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Barriers to Health Service Access: A Study on Conditioning Factors of Self-Health and Illness Perception in Argentina

¹ Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
² Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
³ Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
⁴ Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
⁵ Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
⁶ Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
⁷ Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
⁸ Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
⁹ Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
¹⁰ Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
¹¹ Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
¹² Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
¹³ Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
¹⁴ Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
¹⁵ Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
¹⁶ Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
¹⁷ Catedra de Salud y Medicina Comunitaria, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina

Advances in Applied Sociology·Volume 11 (2021)·Pages 315–334·Published 2 June 2021·DOI10.4236/aasoci.2021.116029

Abstract

Aims: To determine self-health image and illness perception as potential barriers to health services access among inhabitants of La Plata, Buenos Aires, Argentina. Methods: A cross-sectional study, where survey, “Brief Illness- Perception Questionnaire” and basic medical examination were performed on 2430 participants at homes. Results: Although men showed a better concept of their state of health, they perceived their illness worse and belatedly. Only 45% of participants perceived symptoms disease, and from them, 48% finally decided to consult to the health system. Hence, from every 100 sick people, only 21 had access to a health institution. Higher level of education achieved, better socio-economic conditions or holding health insurance were significantly associated with appropriate health seeking, and access to health service. Conclusions: Self-health image and disease perception affected people ’ s access to health services. Participants of this study showed suboptimal disease perception, manifested as meager and delayed demand for care. These results demonstrate the weakness of current health care model based on people’s spontaneous demand. It is necessary to adopt a new health system for the entire population, regardless of the self-awareness that people may have about their own health/disease status. It would be a more inclusive, effective and efficient healthcare model.

KeywordsDemand-Side BarriersIllness PerceptionSelf-Health ImageHealth Care Model

Broadbent, E., Petrie, K. J., Main, J., & Weinman, J. (2006). The Brief Illness Perception Questionnaire. Journal of Psychosomatic Research, 60, 631-637. https://doi.org/10.1016/j.jpsychores.2005.10.020
Ferrara, F. A. (1993). Political Theory and Health—Second Volume: Addressing Health. Buenos Aires: Catalogs.
Gómez López, L., & Rabanaque Hernández, M. J. (2000). Health Concept. In C. Colomer Revuelta, & C. álvarez-Dardet (Eds.), Health Promotion and Social Change (pp. 3-12). Barcelona: Ed. Masson.
Kornblit, A. L., & Mendes Diz, A. M. (2000). Health and Disease: Biological and Social Aspects. Buenos Aires: Ed. Aique.
Leventhal, H., Benyamini, Y., Brownlee, S., Diefenbach, M., Leventhal, E., Patrick-Miller, L. et al. (1997). Illness Representations: Theoretical Foundations. In K. J. Petrie, & J. Weinman (Eds.), Perceptions of Health and Illness: Current Research and Applications (pp. 19-45). Amsterdam: Harwood Academic Publishers.
Leventhal, H., Leventhal, E. A., & Cameron, L. (2001). Representations, Procedures, and Affect in Illness Self-Regulation: A Perceptual-Cognitive Model. In A. Baum, T. A. Revenson, & J. E. Singer (Eds.), Handbook of Health Psychology 2001 (pp. 19-48). Mahwah, NJ: Lawrence Erlbaum.
Llovet, J. J. (1984). Health Services and Popular Sectors: The Years of the Process. Buenos Aires: CEDES.
MacKian, S. (2003). A Review of Health Seeking Behaviour: Problems and Prospects. Health Systems Development Programme.
Marín, G. H., Marín, L., & Errecalde, J. (2019). Impact in the Reduction of Complications through a Personalized Follow-Up Strategy to Ensure Adherence to Antihypertensive Therapy. International Journal of Advances in Science Engineering and Technology, 7, 9-11.
Marín, G. H., Rivadulla, P., Vázquez, A., & Juárez, D., for Grupo Interdisciplinario para la Salud (2006). Interdisciplinary Health Project: A Model Based in Home Care Makes the Difference. Anales Sistema Sanitario Navarra, 29, 107-118.
Marín, G. H., Silberman, M., Colombo, M. V., Ozaeta, B., & Henen, J. (2015). Manager’s Leadership Is the Main Skill for Ambulatory Health Care Plan Success. The Journal of Ambulatory Care Management, 38, 59-68. https://doi.org/10.1097/JAC.0000000000000014
Marín, G., Silberman, M., & Etchegoyen, G. (2008). A Personalised Health Care Programme (PANDELAS) Operating in Buenos Aires, Argentina, during 2006. Revista de Salud Publica (Bogota, Colombia), 10, 203-214. https://doi.org/10.1590/S0124-00642008000200001

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Barriers to Health Service Access: A Study on Conditioning Factors of Self-Health and Illness Perception in Argentina

Abstract

References (17)