Bollmann, Christina (2024) Ageing Hearts, Limited Care: The Impact of Reduced Access to Primary Healthcare on Cardiovascular Medications Rates among Older Adults in The Netherlands. Bachelor thesis.
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Abstract
The declining number of local general practitioner practices coincides with a growing demand for primary healthcare in an ageing population. This trend calls for an investigation to inform future policies to address the unmet primary healthcare needs of vulnerable demographics. The present thesis aims to assess the impact of declining general practitioner practices on dispensed prescriptions of cardiovascular medication in older adults in The Netherlands. The data came from multiple databases by the Dutch Central Bureau voor Statistics (CBS), providing municipality-level data on the proximity to general practitioners(GPs), prescription medication rates for different age groups, and various socio-economic indicators. These were combined to build a Pooled Ordinary Least Squares regression model, incorporating data from 334 Dutch municipalities spanning six years, 2014-2019. Key findings reveal that a 1% increase in the proximity of general practitioners leads to a 0.3% increase in cardiovascular medication prescriptions, with more pronounced effects in rural areas. These results indicate that primary healthcare access is linked to treatment capabilities in the older population and thus could have significant implications for the older population's cardiovascular health. The impact of spatial and temporal factors on this relationship highlights the need for further nuanced research into healthcare accessibility and its effects on elderly populations.
| Item Type: | Thesis (Bachelor) |
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| Degree programme: | Human Geography and Planning |
| Supervisor: | Bister, L. and Vogt, T.C. |
| Date Deposited: | 14 Feb 2024 08:57 |
| Last Modified: | 14 Feb 2024 08:57 |
| URI: | https://frw.studenttheses.ub.rug.nl/id/eprint/4463 |
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