{"id":"https://openalex.org/W3210309151","doi":"https://doi.org/10.31235/osf.io/d6vbm","title":"A Path Analysis Examining the Relationship Between Access Barriers to Health Services and Healthcare Utilization Among the Publicly Insured: Insights from a Multiprovince Survey in the Philippines","display_name":"A Path Analysis Examining the Relationship Between Access Barriers to Health Services and Healthcare Utilization Among the Publicly Insured: Insights from a Multiprovince Survey in the Philippines","publication_year":2020,"publication_date":"2020-04-18","ids":{"openalex":"https://openalex.org/W3210309151","doi":"https://doi.org/10.31235/osf.io/d6vbm","mag":"3210309151"},"language":"en","primary_location":{"id":"doi:10.31235/osf.io/d6vbm","doi":"https://doi.org/10.31235/osf.io/d6vbm","is_oa":true,"landing_page_url":"https://doi.org/10.31235/osf.io/d6vbm","pdf_url":null,"source":{"id":"https://openalex.org/S4306401238","display_name":"SocArXiv (OSF Preprints)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.31235/osf.io/d6vbm","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5002129876","display_name":"Mark Alipio","orcid":"https://orcid.org/0000-0001-8360-0287","observed_orcids":["https://orcid.org/0000-0001-8360-0287"]},"institutions":[{"id":"https://openalex.org/I2801189432","display_name":"Davao Doctors Hospital","ror":"https://ror.org/03rsw7n31","country_code":"PH","type":"healthcare","lineage":["https://openalex.org/I2801189432"]},{"id":"https://openalex.org/I4405280008","display_name":"Davao Doctors College, Inc.","ror":"https://ror.org/02a2sgc42","country_code":"PH","type":"education","lineage":["https://openalex.org/I4405280008"]}],"countries":["PH"],"is_corresponding":true,"raw_author_name":"Mark Alipio","raw_affiliation_strings":["Faculty of Radiologic Technology, Davao Doctors College, Philippines"],"raw_orcid":"https://orcid.org/0000-0001-8360-0287","affiliations":[{"raw_affiliation_string":"Faculty of Radiologic Technology, Davao Doctors College, Philippines","institution_ids":["https://openalex.org/I2801189432","https://openalex.org/I4405280008"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5002129876"],"corresponding_institution_ids":["https://openalex.org/I2801189432","https://openalex.org/I4405280008"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":5,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.8134999871253967,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.8134999871253967,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14358","display_name":"Healthcare Quality and Satisfaction","score":0.11990000307559967,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.02930000051856041,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.9890000224113464},{"id":"https://openalex.org/keywords/supply-side-barriers","display_name":"supply-side barriers","score":0.7820000052452087},{"id":"https://openalex.org/keywords/demand-side-barriers","display_name":"demand-side barriers","score":0.9940000176429749},{"id":"https://openalex.org/keywords/approachability","display_name":"approachability","score":0.8169999718666077},{"id":"https://openalex.org/keywords/health-insurance-coverage","display_name":"health insurance coverage","score":0.5860000252723694},{"id":"https://openalex.org/keywords/philippines","display_name":"Philippines","score":0.7540000081062317}],"concepts":[{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.7300273776054382},{"id":"https://openalex.org/C82793941","wikidata":"https://www.wikidata.org/wiki/Q1046024","display_name":"Path analysis (statistics)","level":2,"score":0.6203514337539673},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.5741774439811707},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5635370016098022},{"id":"https://openalex.org/C198531522","wikidata":"https://www.wikidata.org/wiki/Q485146","display_name":"Sample (material)","level":2,"score":0.5233577489852905},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.4194210469722748},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.35019564628601074},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3455979526042938},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.34540581703186035},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.3216356039047241},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2360694408416748},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.17446660995483398},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.15098515152931213},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.11605998873710632},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0},{"id":"https://openalex.org/C43617362","wikidata":"https://www.wikidata.org/wiki/Q170050","display_name":"Chromatography","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.31235/osf.io/d6vbm","doi":"https://doi.org/10.31235/osf.io/d6vbm","is_oa":true,"landing_page_url":"https://doi.org/10.31235/osf.io/d6vbm","pdf_url":null,"source":{"id":"https://openalex.org/S4306401238","display_name":"SocArXiv (OSF Preprints)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},{"id":"pmh:oai:RePEc:osf:socarx:d6vbm_v1","doi":null,"is_oa":false,"landing_page_url":"https://osf.io/download/5e9717f5d6973504c1bda0d0/","pdf_url":null,"source":{"id":"https://openalex.org/S4306401271","display_name":"RePEc: