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671 Results Found

  • Article
  • Open Access
30 Citations
8,080 Views
13 Pages

17 October 2022

This study explored questions of (1) whether certain areas of South Korea experienced inequal accessibility to public health centers, private hospitals/clinics, and general hospitals by car and public transportation using gaussian mixture models (GMM...

  • Review
  • Open Access
61 Citations
11,858 Views
18 Pages

Extensive research documents the health inequalities LGBTI people experience, however far less is known for people with intersex variation. This paper presents a review of intersex health and healthcare inequalities by evaluating research published f...

  • Article
  • Open Access
2,309 Views
17 Pages

Mitigation of Socio-Economical Inequalities on the Profile of Healthcare Workers Infected with SARS-CoV-2 upon Vaccination: The Experience of a Brazilian Public Healthcare Institution during the Omicron Wave

  • Maria Celia Chaves Zuma,
  • Roberta Soares Faccion,
  • Ana Carolina Carioca da Costa,
  • Leonardo Henrique Ferreira Gomes,
  • Daniella Campelo Batalha Cox Moore,
  • Saint Clair Gomes Junior,
  • Adriana Cesar Bonomo,
  • Wilson Savino,
  • Sotiris Missailidis and
  • Zilton Farias Meira Vasconcelos

5 January 2023

Background: COVID-19 increased health inequalities worldwide. Even among healthcare workers, social-economical features enhanced the risk of infection (having positive serology) during the first outbreak. The Omicron variant changed the pandemic cour...

  • Article
  • Open Access
11 Citations
4,109 Views
17 Pages

Background: Long-term care (LTC) services help the elderly maintain their functional ability and live with dignity. In China, the establishment of an equitable LTC system is a primary focus of the current public health reform. This paper assesses lev...

  • Article
  • Open Access
13 Citations
4,285 Views
14 Pages

Accessibility to healthcare services is crucial for residents’ wellbeing. Numerous studies have revealed significant spatial inequality in healthcare accessibility across various contexts. However, it still remains unclear whether the inequalit...

  • Review
  • Open Access
24 Citations
7,432 Views
23 Pages

Indicative evidence suggests that the prevalence of multiple long-term conditions (i.e., conditions that cannot be cured but can be managed with medication and other treatments) may be higher in people from minoritised ethnic groups when compared to...

  • Article
  • Open Access
1,464 Views
16 Pages

Inequality in the Distribution and Utilization of Healthcare Resources in Kazakhstan (2002–2023): A Spatiotemporal Analysis

  • Askhat Shaltynov,
  • Madina Abenova,
  • Assel Baibussinova,
  • Yuliya Semenova,
  • Nazarbek Omarov,
  • Gulnaz Tanatarova,
  • Aigerim Sepbossynova and
  • Jorge Rocha

Global progress toward achieving universal health coverage (UHC) by 2030 remains insufficient, as significant regional disparities in access to healthcare persist. In Kazakhstan, the uneven distribution of healthcare resources continues despite refor...

  • Article
  • Open Access
9 Citations
6,321 Views
17 Pages

Bridging Inequity Gaps in Healthcare Systems While Educating Future Healthcare Professionals—The Social Health Bridge-Building Programme

  • Gitte Valentin,
  • Claus Vinther Nielsen,
  • Anne-Sofie Meldgaard Nielsen,
  • Merete Tonnesen,
  • Kristina Louise Bliksted,
  • Katrine Tranberg Jensen,
  • Karen Ingerslev,
  • Thomas Maribo and
  • Lisa Gregersen Oestergaard

Social inequity in healthcare persists even in countries with universal healthcare. The Social Health Bridge-Building Programme aims to reduce healthcare inequities. This paper provides a detailed description of the programme. The Template for Interv...

  • Article
  • Open Access
1 Citations
2,977 Views
9 Pages

Several factors affect the relationship between a diabetic patient and a healthcare worker. Among these, there is the well-being of healthcare workers and how they perceive their work environment, especially in the context of the presence or absence...

  • Article
  • Open Access
26 Citations
5,187 Views
16 Pages

Since the onset of reform and opening up in China, large cities in the nation have been experiencing problems related to limited medical resources. These resource limitations are due to rapid population growth and urban expansion. As the country&rsqu...

