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Investigating Unmet Health Needs in Primary Health Care Services in a Representative Sample of the Greek Population

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  • Evelina Pappa

    (Faculty of Social Sciences, Hellenic Open University, Riga Fereou 169 & Tsamadou, Patras 26222, Greece)

  • Nick Kontodimopoulos

    (Faculty of Social Sciences, Hellenic Open University, Riga Fereou 169 & Tsamadou, Patras 26222, Greece)

  • Angelos Papadopoulos

    (Faculty of Social Sciences, Hellenic Open University, Riga Fereou 169 & Tsamadou, Patras 26222, Greece
    ATTIKON" University Hospital, 1 Rimini Street, Athens 12462, Greece)

  • Yannis Tountas

    (Centre for Health Services Research, Department of Hygiene and Epidemiology, Medical School, Athens University, 25 Alexandroupoleos Street, Athens 11527, Greece)

  • Dimitris Niakas

    (Faculty of Social Sciences, Hellenic Open University, Riga Fereou 169 & Tsamadou, Patras 26222, Greece)

Abstract

Unmet health care needs are determined as the difference between the services judged necessary and the services actually received, and stem from barriers related to accessibility, availability and acceptability. This study aims to examine the prevalence of unmet needs and to identify the socioeconomic and health status factors that are associated with unmet needs. A cross-sectional study was conducted in Greece in 2010 and involved data from 1,000 consenting subjects (>18 years old). Multiple binary logistic regression analysis was applied to investigate the predictors of unmet needs and to determine the relation between the socio-demographic characteristics and the accessibility, availability and acceptability barriers. Ninety nine participants (9.9%) reported unmet health needs during the 12 months prior to the research. The most frequently self-reported reasons were cost and lack of time. Youth, parenthood, physician consultations, and poor mental health increased the likelihood of unmet needs. Women were less likely to report accessibility and availability than acceptability barriers. Educational differences were evident and individuals with primary and secondary education were associated with significantly more accessibility and availability barriers compared with those with tertiary education. Unmet health needs pose a significant challenge to the health care system, especially given the difficult current financial situation in Greece. It is believed that unmet health needs will continue to increase, which will widen inequalities in health and health care access.

Suggested Citation

  • Evelina Pappa & Nick Kontodimopoulos & Angelos Papadopoulos & Yannis Tountas & Dimitris Niakas, 2013. "Investigating Unmet Health Needs in Primary Health Care Services in a Representative Sample of the Greek Population," IJERPH, MDPI, vol. 10(5), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:10:y:2013:i:5:p:2017-2027:d:25787
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    References listed on IDEAS

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    1. Nelson, Connie Holmes & Park, Jungwee, 2006. "The nature and correlates of unmet health care needs in Ontario, Canada," Social Science & Medicine, Elsevier, vol. 62(9), pages 2291-2300, May.
    2. Westin, Marcus & Ahs, Annika & Brand Persson, Kristina & Westerling, Ragnar, 2004. "A large proportion of Swedish citizens refrain from seeking medical care--lack of confidence in the medical services a plausible explanation?," Health Policy, Elsevier, vol. 68(3), pages 333-344, June.
    3. Alonso, J. & Orfila, F. & Ruigómez, A. & Ferrer, M. & Antó, J.M., 1997. "Unmet health care needs and mortality among Spanish elderly," American Journal of Public Health, American Public Health Association, vol. 87(3), pages 365-370.
    4. Andersen, R., 1978. "Health status indices and access to medical care," American Journal of Public Health, American Public Health Association, vol. 68(5), pages 458-463.
    5. Wiltshire, J.C. & Person, S.D. & Kiefe, C.I. & Allison, J.J., 2009. "Disentangling the influence of socioeconomic status on differences between African American and white women in unmet medical needs," American Journal of Public Health, American Public Health Association, vol. 99(9), pages 1659-1665.
    6. Burstrom, Bo, 2002. "Increasing inequalities in health care utilisation across income groups in Sweden during the 1990s?," Health Policy, Elsevier, vol. 62(2), pages 117-129, November.
    7. Diamant, A.L. & Hays, R.D. & Morales, L.S. & Ford, W. & Calmes, D. & Asch, S. & Duan, N. & Fielder, E. & Kim, S. & Fielding, J. & Sumner, G. & Shapiro, M.F. & Hayes-Bautista, D. & Gelberg, L., 2004. "Delays and Unmet Need for Health Care among Adult Primary Care Patients in a Restructured Urban Public Health System," American Journal of Public Health, American Public Health Association, vol. 94(5), pages 783-789.
    8. Evelina Pappa & Nick Kontodimopoulos & Angelos A. Papadopoulos & Georgia Pallikarona & Dimitris Niakas & Yannis Tountas, 2009. "Factors Affecting Use of Preventive Tests for Cardiovascular Risk among Greeks," IJERPH, MDPI, vol. 6(10), pages 1-13, October.
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    Cited by:

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    2. Young Suk Yoon & Boyoung Jung & Dongsu Kim & In-Hyuk Ha, 2019. "Factors Underlying Unmet Medical Needs: A Cross-Sectional Study," IJERPH, MDPI, vol. 16(13), pages 1-19, July.
    3. Ju Young Kim & Dae In Kim & Hwa Yeon Park & Yuliya Pak & Phap Ngoc Hoang Tran & Truc Thanh Thai & Mai Thi Thanh Thuy & Do Van Dung, 2020. "Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
    4. Pengfei Sheng & Tingting Yang & Tengfei Zhang, 2021. "The Unmet Medical Demand among China’s Urban Residents," IJERPH, MDPI, vol. 18(21), pages 1-13, November.
    5. Jung A. Choi & Oksoo Kim, 2021. "Factors Influencing Unmet Healthcare Needs among Older Korean Women," IJERPH, MDPI, vol. 18(13), pages 1-9, June.
    6. Ke Chen & Alan Hoi-shou Chan, 2013. "Use or Non-Use of Gerontechnology—A Qualitative Study," IJERPH, MDPI, vol. 10(10), pages 1-22, September.

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