The determinants of primary health care utilization: A comparison of three rural clinics in southern Honduras

被引：8

作者：

Baker J.B. ^{[1
]}

Liu L. ^{[1
]}

机构：

[1] Department of Geography, University of Cincinnati, 401 Braunstein Hall, Cincinnati

来源：

GeoJournal | 2006年 / 66卷 / 4期

基金：

美国国家科学基金会;

关键词：

Access; Central America; Health services; Honduras; Rural; Utilization;

D O I：

10.1007/s10708-006-9001-8

中图分类号：

学科分类号：

摘要：

Primary health care utilization is poorly understood in many parts of the developing world. This is especially true in rural places, such as Santa Lucia, Intibuca, Honduras, where there are only three primary health care facilities servicing almost 12,000 people, and generally speaking access to care is limited. This study examines the factors that can be used to explain primary health care utilization, and aims to improve the understanding of patient utilization behavior. A better understanding of utilization can be used by health service planners to improve primary health care delivery in this and similar locations. The findings of this research indicate that utilization can be explained, to a large extent, by factors relating to economic status and walking time to clinic. These findings are consistent with findings from prior research. In addition, a home territory variable is used to examine spatial variations of utilization behavior. This variable has not been considered in previous utilization research, and is found to be a very significant determinant of health facility utilization in the study area. © 2006 Springer Science+Business Media, Inc.

引用

页码：295 / 310

页数：15

共 37 条

[21]

Health Care: An International Study, (1976)

[22]

Koos E., The Health of Regionsville, (1954)

[23]

Kroeger A., Anthropological and socio-medical health care research in developing countries, Social Science and Medicine, 17, pp. 147-161, (1983)

[24]

Love D., Lindquist P., The geographical accessibility of hospitals to the aged: A geographic information systems analysis within Illinois, Health Services Research, 29, pp. 629-651, (1995)

[25]

Meade M.S., Earickson R.J., Medical Geography. (2nd Ed.), (2000)

[26]

Muller I., Smith T., Mellor S., Rare L., Genton B., The effect of distance from home on attendance at a small rural health centre in Papua New Guinea, International Journal of Epidemiology, 27, pp. 878-884, (1998)

[27]

Noor A.M., Zurovac D., Hay S.I., Ochola S.A., Snow R.W., Defining equity in physical access to clinical services using geographical information systems as part of malaria planning and monitoring in Kenya, Tropical Medicine and International Health, 8, 10, pp. 917-926, (2003)

[28]

Perry B., Gesler W., Physical access to primary health care in Andean Bolivia, Social Science and Medicine, 50, pp. 1177-1188, (2000)

[29]

Powell M., On the outside looking in: Medical geography, medical geographers and access to health care, Health and Place, 1, pp. 41-50, (1995)

[30]

Ricketts T.C., Geography and disparities in health care, Guidance for the National Healthcare Disparities Report, (2002)

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