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Examining spatial patterns of primar...

Baker, Jonathan B.

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Examining spatial patterns of primary health care utilization in southern Honduras.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Examining spatial patterns of primary health care utilization in southern Honduras./
Author:	Baker, Jonathan B.
Description:	172 p.
Notes:	Source: Dissertation Abstracts International, Volume: 66-11, Section: A, page: 4133.
Contained By:	Dissertation Abstracts International66-11A.
Subject:	Geography. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3196951
ISBN:	9780542409714

Examining spatial patterns of primary health care utilization in southern Honduras.
Baker, Jonathan B.

Examining spatial patterns of primary health care utilization in southern Honduras. - 172 p.

Source: Dissertation Abstracts International, Volume: 66-11, Section: A, page: 4133.

Thesis (Ph.D.)--University of Cincinnati, 2005.

Primary health care utilization is poorly understood in many parts of the developing world. This is especially true in rural places, such as Santa Lucia, Intibuca, Honduras, where there are only three primary health care facilities servicing almost 12,000 people, where the people are poor, and generally speaking access to care is limited. This research project focuses on trying to understand primary health care utilization patterns in this part of southern Honduras. Specifically, this research project examines the utilization of three health clinics operating in and around Santa Lucia.

ISBN: 9780542409714Subjects--Topical Terms:

524010
Geography.

Examining spatial patterns of primary health care utilization in southern Honduras.
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100 1 $a Baker, Jonathan B. $3 749744
245 1 0 $a Examining spatial patterns of primary health care utilization in southern Honduras.
300 $a 172 p.
500 $a Source: Dissertation Abstracts International, Volume: 66-11, Section: A, page: 4133.
500 $a Chair: Lin Liu.
502 $a Thesis (Ph.D.)--University of Cincinnati, 2005.
520 $a Primary health care utilization is poorly understood in many parts of the developing world. This is especially true in rural places, such as Santa Lucia, Intibuca, Honduras, where there are only three primary health care facilities servicing almost 12,000 people, where the people are poor, and generally speaking access to care is limited. This research project focuses on trying to understand primary health care utilization patterns in this part of southern Honduras. Specifically, this research project examines the utilization of three health clinics operating in and around Santa Lucia.
520 $a The delivery of health care is dependent on many factors, including the availability, cost, and capacities of the providers; the needs, resources and decisions of the patients; and the characteristics of the region within which the patients live. This research focuses primarily on the patients, and tries to understand their health seeking behavior. A better understanding of utilization can be used by health service planners to improve primary health care delivery in this and similar locations.
520 $a The findings of this research indicate that utilization patterns can be explained, to a large extent, by factors relating to walking [travel] time, economic status, and the combined affect of health service type and proximity to care. These findings are consistent with findings from prior research: Both travel time and economic status are important factors in determining primary health care utilization. In addition, a new variable is created to examine health decision-making. This new variable has not been considered in previous research, and is found to very significant determinant of health facility utilization in the study area.
520 $a A modified gravity model is used to estimate the level of utilization, and is tested through the use of log linear transformation and multi-variate regression techniques. The results here, an R-square of .644 for a model combining three different health clinic service areas, clearly indicate a relationship between these independent variables and utilization.
590 $a School code: 0045.
650 4 $a Geography. $3 524010
650 4 $a Health Sciences, Health Care Management. $3 1017922
690 $a 0366
690 $a 0769
710 2 0 $a University of Cincinnati. $3 960309
773 0 $t Dissertation Abstracts International $g 66-11A.
790 1 0 $a Liu, Lin, $e advisor
790 $a 0045
791 $a Ph.D.
792 $a 2005
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3196951