Improved Accessibility of Healthcare Facility Services by Vulnerable Populations
DOI:
https://doi.org/10.5614/jpwk.2024.35.2.5Keywords:
Andersen behavior model, healthcare accessibility, vulnerable populationsAbstract
This study determined the capacity of healthcare facilities in the Philippines to provide accessible health services to vulnerable groups during the COVID-19 pandemic. The research addressed the urgent need to support vulnerable populations facing higher health risks and barriers in accessing healthcare services. Using a cross-sectional, descriptive quantitative research design and the Healthcare Facility Capacity Self-Assessment on the Accessibility of Services for Vulnerable Populations survey, the researchers collected data from 154 participating healthcare facilities in the Philippines. The most important finding revealed significant gaps in the healthcare facilities? capacity to serve vulnerable groups, particularly in physical infrastructure, equipment, personnel training, and tailored health promotion materials. This study contributes to the theoretical understanding of healthcare accessibility by applying the Andersen behavioral model. It highlights the practical implications for targeted interventions, policies, and resource allocation to enhance the capacity of healthcare facilities to provide accessible and inclusive health services to vulnerable populations during health emergencies.
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Ahmad, D., Shah, S., & Bashir, F. (2021). Women empowerment in Punjab: Dimensions, determinants, and implications for access to healthcare. Pakistan Journal of Humanities and Social Sciences, 9(3), 505-514. https://doi.org/10.52131/pjhss.2021.0903.0155
Akter, S., Davies, K., Rich, J.L., & Inder, K.J. (2018). Indigenous women?s access to maternal healthcare services in lower- and middle-income countries: A systematic integrative review. International Journal of Public Health, 64(3). https://doi.org/10.1007/s00038-018-1177-4
Andersen, R. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1-10. https://doi.org/10.2307/2137284
Arnaut, O., Grabovschi, I., Sandru, S., Rojnoveanu, G., & Baltaga, R. (2021). Indirect lung injury predictive model in experimental trauma. Moldovan Medical Journal, 64(2), 21-25. https://doi.org/10.52418/moldovan-med-j.64-2.21.04
Barnett, M., Sanchez, B., Rosas, Y., & Broder-Fingert, S. (2021). Future directions in lay health worker involvement in children?s mental health services in the U.S. Journal of Clinical Child & Adolescent Psychology, 50(6), 966-978. https://doi.org/10.1080/15374416.2021.1969655
Bhatt, J. & Bathija, P. (2018). Ensuring access to quality health care in vulnerable communities. Academic Medicine, 93(9), 1271-1275. https://doi.org/10.1097/ACM.0000000000002254
Boateng, G.O., Neilands, T.B., Frongillo, E.A., Melgar-Quinez, H.R., & Young, S.L. (2018). Best practices for developing and validating scales for health, social, and behavioral research: A primer. Frontiers in Public Health, 6, 149. https://doi.org/10.3389/fpubh.2018.00149
Carter, J., Hassan, S., Walton, A., Yu, L., Donelan, K., & Thorndike, A. (2021). Effect of community health workers on 30-day hospital readmissions in an accountable care organization population. JAMA Network Open, 4(5), e2110936. https://doi.org/10.1001/jamanetworkopen.2021.10936
Collado, Z. C. (2019). Challenges in public health facilities and services: Evidence from a geographically isolated and disadvantaged area in the Philippines. Journal of Global Health Reports, 3. e2019059. https://doi.org/10.29392/joghr.3.e2019059
Creswell, J. (2021). A concise introduction to mixed methods research (2nd ed.). SAGE Publications.
Crowshoe, L., Sehgal, A., Montesanti, S., Barnabe, C., Kennedy, A., Murry, A., Roach, P., Green, M., Bablitz, C., Tailfeathers,
E., & Henderson, R. (2021). The indigenous primary health care and policy research network: Guiding innovation within primary health care with indigenous peoples in Alberta. Health Policy, 125(6), 725-732. https://doi.org/10.1016/j.healthpol.2021.02.007
Department of Health, Department of the Interior and Local Government, National Commission on Indigenous Peoples. (2013). Guidelines on the delivery of basic health services for indigenous cultural communities/indigenous peoples [Joint Memorandum Circular No. 2013-01]. https://www.doh.gov.ph/sites/default/files/publications/GuidelinesontheDeliveryofBasicHealthServicesforICCsIPs.pdf
Department of Health. (2015). Universal Healthcare Act. https://www.doh.gov.ph/UHC
Flores, L.J., Tonato, R.R., Dela Paz, G.A., & Ulep, V.G. (2021). Optimizing health facility location for universal healthcare: A case study from the Philippines. PloS ONE, 16(9), e0256821. https://doi.org/10.1371/journal.pone.0256821
Gabrani, J., Schindlre, C., & Wyss, K. (2021). Health-seeking behavior among adults and elderly with chronic health condition(s) in Albania. Frontiers in Public Health, 9, 616014. https://doi.org/10.3389/fpubh.2021.616014
Ganle, J.K., Baatiema, L., Quansah, R., & Danso-Appiah, A. (2020). Barriers facing persons with disability in accessing sexual and reproductive health services in sub-Saharan Africa: A systematic review. PloS ONE, 15(10), e0238585. https://doi.org/10.1371/journal.pone.0238585
