Cargando…
Why does healthcare utilisation differ between socioeconomic groups in OECD countries with universal healthcare coverage? A protocol for a systematic review
INTRODUCTION: Even in advanced economies with universal healthcare coverage (UHC), a social gradient in healthcare utilisation has been reported. Many individual, community and healthcare system factors have been considered that may be associated with the variation in healthcare utilisation between...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8611423/ https://www.ncbi.nlm.nih.gov/pubmed/34815290 http://dx.doi.org/10.1136/bmjopen-2021-054806 |
_version_ | 1784603292801695744 |
---|---|
author | Meulman, Iris Uiters, Ellen Polder, Johan Stadhouders, Niek |
author_facet | Meulman, Iris Uiters, Ellen Polder, Johan Stadhouders, Niek |
author_sort | Meulman, Iris |
collection | PubMed |
description | INTRODUCTION: Even in advanced economies with universal healthcare coverage (UHC), a social gradient in healthcare utilisation has been reported. Many individual, community and healthcare system factors have been considered that may be associated with the variation in healthcare utilisation between socioeconomic groups. Nevertheless, relatively little is known about the complex interaction and relative contribution of these factors to socioeconomic differences in healthcare utilisation. In order to improve understanding of why utilisation patterns differ by socioeconomic status (SES), the proposed systematic review will explore the main mechanisms that have been examined in quantitative research. METHODS AND ANALYSIS: The systematic review will follow the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines and will be conducted in Embase, PubMed, Scopus, Web of Science, Econlit and PsycInfo. Articles examining factors associated with the differences in primary and specialised healthcare utilisation between socioeconomic groups in Organisation for Economic Co-operation and Development (OECD) countries with UHC will be included. Further restrictions concern specifications of outcome measures, factors of interest, study design, population, language and type of publication. Data will be numerically summarised, narratively synthesised and thematically discussed. The factors will be categorised according to existing frameworks for barriers to healthcare access. ETHICS AND DISSEMINATION: No primary data will be collected. No ethics approval is required. We intend to publish a scientific article in an international peer-reviewed journal. |
format | Online Article Text |
id | pubmed-8611423 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-86114232021-12-10 Why does healthcare utilisation differ between socioeconomic groups in OECD countries with universal healthcare coverage? A protocol for a systematic review Meulman, Iris Uiters, Ellen Polder, Johan Stadhouders, Niek BMJ Open Health Services Research INTRODUCTION: Even in advanced economies with universal healthcare coverage (UHC), a social gradient in healthcare utilisation has been reported. Many individual, community and healthcare system factors have been considered that may be associated with the variation in healthcare utilisation between socioeconomic groups. Nevertheless, relatively little is known about the complex interaction and relative contribution of these factors to socioeconomic differences in healthcare utilisation. In order to improve understanding of why utilisation patterns differ by socioeconomic status (SES), the proposed systematic review will explore the main mechanisms that have been examined in quantitative research. METHODS AND ANALYSIS: The systematic review will follow the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines and will be conducted in Embase, PubMed, Scopus, Web of Science, Econlit and PsycInfo. Articles examining factors associated with the differences in primary and specialised healthcare utilisation between socioeconomic groups in Organisation for Economic Co-operation and Development (OECD) countries with UHC will be included. Further restrictions concern specifications of outcome measures, factors of interest, study design, population, language and type of publication. Data will be numerically summarised, narratively synthesised and thematically discussed. The factors will be categorised according to existing frameworks for barriers to healthcare access. ETHICS AND DISSEMINATION: No primary data will be collected. No ethics approval is required. We intend to publish a scientific article in an international peer-reviewed journal. BMJ Publishing Group 2021-11-23 /pmc/articles/PMC8611423/ /pubmed/34815290 http://dx.doi.org/10.1136/bmjopen-2021-054806 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Health Services Research Meulman, Iris Uiters, Ellen Polder, Johan Stadhouders, Niek Why does healthcare utilisation differ between socioeconomic groups in OECD countries with universal healthcare coverage? A protocol for a systematic review |
title | Why does healthcare utilisation differ between socioeconomic groups in OECD countries with universal healthcare coverage? A protocol for a systematic review |
title_full | Why does healthcare utilisation differ between socioeconomic groups in OECD countries with universal healthcare coverage? A protocol for a systematic review |
title_fullStr | Why does healthcare utilisation differ between socioeconomic groups in OECD countries with universal healthcare coverage? A protocol for a systematic review |
title_full_unstemmed | Why does healthcare utilisation differ between socioeconomic groups in OECD countries with universal healthcare coverage? A protocol for a systematic review |
title_short | Why does healthcare utilisation differ between socioeconomic groups in OECD countries with universal healthcare coverage? A protocol for a systematic review |
title_sort | why does healthcare utilisation differ between socioeconomic groups in oecd countries with universal healthcare coverage? a protocol for a systematic review |
topic | Health Services Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8611423/ https://www.ncbi.nlm.nih.gov/pubmed/34815290 http://dx.doi.org/10.1136/bmjopen-2021-054806 |
work_keys_str_mv | AT meulmaniris whydoeshealthcareutilisationdifferbetweensocioeconomicgroupsinoecdcountrieswithuniversalhealthcarecoverageaprotocolforasystematicreview AT uitersellen whydoeshealthcareutilisationdifferbetweensocioeconomicgroupsinoecdcountrieswithuniversalhealthcarecoverageaprotocolforasystematicreview AT polderjohan whydoeshealthcareutilisationdifferbetweensocioeconomicgroupsinoecdcountrieswithuniversalhealthcarecoverageaprotocolforasystematicreview AT stadhoudersniek whydoeshealthcareutilisationdifferbetweensocioeconomicgroupsinoecdcountrieswithuniversalhealthcarecoverageaprotocolforasystematicreview |