  • Article
  • Open Access
3 Citations
4,288 Views
13 Pages

The main purpose of this article is to analyse how healthcare providers in Portugal perceive asexuality. To do so, the author makes use of qualitative data from both the CILIA LGBTQI+ Lives project and The Asexual Revolution doctoral research on asex...

  • Feature Paper
  • Article
  • Open Access
46 Citations
10,335 Views
18 Pages

Socioeconomic Inequalities in Health and Perceived Unmet Needs for Healthcare among the Elderly in Germany

  • Jens Hoebel,
  • Alexander Rommel,
  • Sara Lena Schröder,
  • Judith Fuchs,
  • Enno Nowossadeck and
  • Thomas Lampert

Research into health inequalities in the elderly population of Germany is relatively scarce. This study examines socioeconomic inequalities in health and perceived unmet needs for healthcare and explores the dynamics of health inequalities with age a...

  • Review
  • Open Access
24 Citations
5,844 Views
11 Pages

Socioeconomic Inequalities in the Use of Healthcare Services: Comparison between the Roma and General Populations in Spain

  • Daniel La Parra-Casado,
  • Paola A. Mosquera,
  • Carmen Vives-Cases and
  • Miguel San Sebastian

This paper explores whether the principles of horizontal and vertical equity in healthcare are met by the Spanish national health system in the case of the Roma and general populations. The 2011/2012 Spanish National Health Survey (n = 21,650) and th...

  • Article
  • Open Access
30 Citations
8,949 Views
14 Pages

Changes in Socioeconomic Inequalities in the Use of Dental Care Following Major Healthcare Reform in Chile, 2004–2009

  • Marco Cornejo-Ovalle,
  • Guillermo Paraje,
  • Felipe Vásquez-Lavín,
  • Glòria Pérez,
  • Laia Palència and
  • Carme Borrell

The study examines changes in the distribution and socioeconomic inequalities of dental care utilization among adults after the major healthcare reform in Chile, 2004–2009. We evaluated the proportion of people who visited the dentist at least once i...

  • Article
  • Open Access
7 Citations
2,897 Views
17 Pages

24 January 2023

The importance of proper access to urban amenities for elderly residents is evidenced in the literature. Among them, mobility infrastructure, particularly public transport (PT), is of pivotal significance due to its intermediary role in access to oth...

  • Review
  • Open Access
10 Citations
4,831 Views
16 Pages

Transgender individuals are an underserved, vulnerable population. They face many inequities including barriers in both accessing and receiving adequate healthcare. These inequities are proposed here to be rooted in a lack of education about transgen...

  • Article
  • Open Access
26 Citations
17,643 Views
15 Pages

Who Benefits from Public Healthcare Subsidies in Egypt?

  • Ahmed Shoukry Rashad and
  • Mesbah Fathy Sharaf

25 November 2015

Direct subsidization of healthcare services has been widely used in many countries to improve health outcomes. It is commonly believed that the poor are the main beneficiaries from these subsidies. We test this hypothesis in Egypt by empirically anal...

  • Article
  • Open Access
10 Citations
5,916 Views
11 Pages

Background: In China, a developing country, the imbalance of development exists in different fields, and the inequalities in the distribution of healthcare services have garnered increasing attention. This study aimed to assess the healthcare service...

  • Article
  • Open Access
17 Citations
7,744 Views
17 Pages

This study investigates the influence of the household registration system on rural–urban disparity in healthcare access (including healthcare quality, blood pressure check, blood test, vision test, dental examination, and breast exam), using data fr...

  • Article
  • Open Access
1 Citations
2,199 Views
17 Pages

Inequalities in the Health Impact of the First Wave of the COVID-19 Pandemic in Piedmont Region, Italy

  • Michele Marra,
  • Elena Strippoli,
  • Nicolás Zengarini and
  • Giuseppe Costa

(1) Introduction: Several studies observe a social gradient in the incidence and health consequences of SARS-CoV-2 infection, but they rely mainly on spatial associations because individual-level data are lacking. (2) Objectives: To assess the impact...

  • Review
  • Open Access
11 Citations
5,109 Views
17 Pages

The purpose of this study was to analyze the concept of the “healthcare safety net” during the COVID-19 pandemic. Walker and Avant’s process of concept analysis was used in this systematic literature review. The attributes of the concept of a healthc...

  • Article
  • Open Access
30 Citations
5,214 Views
23 Pages

Comprehensive investigation on understanding geographical inequalities of healthcare resources and their influencing factors in China remains scarce. This study aimed to explore both spatial and temporal heterogeneous impacts of various socioeconomic...

