IDEAS home Printed from https://ideas.repec.org/p/osf/socarx/d6vbm.html
   My bibliography  Save this paper

A Path Analysis Examining the Relationship Between Access Barriers to Health Services and Healthcare Utilization Among the Publicly Insured: Insights from a Multiprovince Survey in the Philippines

Author

Listed:
  • Alipio, Mark

Abstract

Although the National Health Insurance Act (NHIA) of 2013 has been widely successful in expanding coverage, insurance alone may not translate into access to quality healthcare for everyone. Even among the insured, substantial barriers to accessing services inhibit health care utilization. This study was focused on examining the influence of selected health services access barriers to the healthcare utilization among the publicly insured residents in the Philippines. A cross-sectional survey was conducted with a sample of 7,234 Filipino residents chosen using multi-stage cluster sampling. Path analysis was used to determine the connections among the study variables. Descriptive analysis revealed that the respondents always perceive approachability and ability to reach as supply-side and demand-side access barriers, respectively, among others. Correlation analysis revealed that supply-side and demand-side access barriers to care and the healthcare utilization of the respondents are positively interrelated from each other, suggesting that respondents who always perceive the mentioned factors as access barrier to care utilize low level of healthcare services for the past three months. A further path analysis was conducted and revealed that the supply-side determinant with the largest total causal effect on healthcare utilization is approachability while the demand-side determinant with the largest total causal effect is ability to reach. The findings showed better fit of the conceptual model in predicting healthcare utilization. Approximately 93% of the variance in the healthcare utilization is explained by the model. The results of the study may enable policy makers and health planners to identify the different dimensions and aspects of barriers to access to health services, and to devise specific interventions or combination of interventions that can best address these barriers.

Suggested Citation

  • Alipio, Mark, 2020. "A Path Analysis Examining the Relationship Between Access Barriers to Health Services and Healthcare Utilization Among the Publicly Insured: Insights from a Multiprovince Survey in the Philippines," SocArXiv d6vbm, Center for Open Science.
    • Handle: RePEc:osf:socarx:d6vbm
    DOI: 10.31219/osf.io/d6vbm
    as

    Download full text from publisher

    File URL: https://osf.io/download/5e9717f5d6973504c1bda0d0/
    Download Restriction: no
    File URL: https://libkey.io/10.31219/osf.io/d6vbm?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Han, X. & Call, K.T. & Pintor, J.K. & Alarcon-Espinoza, G. & Simon, A.B., 2015. "Reports of insurance-based discrimination in health care and its association with access to care," American Journal of Public Health, American Public Health Association, vol. 105, pages 517-525.
    2. repec:mpr:mprres:7725 is not listed on IDEAS
    3. Garcia-Subirats, Irene & Vargas, Ingrid & Mogollón-Pérez, Amparo Susana & De Paepe, Pierre & da Silva, Maria Rejane Ferreira & Unger, Jean Pierre & Vázquez, María Luisa, 2014. "Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil," Social Science & Medicine, Elsevier, vol. 106(C), pages 204-213.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Stritzel, Haley, 2022. "State-level changes in health insurance coverage and parental substance use-associated foster care entry," Social Science & Medicine, Elsevier, vol. 305(C).
    2. Anthony Surace & David G. Zelaya & Arryn A. Guy & Nadine R. Mastroleo & Ayla Durst & David W. Pantalone & Peter M. Monti & Kenneth H. Mayer & Christopher W. Kahler, 2022. "Examining the Impact of Race on Motivational Interviewing Implementation and Outcomes with HIV+ Heavy Drinking Men Who Have Sex with Men," IJERPH, MDPI, vol. 19(7), pages 1-14, March.
    3. Alyson Ma & Alison Sanchez & Mindy Ma, 2022. "Racial disparities in health care utilization, the affordable care act and racial concordance preference," International Journal of Health Economics and Management, Springer, vol. 22(1), pages 91-110, March.
    4. Parkinson, Sarah E. & Behrouzan, Orkideh, 2015. "Negotiating health and life: Syrian refugees and the politics of access in Lebanon," Social Science & Medicine, Elsevier, vol. 146(C), pages 324-331.
    5. Jusung Lee & Krista J. Howard & Caleb Leong & Timothy J. Grigsby & Jeffrey T. Howard, 2023. "Beyond Being Insured: Insurance Coverage Denial as a Major Barrier to Accessing Care During Pregnancy and Postpartum," Clinical Nursing Research, , vol. 32(8), pages 1092-1103, November.
    6. John Diaz & Isabel Taboada & Adriana Abreu & Lara Vargas & Ysabel Polanco & Alex Zorrilla & Norman Beatty, 2023. "Evaluating Rural Health Disparities in Colombia: Identifying Barriers and Strategies to Advancing Refugee Health," IJERPH, MDPI, vol. 20(20), pages 1-15, October.
    7. Vázquez, María-Luisa & Vargas, Ingrid & Garcia-Subirats, Irene & Unger, Jean-Pierre & De Paepe, Pierre & Mogollón-Pérez, Amparo Susana & Samico, Isabella & Eguiguren, Pamela & Cisneros, Angelica-Ivonn, 2017. "Doctors' experience of coordination across care levels and associated factors. A cross-sectional study in public healthcare networks of six Latin American countries," Social Science & Medicine, Elsevier, vol. 182(C), pages 10-19.
    8. Jamie A Mitchell & Ramona Perry, 2020. "Disparities in patient-centered communication for Black and Latino men in the U.S.: Cross-sectional results from the 2010 health and retirement study," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-17, September.
    9. Conțiu Tiberiu Șoitu & Silviu-Petru Grecu & Romeo Asiminei, 2022. "Health Security, Quality of Life and Democracy during the COVID-19 Pandemic: Comparative Approach in the EU-27 Countries," IJERPH, MDPI, vol. 19(21), pages 1-26, November.

    More about this item

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:osf:socarx:d6vbm. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: OSF (email available below). General contact details of provider: https://arabixiv.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.