Research Papers in Economics","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I77793887","host_organization_name":"Federal Reserve Bank of St. Louis","host_organization_lineage":["https://openalex.org/I77793887"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"preprint"},{"id":"pmh:oai:share.osf.io:0e63caed-d2c5-4e30-a956-87bb6bdcf8c7","doi":null,"is_oa":true,"landing_page_url":"https://osf.io/d6vbm","pdf_url":null,"source":{"id":"https://openalex.org/S4306401238","display_name":"SocArXiv (OSF Preprints)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"},{"id":"pmh:oai:share.osf.io:E00B7-D08-927","doi":null,"is_oa":false,"landing_page_url":"http://doi.org/10.31235/OSF.IO/D6VBM","pdf_url":null,"source":{"id":"https://openalex.org/S4306401238","display_name":"SocArXiv (OSF Preprints)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"preprint"}],"best_oa_location":{"id":"doi:10.31235/osf.io/d6vbm","doi":"https://doi.org/10.31235/osf.io/d6vbm","is_oa":true,"landing_page_url":"https://doi.org/10.31235/osf.io/d6vbm","pdf_url":null,"source":{"id":"https://openalex.org/S4306401238","display_name":"SocArXiv (OSF Preprints)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"sustainable_development_goals":[{"score":0.9391000270843506,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.7578999996185303,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":18,"referenced_works":["https://openalex.org/W84155780","https://openalex.org/W612199005","https://openalex.org/W1973762507","https://openalex.org/W1995482753","https://openalex.org/W2011736375","https://openalex.org/W2045882260","https://openalex.org/W2109953661","https://openalex.org/W2139726867","https://openalex.org/W2151110654","https://openalex.org/W2154199732","https://openalex.org/W2186522085","https://openalex.org/W2330324459","https://openalex.org/W2333446203","https://openalex.org/W2550229864","https://openalex.org/W2742192372","https://openalex.org/W4230355289","https://openalex.org/W4233599998","https://openalex.org/W4242096232"],"related_works":["https://openalex.org/W7094998877","https://openalex.org/W3117914736","https://openalex.org/W7108461081","https://openalex.org/W2906582920","https://openalex.org/W7079698203","https://openalex.org/W4304128148","https://openalex.org/W4392599984","https://openalex.org/W7138990835","https://openalex.org/W4405151755","https://openalex.org/W4406195043"],"abstract_inverted_index":{"Although":[0],"the":[1,30,47,56,60,65,90,93,100,130,134,148,163,176,180,191,195,210,220,223,229,234,245],"National":[2],"Health":[3],"Insurance":[4],"Act":[5],"(NHIA)":[6],"of":[7,49,75,133,159,209,219,233,250,264],"2013":[8],"has":[9],"been":[10],"widely":[11],"successful":[12],"in":[13,64,213,222],"expanding":[14],"coverage,":[15],"insurance":[16],"alone":[17],"may":[18,236],"not":[19],"translate":[20],"into":[21],"access":[22,53,113,125,152,253],"to":[23,34,55,88,107,127,154,202,243,252,254,258],"quality":[24],"healthcare":[25,57,131,160,186,215,224],"for":[26,162],"everyone.":[27],"Even":[28],"among":[29,59,92,116],"insured,":[31],"substantial":[32],"barriers":[33,54,126,251],"accessing":[35],"services":[36,52,161],"inhibit":[37],"health":[38,51,241,255],"care":[39,128,155],"utilization.":[40,216],"This":[41],"study":[42,94,235],"was":[43,70,86,171],"focused":[44],"on":[45,185],"examining":[46],"influence":[48],"selected":[50],"utilization":[58,132,187,225],"publicly":[61],"insured":[62],"residents":[63,78],"Philippines.":[66],"A":[67,167],"cross-sectional":[68],"survey":[69],"conducted":[71,172],"with":[72,179,194],"a":[73],"sample":[74],"7,234":[76],"Filipino":[77],"chosen":[79],"using":[80],"multi-stage":[81],"cluster":[82],"sampling.":[83],"Path":[84],"analysis":[85,97,119,170],"used":[87],"determine":[89],"connections":[91],"variables.":[95],"Descriptive":[96],"revealed":[98,120,174],"that":[99,121,143,175,266],"respondents":[101,135,144],"always":[102,146],"perceive":[103,147],"approachability":[104,189],"and":[105,111,123,129,173,240,248,257],"ability":[106,201],"reach":[108],"as":[109,151],"supply-side":[110,122,177],"demand-side":[112,124,192],"barriers,":[114],"respectively,":[115],"others.":[117],"Correlation":[118],"are":[136],"positively":[137],"interrelated":[138],"from":[139],"each":[140],"other,":[141],"suggesting":[142],"who":[145],"mentioned":[149],"factors":[150],"barrier":[153],"utilize":[156],"low":[157],"level":[158],"past":[164],"three":[165],"months.":[166],"further":[168],"path":[169],"determinant":[178,193],"largest":[181,196],"total":[182,197],"causal":[183,198],"effect":[184,199],"is":[188,200,226],"while":[190],"reach.":[203],"The":[204,231],"findings":[205],"showed":[206],"better":[207],"fit":[208],"conceptual":[211],"model":[212],"predicting":[214],"Approximately":[217],"93%":[218],"variance":[221],"explained":[227],"by":[228],"model.":[230],"results":[232],"enable":[237],"policy":[238],"makers":[239],"planners":[242],"identify":[244],"different":[246],"dimensions":[247],"aspects":[249],"services,":[256],"devise":[259],"specific":[260],"interventions":[261,265],"or":[262],"combination":[263],"can":[267],"best":[268],"address":[269],"these":[270],"barriers.":[271]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1}],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2021-11-08T00:00:00"}
