Defining medical deserts-an international consensus-building exercise

Detalhes bibliográficos
Autor(a) principal: Brinzac, Monica G.
Data de Publicação: 2023
Outros Autores: Kuhlmann, Ellen, Dussault, Gilles, Ungureanu, Marius I., Chereches, Rǎzvan M., Baba, Catalin O.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/164750
Resumo: Publisher Copyright: © 2023 Oxford University Press. All rights reserved.
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spelling Defining medical deserts-an international consensus-building exerciseRA Public aspects of medicinePublic Health, Environmental and Occupational HealthHealth PolicySDG 3 - Good Health and Well-beingPublisher Copyright: © 2023 Oxford University Press. All rights reserved.Background: Medical deserts represent a pressing public health and health systems challenge. The COVID-19 pandemic further exacerbated the gap between people and health services, yet a commonly agreed definition of medical deserts was lacking. This study aims to define medical deserts through a consensus-building exercise, explaining the phenomenon to its full extent, in a manner that can apply to countries and health systems across the globe. Methods: We used a standard Delphi exercise for the consensus-building process. The first phase consisted of one round of individual online meetings with selected key informants; the second phase comprised two rounds of surveys when a consensus was reached in January 2023. The first phase-the in-depth individual meetings-was organized online. The dimensions to include in the definition of medical deserts were identified, ranked and selected based on their recurrence and importance. The second phase-the surveys-was organized online. Finally, external validation was obtained from stakeholders via email. Results: The agreed definition highlight five major dimensions: 'Medical deserts are areas where population healthcare needs are unmet partially or totally due to lack of adequate access or improper quality of healthcare services caused by (i) insufficient human resources in health or (ii) facilities, (iii) long waiting times, (iv) disproportionate high costs of services or (v) other socio-cultural barriers'. Conclusions: The five dimensions of access to healthcare: (i) insufficient human resources in health or (ii) facilities, (iii) long waiting times, (iv) disproportionate high costs of services and (v) other socio-cultural barriers-ought to be addressed to mitigate medical deserts. The Author(s) 2023.Global Health and Tropical Medicine (GHTM)Instituto de Higiene e Medicina Tropical (IHMT)Population health, policies and services (PPS)RUNBrinzac, Monica G.Kuhlmann, EllenDussault, GillesUngureanu, Marius I.Chereches, Rǎzvan M.Baba, Catalin O.2024-03-12T00:15:40Z2023-10-012023-10-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article4application/pdfhttp://hdl.handle.net/10362/164750eng1101-1262PURE: 83032082https://doi.org/10.1093/eurpub/ckad107info: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:RCAAP2024-03-18T01:44:51Zoai:run.unl.pt:10362/164750Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:01:58.675658Repositório 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 Defining medical deserts-an international consensus-building exercise
title Defining medical deserts-an international consensus-building exercise
spellingShingle Defining medical deserts-an international consensus-building exercise
Brinzac, Monica G.
RA Public aspects of medicine
Public Health, Environmental and Occupational Health
Health Policy
SDG 3 - Good Health and Well-being
title_short Defining medical deserts-an international consensus-building exercise
title_full Defining medical deserts-an international consensus-building exercise
title_fullStr Defining medical deserts-an international consensus-building exercise
title_full_unstemmed Defining medical deserts-an international consensus-building exercise
title_sort Defining medical deserts-an international consensus-building exercise
author Brinzac, Monica G.
author_facet Brinzac, Monica G.
Kuhlmann, Ellen
Dussault, Gilles
Ungureanu, Marius I.
Chereches, Rǎzvan M.
Baba, Catalin O.
author_role author
author2 Kuhlmann, Ellen
Dussault, Gilles
Ungureanu, Marius I.
Chereches, Rǎzvan M.
Baba, Catalin O.
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Global Health and Tropical Medicine (GHTM)
Instituto de Higiene e Medicina Tropical (IHMT)
Population health, policies and services (PPS)
RUN
dc.contributor.author.fl_str_mv Brinzac, Monica G.
Kuhlmann, Ellen
Dussault, Gilles
Ungureanu, Marius I.
Chereches, Rǎzvan M.
Baba, Catalin O.
dc.subject.por.fl_str_mv RA Public aspects of medicine
Public Health, Environmental and Occupational Health
Health Policy
SDG 3 - Good Health and Well-being
topic RA Public aspects of medicine
Public Health, Environmental and Occupational Health
Health Policy
SDG 3 - Good Health and Well-being
description Publisher Copyright: © 2023 Oxford University Press. All rights reserved.
publishDate 2023
dc.date.none.fl_str_mv 2023-10-01
2023-10-01T00:00:00Z
2024-03-12T00:15:40Z
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/10362/164750
url http://hdl.handle.net/10362/164750
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1101-1262
PURE: 83032082
https://doi.org/10.1093/eurpub/ckad107
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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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
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