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

Health and Place

Volumn 28, Issue , 2014, Pages 92-98

  Haggerty, Jeannie L ^a   Roberge, Danièle ^b   Lévesque, Jean Frédéric ^c,d,e   Gauthier, Josée ^d   Loignon, Christine ^b  

^a MCGILL UNIVERSITY   (Canada)

^b UNIVERSITY OF SHERBROOKE   (Canada)

^c Montreal Health and Social Services Agency   (Canada)

^d INSTITUT NATIONAL DE SANTÉ PUBLIQUE DU QUÉBEC   (Canada)

^e CENTRE HOSPITALIER DE L UNIVERSITÉ DE MONTRÉAL   (Canada)

Author keywords

Health services research; Outcome and process assessment; Primary health care; Qualitative research; Rural health services

Indexed keywords

ACCESSIBILITY; HEALTH CARE; HEALTH SERVICES; MEASUREMENT METHOD; QUALITATIVE ANALYSIS; RESEARCH; RURAL AREA; URBAN AREA;

ADULT; ARTICLE; DETERIORATION; EMERGENCY HEALTH SERVICE; FEMALE; HEALTH CARE ACCESS; HEALTH CARE AVAILABILITY; HEALTH CARE DELIVERY; HELP SEEKING BEHAVIOR; HUMAN; INFORMATION SEEKING; MALE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; SOCIAL DISTANCE; TELECONSULTATION; THERAPY DELAY; URBAN RURAL DIFFERENCE; AGED; ATTITUDE TO HEALTH; CANADA; HEALTH SERVICE; HUMAN RELATION; INFORMATION PROCESSING; MIDDLE AGED; PRIMARY HEALTH CARE; RURAL HEALTH CARE; RURAL POPULATION; URBAN POPULATION;

ADULT; AGED; ATTITUDE TO HEALTH; CANADA; FEMALE; FOCUS GROUPS; HEALTH SERVICES ACCESSIBILITY; HUMANS; MALE; MIDDLE AGED; PRIMARY HEALTH CARE; PROFESSIONAL-PATIENT RELATIONS; RURAL HEALTH SERVICES; RURAL POPULATION; URBAN HEALTH SERVICES; URBAN POPULATION;

EID: 84899828190     PISSN: 13538292     EISSN: 18732054     Source Type: Journal    
DOI: 10.1016/j.healthplace.2014.03.005     Document Type: Article

References (38)

