<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-7459</journal-id>
<journal-title><![CDATA[Horizonte sanitario]]></journal-title>
<abbrev-journal-title><![CDATA[Horiz. sanitario]]></abbrev-journal-title>
<issn>2007-7459</issn>
<publisher>
<publisher-name><![CDATA[Universidad Juárez Autónoma de Tabasco, División Académica de Ciencias de la Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-74592020000200175</article-id>
<article-id pub-id-type="doi">10.19136/hs.a19n2.3275</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Revisión y análisis sobre los determinantes de acceso a los servicios de atención primaria en población adulta mayor rural y urbana]]></article-title>
<article-title xml:lang="en"><![CDATA[Review and analysis of the determinants of access to primary care services in the rural and urban elderly population]]></article-title>
<article-title xml:lang="pt"><![CDATA[Revisão e análise dos determinantes do acesso aos serviços de atenção primária na população idosa rural e urbana]]></article-title>
<article-title xml:lang="fr"><![CDATA[Révision et analyse des déterminants de l&#8217;accès des personnes âgées aux services de soins primaires en milieu rural et urbain]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santoyo Sánchez]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arredondo López]]></surname>
<given-names><![CDATA[Abel Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Salud Pública  ]]></institution>
<addr-line><![CDATA[Cuernavaca Morelos]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Salud Pública  ]]></institution>
<addr-line><![CDATA[Cuernavaca Morelos]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>19</volume>
<numero>2</numero>
<fpage>175</fpage>
<lpage>184</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-74592020000200175&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-74592020000200175&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-74592020000200175&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo Identificar los determinantes de acceso a los servicios de atención primaria en adultos mayores, residentes en áreas rurales y urbanas de diferentes regiones del mundo.  Materiales y Métodos Se realizó una revisión sistemática de la literatura en bases electrónicas, a partir de publicaciones cualitativas y cuantitativas de fuente primaria o secundaria, descritas entre 2015 y 2019. Se determinaron palabras clave enmarcadas bajo el Modelo de Dimensiones y habilidades de Levesque, Harris y Russell. El análisis se efectuó utilizando una lista de chequeo con cinco criterios técnicos de evaluación, elegidos por conveniencia técnico-académica.  Resultados La búsqueda inicial identificó 118 manuscritos para revisión. Los estudios fueron analizados y clasificados en cinco segmentos que involucran a cinco regiones del mundo. Los principales determinantes de acceso encontrados, fueron clasificados en habilidades personales de los adultos mayores y características propias del sistema de salud, tanto para el área rural como urbana.  Conclusiones A nivel mundial el principal determinante de acceso a los servicios de atención primaria en adultos mayores, residentes de áreas rurales es la falta de disponibilidad de servicios; mientras los de población urbana, mantienen las barreras financieras como el principal obstáculo para su acceso a la salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective The determinants of access to primary care services in elderly people living in rural and urban areas of different regions of the world.  Material and Method A systematic review of the literature in electronic databases was carried out from qualitative and quantitative publications, of primary or secondary source, described between 2015 and 2019. Key words were determined framed under the Levesque Dimensions and Skills Model, Harris and Russell. The analysis was carried out using a checklist with five technical evaluation criteria chosen for technical-academic convenience.  Results The initial search identified 118 manuscripts for review. The studies were analyzed and classified in to five segments that involve five regions of the world. The main determinants of access found were classified in to personal skills of the elderly and characteristics of the health system for both rural and urban areas.  