Distance effects on the accessibility to emergency departments in Portugal

Detalhes bibliográficos
Autor(a) principal: Vaz, Sofia
Data de Publicação: 2014
Outros Autores: Ramos, Pedro, Santana, Paula
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
DOI: 10.1590/S0104-12902014000400003
Texto Completo: http://hdl.handle.net/10316/109679
https://doi.org/10.1590/S0104-12902014000400003
Resumo: Distance patients have to travel has shown to influence demand for several health services. Our work looks at this effect on the utilization of Emergency Departments (ED) in Portugal. We build upon previous works by taking into account both the severity of emergency visits and the type of ED and by including a set of other variables that have shown to influence ED utilization. Overall, we find distance-elasticity for emergency care that ranges from -1 to -2 (a 10% increase in distance to ED results in a 10-20% decrease in ED utilization), with low-severity demand having the highest distance-elasticity and high-severity demand the lowest. We also show that Primary Health Care, and particularly some new typology of health centers in Portugal, negatively affects ED utilization. Our results provide evidence that distance enters in the budget constraints patients face when seeking health care.
id RCAP_3ef81cae38a47967fdbd87ff57605435
oai_identifier_str oai:estudogeral.uc.pt:10316/109679
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Distance effects on the accessibility to emergency departments in PortugalEfeito da distância na acessibilidade aos serviços de urgência em PortugalDistance ElasticityHealthcare DemandEmergency CareDistance patients have to travel has shown to influence demand for several health services. Our work looks at this effect on the utilization of Emergency Departments (ED) in Portugal. We build upon previous works by taking into account both the severity of emergency visits and the type of ED and by including a set of other variables that have shown to influence ED utilization. Overall, we find distance-elasticity for emergency care that ranges from -1 to -2 (a 10% increase in distance to ED results in a 10-20% decrease in ED utilization), with low-severity demand having the highest distance-elasticity and high-severity demand the lowest. We also show that Primary Health Care, and particularly some new typology of health centers in Portugal, negatively affects ED utilization. Our results provide evidence that distance enters in the budget constraints patients face when seeking health care.Universidade de Sao Paulo2014info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/109679http://hdl.handle.net/10316/109679https://doi.org/10.1590/S0104-12902014000400003eng0104-1290Vaz, SofiaRamos, PedroSantana, Paulainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-20T11:11:54Zoai:estudogeral.uc.pt:10316/109679Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:25:50.115946Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Distance effects on the accessibility to emergency departments in Portugal
Efeito da distância na acessibilidade aos serviços de urgência em Portugal
title Distance effects on the accessibility to emergency departments in Portugal
spellingShingle Distance effects on the accessibility to emergency departments in Portugal
Distance effects on the accessibility to emergency departments in Portugal
Vaz, Sofia
Distance Elasticity
Healthcare Demand
Emergency Care
Vaz, Sofia
Distance Elasticity
Healthcare Demand
Emergency Care
title_short Distance effects on the accessibility to emergency departments in Portugal
title_full Distance effects on the accessibility to emergency departments in Portugal
title_fullStr Distance effects on the accessibility to emergency departments in Portugal
Distance effects on the accessibility to emergency departments in Portugal
title_full_unstemmed Distance effects on the accessibility to emergency departments in Portugal
Distance effects on the accessibility to emergency departments in Portugal
title_sort Distance effects on the accessibility to emergency departments in Portugal
author Vaz, Sofia
author_facet Vaz, Sofia
Vaz, Sofia
Ramos, Pedro
Santana, Paula
Ramos, Pedro
Santana, Paula
author_role author
author2 Ramos, Pedro
Santana, Paula
author2_role author
author
dc.contributor.author.fl_str_mv Vaz, Sofia
Ramos, Pedro
Santana, Paula
dc.subject.por.fl_str_mv Distance Elasticity
Healthcare Demand
Emergency Care
topic Distance Elasticity
Healthcare Demand
Emergency Care
description Distance patients have to travel has shown to influence demand for several health services. Our work looks at this effect on the utilization of Emergency Departments (ED) in Portugal. We build upon previous works by taking into account both the severity of emergency visits and the type of ED and by including a set of other variables that have shown to influence ED utilization. Overall, we find distance-elasticity for emergency care that ranges from -1 to -2 (a 10% increase in distance to ED results in a 10-20% decrease in ED utilization), with low-severity demand having the highest distance-elasticity and high-severity demand the lowest. We also show that Primary Health Care, and particularly some new typology of health centers in Portugal, negatively affects ED utilization. Our results provide evidence that distance enters in the budget constraints patients face when seeking health care.
publishDate 2014
dc.date.none.fl_str_mv 2014
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10316/109679
http://hdl.handle.net/10316/109679
https://doi.org/10.1590/S0104-12902014000400003
url http://hdl.handle.net/10316/109679
https://doi.org/10.1590/S0104-12902014000400003
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0104-1290
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Universidade de Sao Paulo
publisher.none.fl_str_mv Universidade de Sao Paulo
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1822181815326081025
dc.identifier.doi.none.fl_str_mv 10.1590/S0104-12902014000400003

Registros relacionados