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Distance effects on the accessibility to emergency departments in Portugal

Bibliographic Data

ID3078213
AuthorsSofia Vaz (0000-0002-7185-5642, Universidade do Porto, Brazil), Sofia Manuela Ribeiro Vaz (0000-0003-1910-5753, Universidade do Porto), Pedro Ramos (0000-0002-2539-2501, Universidade do Porto), Paula Santana (0000-0002-7658-8475, University of Coimbra)
Year2014
Volume23
Issue4
Pages1154-1161
Publication date2014-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSaúde e Sociedade (JOURNAL)
Journal identifiersISSN: 0104-1290 • E-ISSN: 1984-0470
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s0104-12902014000400003
OpenAlexW2073864145
SCIELO_PIDS0104-12902014000401154
LanguageEN
Citations received5
References cited21

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

Business · Demographic economics · Economic growth · Economics · Elasticity (physics) · Emergency department · Family medicine · Geography · Health care · Medical emergency · Microeconomics · Price elasticity of demand · Primary care · Typology · Global Health Care Issues · Homelessness and Social Issues · Medicine · Nursing · Urban Transport and Accessibility

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  • Disparities in Geographical Access to Hospitals in Portugal

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  • Distances to emergency departments and non-urgent utilization of medical services

    Open Access•Uma Kelekar, Debasree Das Gupta et al.•Global Health Action•2024

  • Distance effects on the accessibility to emergency departments in Portugal

    Open Access•Sofia Vaz, Sofia Manuela Ribeiro Vaz et al.•Saúde e Sociedade•2014

  • Distance decay in delivery care utilisation associated with neonatal mortality. A case referent study in northern Vietnam

    Open Access•Mats Målqvist, Nazmul Sohel et al.•BMC Public Health•2010

  • Nonmonetary Factors in the Demand for Medical Services

    Jan Paul Acton•Journal of Political Economy•1975

  • The Effect of Distance on the Use of Emergency Hospital Services in a Spanish Region With High Population Dispersion

    Belén Sanz-Barbero, Laura Otero García et al.•Medical Care•2012

  • Community Characteristics Affecting Emergency Department Use by Medicaid Enrollees

    R A Lowe, Rongwei Fu et al.•Medical Care•2009

  • Association Between Primary Care Practice Characteristics and Emergency Department Use in a Medicaid Managed Care Organization

    R A Lowe, A Russell Localio et al.•Medical Care•2005

  • Effects of distances to hospital and GP surgery on hospital inpatient episodes, controlling for needs and provision

    Open Access•Robin Haynes, Graham Bentham et al.•Social Science & Medicine•1999

  • Car travel time and accessibility by bus to general practitioner services

    Open Access•Andrew Lovett, Robin Haynes et al.•Social Science & Medicine•2002

  • Distance effects on the accessibility to emergency departments in Portugal

    Open Access•Sofia Vaz, Sofia Manuela Ribeiro Vaz et al.•Saúde e Sociedade•2014

  • The Role of Proximity in the Use of Hospital Emergency Departments

    Open Access•Gudjon Magnusson•Sociology of Health & Illness•1980

Unique citing works5
Citations per year0.42
Citation span2014 - 2024 (11)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 4

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