  • Article
  • Open Access
10 Citations
4,340 Views
18 Pages

In 2006, a policy reform restructured the maternal and perinatal healthcare system, including closing smaller maternity units, to further improve care in Portugal. This study aimed to investigate the effects of the 2006 National Program of Maternal a...

  • Review
  • Open Access
7 Citations
2,670 Views
15 Pages

African American/Black communities comprise 12.2% of the U.S. population, with a COVID-19 infection rate of more than 18% and marginal access to healthcare services. This scoping review synthesizes the emerging evidence on healthcare accessibility am...

  • Article
  • Open Access
1,579 Views
11 Pages

21 June 2025

Background/Objectives: Colorectal cancer (CRC) is a leading cause of cancer-related morbidity and mortality worldwide, posing a substantial health and economic burden. Despite advances in screening and treatment, significant socioeconomic and healthc...

  • Article
  • Open Access
4 Citations
2,898 Views
14 Pages

10 February 2021

Equitable access to healthcare services is a major concern among immigrant women. Thus, this study investigated the relationship between socioeconomic characteristics and healthcare needs among immigrant women in Taiwan. The secondary data was obtain...

  • Article
  • Open Access
72 Citations
8,488 Views
21 Pages

The Problem of Fairness in Synthetic Healthcare Data

  • Karan Bhanot,
  • Miao Qi,
  • John S. Erickson,
  • Isabelle Guyon and
  • Kristin P. Bennett

4 September 2021

Access to healthcare data such as electronic health records (EHR) is often restricted by laws established to protect patient privacy. These restrictions hinder the reproducibility of existing results based on private healthcare data and also limit ne...

  • Article
  • Open Access
3 Citations
1,806 Views
16 Pages

Inequalities in the Distribution of the Nursing Workforce in Albania: A Regional Analysis Using the Gini Coefficient

  • Blerina Duka,
  • Alketa Dervishi,
  • Eriola Grosha,
  • Dhurata Ivziku,
  • Gennaro Rocco,
  • Alessandro Stievano and
  • Ippolito Notarnicola

22 January 2025

Background/Objectives: The uneven distribution of nurses in Albania is a major problem that compromises equitable access to health services. Rural and less developed regions suffer from a chronic shortage of nursing staff, while urban areas attract h...

  • Article
  • Open Access
28 Citations
5,326 Views
14 Pages

With the ageing population, equitable access to medical care has proven to be paramount for the effective and efficient management of all diseases. Healthcare access can be hindered by cost barriers for drugs or exams, long waiting lists or difficult...

  • Article
  • Open Access
20 Citations
5,451 Views
14 Pages

16 October 2020

This study examined the effects of healthcare inequality on personal health. It aimed to determine how health insurance type and income level influence catastrophic health expenditure and unmet healthcare needs among South Koreans. Unbalanced Korean...

  • Commentary
  • Open Access
6 Citations
3,022 Views
11 Pages

A Novel Framework to Address the Complexities of Housing Insecurity and Its Associated Health Outcomes and Inequities: “Give, Partner, Invest”

  • Sonika Bhatnagar,
  • John Lovelace,
  • Ray Prushnok,
  • Justin Kanter,
  • Joan Eichner,
  • Dan LaVallee and
  • James Schuster

The association between housing insecurity and reduced access to healthcare, diminished mental and physical health, and increased mortality is well-known. This association, along with structural racism, social inequities, and lack of economic opportu...

  • Article
  • Open Access
2 Citations
2,508 Views
27 Pages

Africa’s rapid urbanization often exceeds the capacity of governments to provide essential services and infrastructure, exacerbating structural inequalities and exposing vulnerable populations to serious health risks. This paper examines the ca...

  • Article
  • Open Access
38 Citations
6,265 Views
15 Pages

COVID-19 and Unmet Healthcare Needs of Older People: Did Inequity Arise in Europe?

  • Marta González-Touya,
  • Alexandrina Stoyanova and
  • Rosa M. Urbanos-Garrido

Background: The disruption in healthcare provision due to the COVID-19 pandemic forced many non-urgent medical treatments and appointments to be postponed or denied, which is expected to have huge impact on non-acute health conditions, especially in...

