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Does quality influence utilization of primary health care? Evidence from Haiti

Overview of attention for article published in Globalization and Health, June 2018
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  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (92nd percentile)

Mentioned by

blogs
1 blog
twitter
40 tweeters

Citations

dimensions_citation
20 Dimensions

Readers on

mendeley
131 Mendeley
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Title
Does quality influence utilization of primary health care? Evidence from Haiti
Published in
Globalization and Health, June 2018
DOI 10.1186/s12992-018-0379-0
Pubmed ID
Authors

Anna D. Gage, Hannah H. Leslie, Asaf Bitton, J. Gregory Jerome, Jean Paul Joseph, Roody Thermidor, Margaret E. Kruk

Abstract

Expanding coverage of primary healthcare services such as antenatal care and vaccinations is a global health priority; however, many Haitians do not utilize these services. One reason may be that the population avoids low quality health facilities. We examined how facility infrastructure and the quality of primary health care service delivery were associated with community utilization of primary health care services in Haiti. We constructed two composite measures of quality for all Haitian facilities using the 2013 Service Provision Assessment survey. We geographically linked population clusters from the Demographic and Health Surveys to nearby facilities offering primary health care services. We assessed the cross-sectional association between quality and utilization of four primary care services: antenatal care, postnatal care, vaccinations and sick child care, as well as one more complex service: facility delivery. Facilities performed poorly on both measures of quality, scoring 0.55 and 0.58 out of 1 on infrastructure and service delivery quality respectively. In rural areas, utilization of several primary cares services (antenatal care, postnatal care, and vaccination) was associated with both infrastructure and quality of service delivery, with stronger associations for service delivery. Facility delivery was associated with infrastructure quality, and there was no association for sick child care. In urban areas, care utilization was not associated with either quality measure. Poor quality of care may deter utilization of beneficial primary health care services in rural areas of Haiti. Improving health service quality may offer an opportunity not only to improve health outcomes for patients, but also to expand coverage of key primary health care services.

Twitter Demographics

The data shown below were collected from the profiles of 40 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 131 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 131 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 33 25%
Researcher 17 13%
Student > Ph. D. Student 10 8%
Student > Bachelor 9 7%
Student > Doctoral Student 8 6%
Other 23 18%
Unknown 31 24%
Readers by discipline Count As %
Medicine and Dentistry 33 25%
Social Sciences 20 15%
Nursing and Health Professions 19 15%
Business, Management and Accounting 4 3%
Pharmacology, Toxicology and Pharmaceutical Science 3 2%
Other 12 9%
Unknown 40 31%

Attention Score in Context

This research output has an Altmetric Attention Score of 34. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 October 2018.
All research outputs
#758,155
of 17,963,867 outputs
Outputs from Globalization and Health
#103
of 913 outputs
Outputs of similar age
#20,954
of 285,592 outputs
Outputs of similar age from Globalization and Health
#1
of 1 outputs
Altmetric has tracked 17,963,867 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 913 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 19.8. This one has done well, scoring higher than 88% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 285,592 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 92% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them