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Titolo:
Coping with the costs of primary care? Household and locational variationsin the survival strategies of the urban poor
Autore:
Barnett, R;
Indirizzi:
Univ Canterbury, Dept Geog, Christchurch 1, New Zealand Univ Canterbury Christchurch New Zealand 1 , Christchurch 1, New Zealand
Titolo Testata:
HEALTH & PLACE
fascicolo: 2, volume: 7, anno: 2001,
pagine: 141 - 157
SICI:
1353-8292(200106)7:2<141:CWTCOP>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
GENERAL-PRACTICE CONSULTATIONS; HAMILTON HEALTH DISTRICT; SOCIAL-CLASS PATTERNS; NEW-ZEALAND; MEDICAL-CARE; PRACTITIONER SERVICES; SOCIOECONOMIC-STATUS; OFFICE ENCOUNTERS; DECISION-MAKING; SOUTH AUCKLAND;
Keywords:
poverty; survival strategies; primary health care; New Zealand;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
111
Recensione:
Indirizzi per estratti:
Indirizzo: Barnett, R Univ Canterbury, Dept Geog, Private Bag 4800, Christchurch 1, New Zealand Univ Canterbury Private Bag 4800 Christchurch New Zealand 1 nd
Citazione:
R. Barnett, "Coping with the costs of primary care? Household and locational variationsin the survival strategies of the urban poor", HEALTH PLAC, 7(2), 2001, pp. 141-157

Abstract

This paper examines the 'survival' strategies adopted by lower income groups seeking to cope with the costs of primary care. Two surveys, one of the health and health service concerns of clients of an inner city voluntary welfare agency, and another of how 114 general practitioner (GP) surgeries inChristchurch, New Zealand aided patients in financial distress, were conducted in October-December, 1997. patients adopted a variety of strategies, both active and passive, with delays in obtaining medications and seeking financial help from GPs bring the most common. Although less important, high rates of switching GPs occurred. There was evidence of geographical variation in the strategies adopted by patients and practices as well as of the effects of such strategies given that considerable levels of unmet need remain. I conclude that more attention should be paid to the gatekeeper role of GPs and how their actions in different social contexts may result in inequalities in service provision to low income patients and outcomes of care. (C) 2001 Elsevier Science Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/01/20 alle ore 12:25:30