Peter P Groenewegen1,2, Madelon Kroneman3, Peter Spreeuwenberg3. 1. NIVEL (Netherlands Institute for Health Services Research), PO box 1568, 3500BN, Utrecht, The Netherlands. p.groenewegen@nivel.nl. 2. Department of Sociology and Department of Human Geography, Utrecht University, P.O. Box 80.115, 3508, TC, Utrecht, The Netherlands. p.groenewegen@nivel.nl. 3. NIVEL (Netherlands Institute for Health Services Research), PO box 1568, 3500BN, Utrecht, The Netherlands.
Abstract
BACKGROUND: Primary care is the first point of care, also for people with disabilities. The accessibility of primary care facilities is therefore very important. In this study we analysed comparative data on physical accessibility of general practices (GP practices) in 31 (mainly) European countries. METHODS: We used data from the QUALICOPC study, conducted in 2011 among GPs in 34 (mainly European) countries and constructed a physical accessibility scale. We applied multilevel analysis to assess the differences between and within countries and to test hypotheses, related to characteristics of the practices and of the countries. RESULTS: We found large differences between countries and a strong clustering of physical accessibility within countries. Physical accessibility was negatively related to the age of the GPs, and was less in single-handed and in inner city practices. Of the country variables only the length of the period of social democratic government participation during the previous decades was positively related to physical accessibility. CONCLUSION: A large share of the variation in physical accessibility of GP practices was on the level of countries. This means that national policies can be used to increase physical accessibility of GP practices.
BACKGROUND: Primary care is the first point of care, also for people with disabilities. The accessibility of primary care facilities is therefore very important. In this study we analysed comparative data on physical accessibility of general practices (GP practices) in 31 (mainly) European countries. METHODS: We used data from the QUALICOPC study, conducted in 2011 among GPs in 34 (mainly European) countries and constructed a physical accessibility scale. We applied multilevel analysis to assess the differences between and within countries and to test hypotheses, related to characteristics of the practices and of the countries. RESULTS: We found large differences between countries and a strong clustering of physical accessibility within countries. Physical accessibility was negatively related to the age of the GPs, and was less in single-handed and in inner city practices. Of the country variables only the length of the period of social democratic government participation during the previous decades was positively related to physical accessibility. CONCLUSION: A large share of the variation in physical accessibility of GP practices was on the level of countries. This means that national policies can be used to increase physical accessibility of GP practices.
Entities:
Keywords:
Disabled people; International comparison; Physical accessibility; Policy; Primary care
Authors: Jennifer L Wong; Kevin N Alschuler; Tracy M Mroz; Kimberly P Hreha; Ivan R Molton Journal: Disabil Health J Date: 2019-01-20 Impact factor: 2.554
Authors: Michael D Stillman; Gina Bertocci; Craig Smalley; Steve Williams; Karen L Frost Journal: Disabil Health J Date: 2017-02-16 Impact factor: 2.554
Authors: Willemijn L A Schäfer; Wienke G W Boerma; Dionne S Kringos; Jan De Maeseneer; Stefan Gress; Stephanie Heinemann; Danica Rotar-Pavlic; Chiara Seghieri; Igor Svab; Michael J Van den Berg; Milena Vainieri; Gert P Westert; Sara Willems; Peter P Groenewegen Journal: BMC Fam Pract Date: 2011-10-20 Impact factor: 2.497
Authors: Maggie Campillay-Campillay; Ana Calle-Carrasco; Pablo Dubo; Jorge Moraga-Rodríguez; Juan Coss-Mandiola; Jairo Vanegas-López; Alejandra Rojas; Raúl Carrasco Journal: Int J Environ Res Public Health Date: 2022-09-29 Impact factor: 4.614