1. Andersen R., Aday L.A. Access to medical care in the U.S.: realized and potential. Med. Care 1978, 16:533-546.
2. Andersen R.M. Revisiting the behavioral model and access to medical care: does it matter?. J. Health Soc. Behav. 1995, 36:1-10.
3. Ansari Z. A review of the literature on access to primary health care. Aust. J. Prim. Health 2007, 13:80-95.
4. Bardin L. L[U+05F3]analyse de continu 1989, Presses Universitaires de France, Paris. 5th ed.
5. Bashshur R.L., Shannon G.W., Metzner C.A. Some ecological differentials in the use of medical services. Health Serv. Res. 1971, 6:61-75.
6. Bolduc D., Fortin B., Fournier M.-A. The effect of incentive policies on the practice location of doctors: a multinomial probit analysis. J. Labor Econ. 1996, 14:703-732.
7. Campbell J., Smith P., Nissen S., Bower P., Elliott M., Roland M. The GP Patient Survey for use in primary care in the National Health Service in the UK-development and psychometric characteristics. BMC Fam. Pract. 2009, 10:57.
8. Campbell N.C., Iversen L., Farmer J., Guest C., Macdonald J. A qualitative study in rural and urban areas on whether - and how - to consult during routine and out of hours. BMC Fam. Pract. 2006, 7:26.
9. Primary Health Care (PHC) Indicators Chartbook: An Illustrative Example of Using PHC Data for Indicator Reporting 2008, Canadian Institute for Health Information (CIHI), Canadian Institute for Health Information, Ottawa, Ontario.
10. Daniels N. Equity of access to health care: some conceptual and ethical issues. Milbank Memorial Fund Quarterly. Health Soc. 1982, 60:51-81.
11. Donabedian A. Aspects of Medical Care Administration: Specifying Requirements for Health Care 1973, Harvard University Press, Cambridge, MA.
12. Farmer J., Hinds K., Richards H., Godden D. Urban versus rural populations[U+05F3] views of health care in Scotland. J. Health Serv. Res. Policy 2005, 10:212-219.
13. Farmer J., Iversen L., Campbell N.C., Guest C., Chesson R., Deans G., Macdonald J. Rural/urban differences in accounts of patients[U+05F3] initial decisions to consult primary care. Health Place 2006, 12:210-221.
14. Frenk J. The concept and measurement of accessibility. Health Services Research: An Anthology 1992, 858-864. Pan American Health Organization, Washington, DC. K.L. White, J. Frenk, C. Ordonez, J.M. Paganini, B. Starfield (Eds.).
15. Grol R., Wensing M. Patients Evaluate General/Family Practice - The EUROPEP Instrument 2000, Mediagroep KUN/UMC, Nijmegen, NL.
16. Haggerty, J.H., Levesque, J.F., 2014. Rural-Urban Issues in Measuring Organizational and Geographic Dimensions of First-Contact Access to Healthcare. Unpublished manuscript, available from corresponding author.
17. Haggerty J., Bouharaoui F., Santor D. Differential item functioning in primary healthcare evaluation instruments by French/English version, educational level and rural-urban location. Healthc. Policy 2011, 7(special issue):47-65.
18. Haggerty J., Pineault R., Beaulieu M., Brunelle Y., Gauthier J., Goulet F., Rodrigue J. Room for improvement: patients[U+05F3] experience of primary care in Quebec prior to major reforms. Can. Fam. Phys. 2007, 53:1056-1057.
19. Harrold J., Jackson L.A. Hurry up and wait. The experiences of young women in rural Nova Scotia accessing specialized care. Can. J. Rural Med. 2011, 16:83-88.
20. Hays R.D., Brown J., Brown L.U., Spritzer K.L., Crall J.J. Classical test theory and item response theory analyses of multi-item scales assessing parents[U+05F3] perceptions of their children[U+05F3]s dental care. Med. Care 2006, 44:S60-S68.
21. Lamarche P.A., Pineault R., Haggerty J., Hamel M., Levesque J.F., Gauthier J. The experience of primary health care users: a rural-urban paradox. Can. J. Rural Med. 2010, 15:61-66.
22. Levesque J.F., Harris M.F., Russell G. Patient-centred access to health care: conceptualising access at the interface of health systems and populations. Int. J. Equity Health 2013, 12:16-28.
23. McNiven, C., Puderer, H., Janes, D., 2000. Census Metropolitan Area and Census Agglomeration Influenced Zones (MIZ): A Description of the Methodology. Geography Working Paper Series No. 2000-2. Statistics Canada, Cat. No. 92F0138MIE, Ottawa.
24. Mooney G.H. Equity in health care: confronting the confusion. Eff. Health Care 1983, 1:179-185.
25. Musgrove P. Measurement of equity in health. World Health Stat. Q. 1986, 39:325-335.
26. Penchansky R., Thomas J.W. The concept of access: definition and relationship to consumer satisfaction. Med. Care 1981, 19:127-140.
27. Pong R.W., Pitblado J.R. Don[U+05F3]t take "geography" for granted! Some methodological issues in measuring geographic distribution of physicians. Can. J. Rural Med. 2001, 6:103-112.
28. Pong R.W., Pitblado J.R., Irvine A. A strategy for developing environmental health indicators for rural Canada. Can. J. Public Health 2002, 93:S52-S56.
29. NVivo qualitative data analysis software. Version 7 2006, QSR International, QSR International, Burlington, MA.
30. Romanow, R.J., Commission on the Future of Health Care in Canada, 2002. Building on Values - The Future of Health Care in Canada - Final Report. Government of Canada, Cat. No. RA412.5C2S52 2002, Ottawa.
31. Safran D.G., Kosinski J., Tarlov A.R., Rogers W.J., Taira D.A., Leiberman N., Ware J.E. The Primary Care Assessment Survey: tests of data quality and measurement performance. Med. Care 1998, 36:728-739.
32. Schoen C., Osborn R., Huynh P., Doty M., Zapert K., Peugh J., Davis K. Taking the pulse of health care systems: experiences of patients with health problems in six countries. Health Aff. 2005, 509-525.
33. Shi L., Starfield B., Xu J. Validating the adult primary care assessment tool. J. Fam. Pract. 2001, 50:161-171.
34. Starfield B. Primary Care: Balancing Health Needs, Services, and Technology 1998, Oxford University Press, New York.
35. Waters H.R. Measuring equity in access to health care. Soc. Sci. Med. 2000, 51:599-612.
36. Wilson K., Rosenberg M.W. Accessibility and the Canadian health care system: squaring perceptions and realities. Health Policy 2004, 67:137-148.
37. Wilson N., Couper I., De Vries E., Reid S., Fish T., Marais B. A critical review of interventions to redress the inequitable distribution of healthcare professionals to rural and remote areas. Rural Remote Health 2009, 9:1060.
38. Young A.F., Dobson A.J., Byles J.E. Access and equity in the provision of general practitioner services for women in Australia. Aust. N. Z. J. Public Health 2000, 24:474-480.