An exploration of rural-urban differences in healthcare-seeking trajectories: Implications for measures of accessibility

被引：87

作者：

Haggerty, Jeannie L. ^{[1
]}

oberge, Daniele ^{[2
]}

Levesque, Jean-Frederic ^{[3
,4
,5
]}

Gauthier, Josee ^{[4
]}

Loignon, Christine ^{[2
]}

机构：

[1] McGill Univ, Dept Family Med, Montreal, PQ H3S 1Z1, Canada

[2] CHU Sherbrooke, Fac Med & Sci Sante, Dept Community Hlth Sci, Sherbrooke, PQ J1H 5N4, Canada

[3] Montreal Hlth & Social Serv Agcy, Populat Hlth & Hlth Serv Team, Publ Hlth Directorate Montreal, Montreal, PQ H2L 1M3, Canada

[4] INSPQ, Quebec City, PQ G1V 5B3, Canada

[5] Univ Montreal, Hos Res Ctr, Montreal, PQ H2X 0A9, Canada

来源：

HEALTH & PLACE | 2014年 / 28卷

关键词：

Health services research; Primary health care; Outcome and process assessment; Qualitative research; Rural health services; MEDICAL-CARE; ACCESS; PERCEPTIONS; EQUITY; WOMEN;

D O I：

10.1016/j.healthplace.2014.03.005

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Comparing accessibility between urban and rural areas requires measurement instruments Lha L are equally discriminating in each context. Through focus groups we explored and compared care seeking trajectories W understand context-specific accessibility barriers and facilitators. Rural care -seekers rely more on telephone access and experience more organizational accommodation but have fevver care options. Urban care seekers invoke the barrier of distance more frequently. Four consequences of accessibility problems emerged across settings which could be used for valid comparisons of access: having to restart the care-seeking process, abandoning it, using emergency services for primary care, and health deterioration due to delay. (C) 2014 Elsevier Ltd. All rights reserved.

引用

页码：92 / 98

页数：7

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