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BMC Health Services Research
Published in: BMC Health Services Research 1/2008

Open Access 01-12-2008 | Research article

Comparison of primary health care services between urban and rural settings after the introduction of the first urban health centre in Vyronas, Greece

Authors: Anargiros Mariolis, Constantinos Mihas, Alevizos Alevizos, Theodoros Mariolis-Sapsakos, Konstantinos Marayiannis, Marek Papathanasiou, Vassilios Gizlis, Dimitris Karanasios, Bodossakis Merkouris

Published in: BMC Health Services Research | Issue 1/2008

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Abstract

Background

Discrepancies in primary health care (PHC) services between urban and rural settings have already been studied in many countries; however, limited information exists regarding countries, such as Greece, where public Health Centres dedicated to primary care have not been in existence in major cities. The objective of this study was to evaluate points of divergence or convergence between an urban and a rural health centre, in an attempt to underline challenges faced by the introduction of urban health centres in Greece.

Methods

A cross-sectional analysis was conducted in the Health Centre of Vyronas, Athens, Greece and in the Health Centre of Nea (New) Madytos, Thessaloniki Prefecture, Greece between February 2004 and February 2006. The profile of the population seeking care, as well as data on the services provided were collected and compared. In addition, the reason for choosing each primary health care unit was also recorded.

Results

More patients visited the urban centre (145415 vs. 112513), while the pattern of services utilized by the citizens differed significantly (p < 0.001) between the two Health Centres. The frequency of diagnoses made according to ICPC-2 was not similar in the two Health Centres (p < 0.001). The three most frequent reasons for the adults choosing the Health Centre for their problem were low waiting time, proximity to residence and satisfaction with the services provided in previous visits in Vyronas.

Conclusion

The results of this study highlight the significant differences regarding PHC services utilization between an urban and a rural population. Urban citizens seem to have different health needs and reasons for choosing a PHC unit than residents of the Greek countryside. Proximity to health services and the public character of the urban health centre seem to be its main advantages.
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Metadata
Title
Comparison of primary health care services between urban and rural settings after the introduction of the first urban health centre in Vyronas, Greece
Authors
Anargiros Mariolis
Constantinos Mihas
Alevizos Alevizos
Theodoros Mariolis-Sapsakos
Konstantinos Marayiannis
Marek Papathanasiou
Vassilios Gizlis
Dimitris Karanasios
Bodossakis Merkouris
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2008
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-8-124

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