Conclusions It is concluded that at the global level the main determinant of access to primary care services in elderly residents of rural areas is the lack of availability of services; while urban older adults maintain financial barriers as the main obstacle to their access to health.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo Identificar os determinantes do acesso aos serviços de atenção primária em idosos, residentes em áreas rurais e urbano de diferentes regiões do mundo.  Material e Método Foi realizada uma revisão sistemática da literatura sobre bases eletrônicas com base em publicações qualitativas e quantitativas de fonte primária ou secundária descritas entre 2015 e 2019. Foram determinadas as palavras-chave enquadradas no Modelo de Dimensões e Habilidades de Levesque, Harrise Russell. A análise foi realizada pormeio de uma lista de verificação com cinco critérios de avaliação técnica, escolhidos por conveniência técnico-acadêmica.  Resultados A pesquisa inicial identificou 118 manuscritos para revisão. Os estudos foram analisados e clasificados em cinco segmentos, envolvendo cinco regiões do mundo. Os principais determinantes de acesso encontrados foram classificados em habilidades pessoais dos idosos e características do sistema de saúde, tanto nas áreas rurais quanto nas urbanas.  Conclusões O principal determinante do acesso a serviços de atenção primária a idosos residentes em áreas rurais é a falta de disponibilidade de serviços; enquanto a população urbana mantém as barreiras financeiras como o principal obstáculo ao acesso à saúde.]]></p></abstract>
<abstract abstract-type="short" xml:lang="fr"><p><![CDATA[Résumé  Objectif Identifier les déterminants de l&#8217;accès aux services de soins primaires de personnes âgées vivant en zone rurale et urbaine de différentes régions du monde.  Matériel et Méthode Une revue systématique de la littérature a été réalisée en cherchant dans des bases de données électroniques des publications qualitatives et quantitatives, de source primaire ou secondaire, décrites entre 2015 et 2019. Les mots-clés ont été déterminés d&#8217;après le modèle de dimensions et compétences de Levesque, Harris et Russell. L&#8217;analyse a été effectuée à l&#8217;aide d&#8217;une liste de contrôle avec cinq critères techniques d&#8217;évaluation, choisis par convenance technique et académique.  Résultats La recherche initiale a permis d&#8217;identifier 118 manuscrits à examiner. Ces études ont été analysées et classées en cinq segments correspondant à cinq régions du monde. Les principaux déterminants de l&#8217;accès trouvés ont été classés selon les capacités personnelles des personnes âgées et selon les caractéristiques propres du système de santé, tant pour les zones rurales que pour les zones urbaines.  Conclusions  Mondialement, le principal déterminant de l&#8217;accès aux services de soins primaires de la part des personnes âgées vivant en zone rurale est le manque de disponibilité des services; tandis que pour la population urbaine, il s&#8217;agit de barrières financières.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Accesibilidad]]></kwd>
<kwd lng="es"><![CDATA[Servicios de atención primaria]]></kwd>
<kwd lng="es"><![CDATA[Adulto mayores]]></kwd>
<kwd lng="es"><![CDATA[Población rural]]></kwd>
<kwd lng="es"><![CDATA[Población urbana]]></kwd>
<kwd lng="en"><![CDATA[Health Services Accessibility]]></kwd>
<kwd lng="en"><![CDATA[Primary Health Care]]></kwd>
<kwd lng="en"><![CDATA[Aged]]></kwd>
<kwd lng="en"><![CDATA[Rural Population]]></kwd>
<kwd lng="en"><![CDATA[Urban Population]]></kwd>
<kwd lng="pt"><![CDATA[Acessibilidade]]></kwd>
<kwd lng="pt"><![CDATA[Serviços de atenção primária]]></kwd>
<kwd lng="pt"><![CDATA[Adultos mais velhos]]></kwd>
<kwd lng="pt"><![CDATA[População rural]]></kwd>
<kwd lng="pt"><![CDATA[População urbana]]></kwd>
<kwd lng="fr"><![CDATA[Accès]]></kwd>
<kwd lng="fr"><![CDATA[Services de soins primaires]]></kwd>
<kwd lng="fr"><![CDATA[Personnes âgées]]></kwd>
<kwd lng="fr"><![CDATA[Population rurale]]></kwd>
<kwd lng="fr"><![CDATA[Population urbaine]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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