Gudlavalleti, V.S.M. (2018). Challenges in accessing health care for people with disability in the South Asian context. International Journal of Environmental Research and Public Health, 15, 2366. https://doi.org/10.3390/ijerph15112366
Hartzler, A.L., Tuzzio, L., Hsu, C., & Wagner, E.H. (2018). Roles and functions of community health workers in primary care. Annals of Family Medicine, 16(3), 240-245. https://doi.org/10.1370/afm.2208
Iseghem, T.V., Jacobs, I., Bossche, D.V., Delobelle, P., Willems, S., Masquillier, C., & Decat, P. (2023). The role of community health workers in primary healthcare in the WHO-EU region: A scoping review. International Journal for Equity in Health, 22(134), 1-15. https://doi.org/10.1186/s12939-023-01944-0
Kuper, H., Hameed, S., Reichenberger, V., Scherer, N., Wilbur, J., Zuurmond, M., Mactaggart, I., Bright, T., & Shakespeare, T. (2021). Participatory research in disability in low- and middle-income countries: What have we learnt and what should we do? Scandinavian Journal of Disability Research, 23(1), 328-337. https://doi.org/10.16993/sjdr.814
Li, X., Lu, J., Hu, S., Cheng, K., De Maeseneer, J., Meng, Q., Mossialos, E., Xu, D.R., Yip, W., Zhang, H., Krumholz, H.M., Jiang, L., & Hu, S. (2017). The primary health-care system in China. The Lancet, 390(10112), 2584-2594. https://doi.org/10.1016/S0140-6736(17)33109-4
Marasinghe, K.M., Lapitan, J.M., & Ross, A. (2015). Assistive technologies for ageing populations in six low-income and middle-income countries: A systematic review. BMJ Innovations, 1(4). https://doi.org/10.1136/bmjinnov-2015-000065
Marella, M., Devine, A., Armecin, G.F., Zayas, J., Marco, M.J., & Vaughan, C. (2016). Rapid assessment of disability in the Philippines: Understanding prevalence, well-being, and access to the community for people with disabilities to inform the W-DARE project. Population Health Metrics, 14(26), 1-11. https://doi.org/10.1186/s12963-016-0096-y
Martinez, A.B., Co, M., Lau, J., & Brown, J.S.L. (2020). Filipino help-seeking for mental health problems and associated barriers and facilitators: A systematic review. Social Psychiatry and Psychiatric Epidemiology, 55(11), 1397-1413. https://doi.org/10.1007/s00127-020-01937-2
Oberoi, S., Chaudhary, N., Patnaik, S., & Singh, A. (2016). Understanding health seeking behavior. Journal of Family Medicine and Primary Care, 5(2), 463-464. https://doi.org/10.4103/2249-4863.192376
Ogunlade, O. & Ogunfowokan, A. (2021). The relationship between health seeking behavior and health related quality of life of female market traders in Ile-Ife, Southwest Nigeria. Saudi Journal of Nursing and Health Care, 4(12), 482-488. https://saudijournals.com/media/articles/SJNHC_412_482-488.pdf
Palinkas, L.A., Horwitz, S.M., Green, C.A., Wisdom, J.P., Duan, N., & Hoagwood, K. (2015). Purposeful sampling for qualitative data collection and analysis in mixed methods implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 42, 533-544. https://doi.org/10.1007/s10488-013-0528-y
Sarmiento, I., Paredes-Sol, S., Morris, M., Pimentel, J., Cockcroft, A., & Andersson, N. (2020). Factors influencing maternal health in indigenous communities with presence of traditional midwifery in the Americas: Protocol for a scoping review. BMJ Open, 10(10), e037922. https://doi.org/10.1136/bmjopen-2020-037922
Setia, M.S. (2016). Methodology series module 3: Cross-sectional studies. Indian Journal of Dermatology, 61(3), 261-264. https://doi.org/10.4103/0019-5154.182410
Sullivan, G.M. & Artino Jr., A.R. (2013). Analyzing and interpreting data from Likert-type scales. Journal of Graduate Medical Education, 5(4), 541-542. https://doi.org/10.4300/JGME-5-4-18
Thangaraj, P. & Loganatahn, P. (2021). Health status and health seeking behaviour rural women in India?A study. Malaya Journal of Matematik, S(1), 110-113. https://doi.org/10.26637/MJMS2101/0024
Toquero, C.M.D. (2021). Mobile healthcare technology for people with disabilities amid the COVID-19 pandemic. European Journal of Environment and Public Health, 5(1), em0060. https://doi.org/10.29333/ejeph/8551
Valdez, L., Gubrium, A., Markham, J., Scott, L., Hubert, A., Meyer, J., & Buchanan, D. (2021). A culturally and gender responsive stress and chronic disease prevention intervention for low/no-income African American men: The MOCHA moving forward randomized control trial protocol. Contemporary Clinical Trials, 101, 106240. https://doi.org/10.1016/j.cct.2020.106240
Velasco, J.V., Obnial, J.C., Pastrana, A., Ang, H.K., Viacrusis, P.M., & Lucero-Prisno III, D.E. (2021). COVID-19 and persons with disabilities in the Philippines: A policy analysis. Health Promotion Perspectives, 11(3), 299-306. https://doi.org/10.34172/hpp.2021.38
Venkataramanan, R., Subramanian, S.V., Alajlani, M., & Arvanitis, T.N. (2022). Effect of mobile health interventions in increasing utilization of maternal and child health care services in developing countries: A scoping review. Digital Health, 8, 1-12. https://doi.org/10.1177/20552076221143236
World Bank. (2020) Philippines?COVID-19 emergency response project (English). Washington, D.C.: World Bank Group. https://documents/worldbank.org/curated/en/255611588366729921/Philippines-COVID-19-Emergency-Response-Project
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