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. 2020 Jun 18;8:231. doi: 10.3389/fpubh.2020.00231

Table 2.

Example studies documenting the relationship between wealth and access to care.

References Narrative Summary Country
Hugu et al. (41) Poor health-related quality of life outcomes are significantly associated with lower SES in the Canada/United States
Okoro et al. (42) In a cross-sectional study of almost 50,000 non-institutionalized older adults, costs were cited as a major reason for not obtaining needed care United States
Nieman et al. (43) Older adults living in higher socioeconomic brackets are more likely to access preventative care and screenings, with for example, higher SES older adults experiencing a greater likelihood of having a hearing screen and using a hearing aid United States
Murata et al. (45) Faced with rising healthcare costs, Japanese older adults report forgoing healthcare due to limited income Japan
Dey et al. (46) Financial instability is a driving factor for lower healthcare access among older adults India
Doetsch et al. (47) Financial concerns such as pension cuts, increased medical care fees and increased out-of-pocket costs for medications are among the main barriers to access care among Portuguese older adults Portugal