  • Review
  • Open Access
1 Citations
1,214 Views
23 Pages

The Impact of Polycrisis on Healthcare Systems—Analyzing Challenges and the Role of Social Epidemiology

  • Agata Wypych-Ślusarska,
  • Karolina Krupa-Kotara,
  • Jerzy Słowinski,
  • Antoniya Yanakieva and
  • Mateusz Grajek

14 August 2025

In response to contemporary challenges such as the COVID-19 pandemic, climate change, armed conflicts, and economic instability, healthcare systems worldwide are increasingly confronted with multifaceted and overlapping crises—collectively refe...

  • Article
  • Open Access
61 Citations
22,378 Views
28 Pages

Access Disparity and Health Inequality of the Elderly: Unmet Needs and Delayed Healthcare

  • Tetsuji Yamada,
  • Chia-Ching Chen,
  • Chiyoe Murata,
  • Hiroshi Hirai,
  • Toshiyuki Ojima,
  • Katsunori Kondo and
  • Joseph R. Harris III

The purpose of this study is to investigate healthcare access disparity that will cause delayed and unmet healthcare needs for the elderly, and to examine health inequality and healthcare cost burden for the elderly. To produce clear policy applicati...

  • Review
  • Open Access
5 Citations
4,549 Views
21 Pages

7 February 2024

Women of color (WoC) in the health professions encounter challenges in advancement to higher positions, disparities in wages, discrimination, lack of expectation to achieve leadership positions, and absence of extensive support networks. Articles in...

  • Perspective
  • Open Access
7 Citations
2,390 Views
11 Pages

Challenges and Opportunities in Accessing Surgery for Glioblastoma in Low–Middle Income Countries: A Narrative Review

  • Paolo Tini,
  • Giovanni Rubino,
  • Pierpaolo Pastina,
  • Salvatore Chibbaro,
  • Alfonso Cerase,
  • Francesco Marampon,
  • Sergio Paolini,
  • Vincenzo Esposito and
  • Giuseppe Minniti

17 August 2024

Glioblastoma: a highly aggressive brain tumor, presents substantial challenges in treatment and management, with surgical intervention playing a pivotal role in improving patient outcomes. Disparities in access to brain tumor surgery arise from a mul...

  • Project Report
  • Open Access
16 Citations
11,926 Views
8 Pages

Utilization of a Mobile Dental Vehicle for Oral Healthcare in Rural Areas

  • Sherry Shiqian Gao,
  • Madeline Jun Yu Yon,
  • Kitty Jieyi Chen,
  • Duangporn Duangthip,
  • Edward Chin Man Lo and
  • Chun Hung Chu

Oral diseases remain one of the major global public health challenges, and the worldwide urban–rural disparities in oral health are significant. Residents in rural areas generally suffer from a higher prevalence and severity of dental caries an...

  • Article
  • Open Access
6 Citations
2,670 Views
11 Pages

‘I Didn’t Know Where to Go’: A Mixed-Methods Approach to Explore Migrants’ Perspectives of Access and Use of Health Services during the COVID-19 Pandemic

  • Ana Gama,
  • Maria J. Marques,
  • João Victor Rocha,
  • Sofia Azeredo-Lopes,
  • Walaa Kinaan,
  • Ana Sá Machado and
  • Sónia Dias

The COVID-19 pandemic put pressure on health systems, affecting populations’ use of health services, especially those experiencing increased difficulties in healthcare access, as some migrant groups. This study aimed to investigate access and u...

  • Article
  • Open Access
3 Citations
2,433 Views
16 Pages

Forced displacement exacerbates health vulnerabilities, particularly regarding HIV prevention, diagnosis, and treatment. Refugees often experience heightened exposure to HIV due to precarious living conditions, sexual violence, and healthcare access...

  • Article
  • Open Access
13 Citations
3,963 Views
17 Pages

Advancing Urban Healthcare Equity Analysis: Integrating Public Participation GIS with Fuzzy Best–Worst Decision-Making

  • Zeinab Neisani Samani,
  • Ali Asghar Alesheikh,
  • Mohammad Karimi,
  • Najmeh Neysani Samany,
  • Sayeh Bayat,
  • Aynaz Lotfata and
  • Chiara Garau

20 February 2024

This study provides an innovative collaborative spatial decision support system (SDSS) that aims to ensure an equitable spatial distribution of healthcare services. Evaluating the equality of access to health services across different geographical ar...

