Access to Public Health Care Services in Two Municipalities
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Abstract
This article focuses on access to public health care services for older persons between the municipality that has established the public health bureau and the municipality that has signed an agreement on public health care services provision. The cross sectional survey of 178 older persons of Anykščiai district municipality and 165 older persons of Ignalina district municipality was performed in August – October, 2013. Based on the results, older persons of Anykščiai district municipality used less public health care services over the past year (12 months) than older persons of Ignalina district municipality. There were no differences in using the analyzed public health care services between the municipalities, however, the consulting services in health promotion and maintenance were often provided to older persons of Anykščiai district than Ignalina district municipality. Older persons lacked services for disease prevention and health promotion in both municipalities. Older persons of Ignalina district municipality have good access to public health care services, while access to these services for older persons of Anykščiai district municipality was limited by communication and organizational barriers. Older persons in both municipalities faced with financial difficulties due to transport costs and the lack of public health care services for them.
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Section
Articles
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