“Geographies” of primary healthcare access for older adults in the Lisbon Metropolitan Area, Portugal – a territory of differences

Detalhes bibliográficos
Autor(a) principal: Costa, Eduarda Marques da
Data de Publicação: 2020
Outros Autores: Costa, Nuno Marques da, Louro, Ana, Barata, Marcela
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Saúde e Sociedade (Online)
Texto Completo: https://www.revistas.usp.br/sausoc/article/view/175895
Resumo: Several authors have reflected upon access to health services considering several dimensions, such as availability and accessibility. Due to the aging of societies, the older population’s demands for healthcare increase, and accessibility to these units acquires special importance. Our study aims to characterize the access of older people to healthcare services, facing the possibilities arising from service supply and demand patters. From the supply and demand confrontation, comes the possibility of identifying intraregional dynamics and associating them with the various socioeconomic conditions of older people, family background, modes of transportation, and type of service. This approach considers two methodological phases: calculating the potential for primary healthcare coverage, considering physical accessibility for pedestrian and highway modes; and confronting these values with services demand, determined from surveys conducted with residents. We concluded that, although healthcare centers were designed as a proximity service, service provision, socioeconomic aspects, and the urbanization model entail meaningful inequalities of access in the context of the Lisbon Metropolitan Area.
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spelling “Geographies” of primary healthcare access for older adults in the Lisbon Metropolitan Area, Portugal – a territory of differences“Geografias” do acesso dos idosos aos cuidados de saúde primários na Área Metropolitana de Lisboa, Portugal – um território de diferençasAcessibilidadeCuidados de Saúde PrimáriosPopulação IdosaAnálise de RedesÁrea Metropolitana de LisboaAccessibilityPrimary HealthcareOlder PopulationNetwork AnalysisLisbon Metropolitan AreaSeveral authors have reflected upon access to health services considering several dimensions, such as availability and accessibility. Due to the aging of societies, the older population’s demands for healthcare increase, and accessibility to these units acquires special importance. Our study aims to characterize the access of older people to healthcare services, facing the possibilities arising from service supply and demand patters. From the supply and demand confrontation, comes the possibility of identifying intraregional dynamics and associating them with the various socioeconomic conditions of older people, family background, modes of transportation, and type of service. This approach considers two methodological phases: calculating the potential for primary healthcare coverage, considering physical accessibility for pedestrian and highway modes; and confronting these values with services demand, determined from surveys conducted with residents. We concluded that, although healthcare centers were designed as a proximity service, service provision, socioeconomic aspects, and the urbanization model entail meaningful inequalities of access in the context of the Lisbon Metropolitan Area.Vários autores têm refletido sobre a questão do acesso aos serviços de saúde, considerando a existência de várias dimensões, nas quais se inclui a disponibilidade e a acessibilidade. No contexto de envelhecimento que caracteriza as sociedades, a população idosa precisa de mais cuidados de saúde, e a acessibilidade a essas unidades assume importância acrescida. O objetivo do estudo é caracterizar o acesso da população idosa aos serviços de saúde, confrontando as possibilidades decorrentes da oferta de serviços com os padrões de procura. Do confronto entre oferta e procura resulta a possibilidade de identificar as dinâmicas intrarregionais e associá-las às diferentes condições socioeconômicas dos idosos, ao seu enquadramento familiar, modo de transporte e tipo de serviço. Esta abordagem considera duas fases metodológicas: o cálculo do potencial de cobertura populacional das unidades de cuidados primários, considerando a acessibilidade física recorrendo aos modos pedonal e rodoviário; o confronto desses valores com a procura dos serviços, determinada a partir de inquéritos realizados aos residentes. Concluiu-se que, apesar dos equipamentos de saúde prestadores de cuidados primários terem sido programados como serviço de proximidade, a forma de prestação do serviço, as características socioeconômicas da população idosa e o modelo de urbanização apontam para diferenças relevantes no contexto da Área Metropolitana de Lisboa.Universidade de São Paulo. Faculdade de Saúde Pública2020-10-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/sausoc/article/view/17589510.1590/S0104-12902020200108Saúde e Sociedade; v. 29 n. 2 (2020)Saúde e Sociedade; Vol. 29 No. 2 (2020)Saúde e Sociedade; Vol. 29 Núm. 2 (2020)1984-04700104-1290reponame:Saúde e Sociedade (Online)instname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/sausoc/article/view/175895/163729https://www.revistas.usp.br/sausoc/article/view/175895/163730Copyright (c) 2020 Saúde e Sociedadehttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess Costa, Eduarda Marques daCosta, Nuno Marques da Louro, Ana Barata, Marcela 2020-10-09T20:21:22Zoai:revistas.usp.br:article/175895Revistahttp://www.scielo.br/sausocPUBhttps://old.scielo.br/oai/scielo-oai.phpsaudesoc@usp.br||lena@usp.br1984-04700104-1290opendoar:2020-10-09T20:21:22Saúde e Sociedade (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv “Geographies” of primary healthcare access for older adults in the Lisbon Metropolitan Area, Portugal – a territory of differences