  • Article
  • Open Access
4 Citations
2,834 Views
14 Pages

Urban Health and Social Marginality: Perceived Health Status and Interaction with Healthcare Professionals of a Hard-to-Reach Community Living in a Suburban Area of Rome (Italy)

  • Susanna Caminada,
  • Federica Turatto,
  • Silvia Iorio,
  • Lorenzo Paglione,
  • Miriam Errigo,
  • Elena Mazzalai,
  • Anissa Jaljaa,
  • Dara Giannini,
  • Marco Tofani and
  • Maurizio Marceca
  • + 8 authors

The study reports an urban health investigation conducted in Bastogi, an outskirt of Rome (Italy) characterised by social marginalization and deprivation. Our aim was to analyse the health perception, health-related behaviours, and interaction with h...

  • Article
  • Open Access

Investigating Pediatric Musculoskeletal and Head Injuries During the COVID-19 Pandemic in Manitoba

  • Monther Abuhantash,
  • Luca Ramelli,
  • Ashley Stewart-Tufescu,
  • Tamara Taillieu,
  • Isuru Dharmasena,
  • Ian Laxdal,
  • James McCammon and
  • Tracie O. Afifi
COVID2026, 6(1), 19;https://doi.org/10.3390/covid6010019 
(registering DOI)

17 January 2026

There is a paucity of evidence informing our understanding of how the COVID-19 pandemic affected pediatric trauma in Manitoba, Canada. The aim of this retrospective cohort study was to analyze the effect of the pandemic on pediatric trauma and its as...

  • Article
  • Open Access
1 Citations
2,505 Views
14 Pages

Molecular Tumor Board-Guided Targeted Treatments for Biliary Tract Cancers in a Publicly Funded Healthcare System

  • Felix E. G. Beaudry,
  • Zhihao Li,
  • Ayelet Borgida,
  • Anudari Zorigtbaatar,
  • Xin Wang,
  • Maggie Hildebrand,
  • Oumaima Hamza,
  • Gun Ho Jang,
  • Roxana Bucur and
  • Robert C. Grant
  • + 10 authors

Comprehensive molecular profiling can identify alterations in biliary tract cancer (BTC) potentially treatable with targeted therapies. However, the impact of whole-genome and transcriptome sequencing (WGTS) on therapeutic decision-making in a public...

  • Article
  • Open Access
19 Citations
4,694 Views
16 Pages

Individuals with severe mental illnesses (SMI) face a striking excess and premature mortality which has been demonstrated in several national contexts. This phenomenon, which constitutes a red-flag indicator of public health inequities, can be hypoth...

  • Article
  • Open Access
9 Citations
8,631 Views
17 Pages

What Determines the District-Level Disparities in Immunization Coverage in India: Findings from Five Rounds of the National Family Health Survey

  • Nandita Saikia,
  • Krishna Kumar,
  • Jayanta Kumar Bora,
  • Souvik Mondal,
  • Santosh Phad and
  • Sumeet Agarwal

16 April 2023

India’s Universal Immunization Programme has been performing at a sub-optimal level over the past decade, with there being a wide disparity in terms of immunization coverage between states. This study investigates the covariates that affect imm...

  • Article
  • Open Access
2 Citations
2,395 Views
11 Pages

Marginalized populations often experience health disparities due to the significant obstacles to care associated with social, economic, and environmental inequities. When compared with advantaged social groups, these populations frequently experience...

  • Article
  • Open Access
11 Citations
5,321 Views
16 Pages

The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal

  • Claudia Costa,
  • Angela Freitas,
  • Ricardo Almendra and
  • Paula Santana

There is considerable evidence pointing to the existence of a socioeconomic gradient in mortality, which tends to be steeper in urban areas. Similar to other European cities, Lisbon is far from homogeneous since considerable geographical inequalities...

  • Article
  • Open Access
1 Citations
1,580 Views
15 Pages

Work is a key social determinant of mental health, and adverse organizational conditions in healthcare settings increase psychosocial risks. Leadership influences workplace well-being, yet its impact on mental health and gender inequalities remains u...

  • Article
  • Open Access
102 Citations
34,825 Views
25 Pages

13 October 2018

The experiences of Black and Minority Ethnic (BME) students in academia remain problematic. Within higher education, BME students consistently face barriers in terms of accessing culturally appropriate services, including a lack of cultural understan...

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