umu.sePublikasjoner
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Factors associated with the utilization of primary care emergency centers in a Spanish region with high population dispersion: a mixed-methods study
National School of Public Health, Health Institute Carlos III, Madrid, Spain ; CIBER of Epidemiology and Public Health, CIBERESP, Madrid, Spain.
National School of Public Health, Health Institute Carlos III, Madrid, Spain ; CIBER of Epidemiology and Public Health, CIBERESP, Madrid, Spain.
National Centre of Tropical Medicine, Health Institute Carlos III, Madrid, Spain.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.ORCID-id: 0000-0001-7234-3510
2014 (engelsk)Inngår i: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 14, s. 368-Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Adequate access to primary care emergency centers is particularly important in rural areas isolated from urban centers. However, variability in utilization of emergency services located in primary care centers among inhabitants of nearby geographical areas is understudied. The objectives of this study are twofold: 1) to analyze the association between the availability of municipal emergency care centers and utilization of primary care emergency centers (PCEC), in a Spanish region with high population dispersion; and 2) to determine healthcare providers' perceptions regarding PCEC utilization. Methods: A mixed-methods study was conducted. Quantitative phase: multilevel logistic regression modeling using merged data from the 2003 Regional Health Survey of Castile and Leon and the 2001 census data (Spain). Qualitative phase: 14 in-depth-interviews of rural-based PCEC providers. Results: Having PCEC as the only emergency center in the municipality was directly associated with its utilization (p < 0.001). Healthcare providers perceived that distance to hospital increased PCEC utilization, and distance to PCEC decrease its use. PCEC users were considered to be predominantly workers and students with scheduling conflicts with rural primary care opening hours. Conclusions: The location of emergency care centers is associated with PCEC utilization. Increasing access to primary care by extending hours may be an important step toward optimal PCEC utilization. Further research would determine whether lower PCEC use by certain groups is associated with disparities in access to care.

sted, utgiver, år, opplag, sider
BioMed Central, 2014. Vol. 14, s. 368-
Emneord [en]
Primary care emergency center, Health services utilization, Mixed-methods approach, Spain
HSV kategori
Identifikatorer
URN: urn:nbn:se:umu:diva-94139DOI: 10.1186/1472-6963-14-368ISI: 000341387800001OAI: oai:DiVA.org:umu-94139DiVA, id: diva2:753783
Tilgjengelig fra: 2014-10-09 Laget: 2014-10-06 Sist oppdatert: 2018-06-07bibliografisk kontrollert

Open Access i DiVA

fulltext(317 kB)140 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 317 kBChecksum SHA-512
627b996d2a1ce11894ea51e000656585b5333c0c1bbf4c2d275195c0aedfecc06f572b3a2eab9a30247dd7ae9e76c9d4266d4f4369a21a768e2a0b9f44448c14
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekst

Personposter BETA

San Sebastián, Miguel

Søk i DiVA

Av forfatter/redaktør
San Sebastián, Miguel
Av organisasjonen
I samme tidsskrift
BMC Health Services Research

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 140 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
urn-nbn

Altmetric

doi
urn-nbn
Totalt: 120 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf