From: Drivers of respiratory health care demand in Acre state, Brazilian Amazon: a cross-sectional study
Papers | Class | Factors in the literature | Factors in this paper |
---|---|---|---|
DAT20, NAK20, SUK16, SEI18, NGH17, D20, TET17 | Individual characteristics | .Education (+) [TET17] .Age (+) [SEI18, DAT20] (population ageing contributes to increased health expenditure at the macroeconomic level) (+) [NGH17] .Income (+) .Poverty (−) | .Education .Age .Income .Poverty .Gender |
SUK16, ABD17, NGH17, CHE21, ZHA20 | Health level and condition | .Chronic disease (+) .Interaction with ill individuals (+) .Illness stigmatization (−) .Anxiety (a positive predictor of TB stigmatization) [CHE21] (−) .Health level of the community and capacity to support health care seeking (+) | .Serious lung diseases (including chronic diseases) .Subjective pain level caused by respiratory illness or dry cough .Symptoms caused by respiratory illness .Duration of respiratory illness and dry cough |
D20, DAT20, SEI18, SUK16 | Health knowledge | .Ability to identify symptoms, their severity, linkage with illnesses and causes (+) .Limited knowledge about prevention and treatment (−) .Degree of “health literacy” or capacity to obtain and use information in order to ensure good health [SUK16] (+) | Proxied by education |
D20, NAK20, CHE21, SUK16 | Intrahousehold relationships, gender and communities | .Mothers’ agency to seek health care (−) and control of household budget (+); .Household size (−) .Female gender (−/+) .Support from relatives in seeking health care and overcoming stigmatization (+) .Social capital [SUK16] (+) | .Household size .Gender of respondent .Gender of child’s caregiver |
D20, CHE21, NAK20, DAT20, DIA13 | Access to care (including relationship with providers and treatment cost) | .Previous contacts (+) and good personal relations with health care provider (+), including good patient–physician communication (+) [CHE21] .Health facility distance (−) .Treatment cost (−), copayment or any out-of-pocket disbursement being required (−) .Opportunity cost of treatment (specifically transport cost) (−) .Waiting time (−) | .Facility distance or travel time .Waiting time .Has at least a moderate amount of time available to seek health care .Health insurance |
D20, NAK20, TET17, DIA13, SEI18 | Nonprofessional care (traditional medicine and alternative, self-prescribed and over-the-counter medication) | .Resort to self-made medication (including traditional plant- and herb-based remedies) (−) and self-medication with either traditional or ordinary drugs (−) [SEI18]; .Resort to traditional healers and “chemists” (medication vendors) (−) .Relative distance of formal and nonformal care options (e.g., “chemist”/drug vendors are inside the community and health facility is outside) (−) | Resort to nonprofessional health care (mostly traditional medication) |
PIA17, NGH17 | Macroeconomic factors | .GDP (predictor of public health care expenditure) [PIA17] (+) .Labour force (idem) [PIA 17] (+) .Technological progress (which fosters economic growth and thus health expenditure) [PIA 17] (+) | Not addressed |