“Geografias” do acesso dos idosos aos cuidados de saúde primários na Área Metropolitana de Lisboa, Portugal – um território de diferenças
title “Geographies” of primary healthcare access for older adults in the Lisbon Metropolitan Area, Portugal – a territory of differences
spellingShingle “Geographies” of primary healthcare access for older adults in the Lisbon Metropolitan Area, Portugal – a territory of differences
Costa, Eduarda Marques da
Acessibilidade
Cuidados de Saúde Primários
População Idosa
Análise de Redes
Área Metropolitana de Lisboa
Accessibility
Primary Healthcare
Older Population
Network Analysis
Lisbon Metropolitan Area
title_short “Geographies” of primary healthcare access for older adults in the Lisbon Metropolitan Area, Portugal – a territory of differences
title_full “Geographies” of primary healthcare access for older adults in the Lisbon Metropolitan Area, Portugal – a territory of differences
title_fullStr “Geographies” of primary healthcare access for older adults in the Lisbon Metropolitan Area, Portugal – a territory of differences
title_full_unstemmed “Geographies” of primary healthcare access for older adults in the Lisbon Metropolitan Area, Portugal – a territory of differences
title_sort “Geographies” of primary healthcare access for older adults in the Lisbon Metropolitan Area, Portugal – a territory of differences
author Costa, Eduarda Marques da
author_facet Costa, Eduarda Marques da
Costa, Nuno Marques da
Louro, Ana
Barata, Marcela
author_role author
author2 Costa, Nuno Marques da
Louro, Ana
Barata, Marcela
author2_role author
author
author
dc.contributor.author.fl_str_mv Costa, Eduarda Marques da
Costa, Nuno Marques da
Louro, Ana
Barata, Marcela
dc.subject.por.fl_str_mv Acessibilidade
Cuidados de Saúde Primários
População Idosa
Análise de Redes
Área Metropolitana de Lisboa
Accessibility
Primary Healthcare
Older Population
Network Analysis
Lisbon Metropolitan Area
topic Acessibilidade
Cuidados de Saúde Primários
População Idosa
Análise de Redes
Área Metropolitana de Lisboa
Accessibility
Primary Healthcare
Older Population
Network Analysis
Lisbon Metropolitan Area
description Several authors have reflected upon access to health services considering several dimensions, such as availability and accessibility. Due to the aging of societies, the older population’s demands for healthcare increase, and accessibility to these units acquires special importance. Our study aims to characterize the access of older people to healthcare services, facing the possibilities arising from service supply and demand patters. From the supply and demand confrontation, comes the possibility of identifying intraregional dynamics and associating them with the various socioeconomic conditions of older people, family background, modes of transportation, and type of service. This approach considers two methodological phases: calculating the potential for primary healthcare coverage, considering physical accessibility for pedestrian and highway modes; and confronting these values with services demand, determined from surveys conducted with residents. We concluded that, although healthcare centers were designed as a proximity service, service provision, socioeconomic aspects, and the urbanization model entail meaningful inequalities of access in the context of the Lisbon Metropolitan Area.
publishDate 2020
dc.date.none.fl_str_mv 2020-10-09
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/sausoc/article/view/175895
10.1590/S0104-12902020200108
url https://www.revistas.usp.br/sausoc/article/view/175895
identifier_str_mv 10.1590/S0104-12902020200108
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/sausoc/article/view/175895/163729
https://www.revistas.usp.br/sausoc/article/view/175895/163730
dc.rights.driver.fl_str_mv Copyright (c) 2020 Saúde e Sociedade
http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Saúde e Sociedade
http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Saúde e Sociedade; v. 29 n. 2 (2020)
Saúde e Sociedade; Vol. 29 No. 2 (2020)
Saúde e Sociedade; Vol. 29 Núm. 2 (2020)
1984-0470
0104-1290
reponame:Saúde e Sociedade (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Saúde e Sociedade (Online)
collection Saúde e Sociedade (Online)
repository.name.fl_str_mv Saúde e Sociedade (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv saudesoc@usp.br||lena@usp.br
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