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Table 4 Postulated variables of influence, and associated effects

From: Rural–urban differences in health service utilization in upper-middle and high-income countries: a scoping review

Service

Service Definition

Access

Effect

Example

Target Service

The target service of the study

Access to target service (e.g., specialist outpatient)

Positive / Negative

The effect access to the target service, had on that target service use

Positive / Negative

“It is likely the long travel distance for rural communities [negative access] limited utilization of the [target]outpatient service” [negative effect]

Complementary Service

Ancillary services that are considered to affect the demand of the target service (e.g., primary care offsetting hospitalisations)

Access to complementary services (e.g., primary care)

Positive / Negative

The effect access to complementary services had on target service use (e.g., hospitalisations)

Positive / Negative

“Reduced access to primary care [complementary] in rural areas [negative access] may be driving increased hospitalisations [positive effect]” (hospitalisations being the target service)