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Access to primary care in Hong Kong, Greater London and New York City

Author

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  • Chau, Pui Hing
  • Woo, Jean
  • Gusmano, Michael K.
  • Weisz, Daniel
  • Rodwin, Victor G.
  • Chan, Kam Che

Abstract

We investigate avoidable hospital conditions (AHC) in three world cities as a way to assess access to primary care. Residents of Hong Kong are healthier than their counterparts in Greater London or New York City. In contrast to their counterparts in New York City, residents of both Greater London and Hong Kong face no financial barriers to an extensive public hospital system. We compare residence-based hospital discharge rates for AHC, by age cohorts, in these cities and find that New York City has higher rates than Hong Kong and Greater London. Hong Kong has the lowest hospital discharge rates for AHC among the population 15–64, but its rates are nearly as high as those in New York City among the population 65 and over. Our findings suggest that in contrast to Greater London, older residents in Hong Kong and New York face significant barriers in accessing primary care. In all three cities, people living in lower socioeconomic status neighborhoods are more likely to be hospitalized for an AHC, but neighborhood inequalities are greater in Hong Kong and New York than in Greater London.

Suggested Citation

  • Chau, Pui Hing & Woo, Jean & Gusmano, Michael K. & Weisz, Daniel & Rodwin, Victor G. & Chan, Kam Che, 2013. "Access to primary care in Hong Kong, Greater London and New York City," Health Economics, Policy and Law, Cambridge University Press, vol. 8(1), pages 95-109, January.
    • Handle: RePEc:cup:hecopl:v:8:y:2013:i:01:p:95-109_00
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    Cited by:

    1. Fernández Coves, Andrea & Yeung, Karene Hoi Ting & van der Putten, Ingeborg M & Nelson, E. Anthony S, 2022. "Teleconsultation adoption since COVID-19: Comparison of barriers and facilitators in primary care settings in Hong Kong and the Netherlands," Health Policy, Elsevier, vol. 126(10), pages 933-944.
    2. Gusmano, Michael K. & Weisz, Daniel & Rodwin, Victor G. & Lang, Jonas & Qian, Meng & Bocquier, Aurelie & Moysan, Veronique & Verger, Pierre, 2014. "Disparities in access to health care in three French regions," Health Policy, Elsevier, vol. 114(1), pages 31-40.
    3. Kim, Hongsoo & Cheng, Shou-Hsia, 2018. "Assessing quality of primary diabetes care in South Korea and Taiwan using avoidable hospitalizations," Health Policy, Elsevier, vol. 122(11), pages 1222-1231.

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