to health services access in the Americas |
title_short | Leveraging household survey data to measure barriers to health services access in the Americas |
title_sort | leveraging household survey data to measure barriers to health services access in the americas |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7429927/ https://www.ncbi.nlm.nih.gov/pubmed/32821260 http://dx.doi.org/10.26633/RPSP.2020.100 |
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