4/12/2023 0 Comments Accessible healthcareIncome or education-based health inequality is also found in the quality of healthcare received. However, the research also showed that Canada, which has a universal healthcare system, has less income-related healthcare inequality than the USA, which does not have universal healthcare. Comparative research between the USA and Canada shows that in both countries, the proportion of people not receiving essential treatment or primary care is greater among low-income and poorly educated groups. ĭisparities between the type of medical service received based on the patient’s SES also exist in countries with universal healthcare systems. The reasons cited were medical staff shortages, lack of nearby healthcare facilities, and financial (cost) barriers. Studies of representative samples of the US population demonstrate high death rates of admitted patients with acute myocardial infarctions in sparsely populated rural areas, especially among people with low income. We also suggest possible measures to eliminate healthcare access inequality based on SES.Įvidence shows that the lower the income of the country, the lower the rate of basic maternal and child health service use. This chapter presents Japanese and international research investigating whether healthcare access disparities are caused by socioeconomic status (SES). A major indicator for measuring access to healthcare is “delayed care,” which refers to refraining from visiting a doctor despite the need to do so. For there to be equity of access to healthcare, every person in need of healthcare services must make use of them. In addition to these two aspects, psychological barriers such as health illiteracy or distrust of medical systems are also prominent. The other aspect refers to access problems caused by financial constraints such as the costs of receiving treatment. One refers to access problems caused by physical constraints including availability of healthcare facilities or staff, distance to healthcare facilities, and the existence of means of transportation. Arguments concerning the problem of healthcare access usually focus on two main aspects. The notion of healthcare access is often considered in discussions of the state of healthcare systems.
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