{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T12:32:16Z","timestamp":1771331536923,"version":"3.50.1"},"reference-count":92,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T00:00:00Z","timestamp":1684368000000},"content-version":"unspecified","delay-in-days":137,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1463423623000257_as1\">\n\t    <jats:title>Background:<\/jats:title>\n\t    <jats:p>Health services utilization, as one of the mechanisms of the health system, guarantees a healthy life and improves well-being for everyone.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423623000257_as2\">\n\t    <jats:title>Aims:<\/jats:title>\n\t    <jats:p>The aim of this study was to identify factors affecting the use of outpatient health services among women.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423623000257_as3\">\n\t    <jats:title>Methods\/designs:<\/jats:title>\n\t    <jats:p>This scoping review examined the studies related to outpatient health services utilization (OHSU) and its determinants among women. This review was conducted on English language studies published between 2010 and 2023 (All searches were conducted on 20 January 2023). Studies available in databases such as Web of Science, MEDLINE (PubMed), Scopus, Wiley library, Proquest, and Google Scholar were searched manually. Selected keywords and their equivalents were used to search for related articles in each database.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423623000257_as4\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>A total of 18\u00a0795 articles were identified, of which 37 met the inclusion criteria. Findings showed that age, marital status, level of education, employment status, income level, socioeconomic status, rape experience, health insurance, health status, ethnicity, living in rural areas, quality of services, area of residence, having a purpose in life and access to health services affect OHSU among women.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423623000257_as5\">\n\t    <jats:title>Conclusions:<\/jats:title>\n\t    <jats:p>The results of the present review showed that in order to achieve the universal goals of health services coverage and health service utilization, it is necessary for countries to provide insurance coverage to the maximum number of people. Also, policies should change in favor of the elderly, poor and low-income, low-educated, rural, ethnic minority, and chronically ill women and provide them with free preventive health services.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1463423623000257","type":"journal-article","created":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T07:01:38Z","timestamp":1684393298000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":7,"title":["Scoping review of outpatient health services utilization among women"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9754-2097","authenticated-orcid":false,"given":"Mahasti","family":"Alizadeh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5428-107X","authenticated-orcid":false,"given":"Bahar","family":"Zamiran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayoub","family":"Eslamian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9840-5588","authenticated-orcid":false,"given":"Neda","family":"SoleimanvandiAzar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6346-8255","authenticated-orcid":false,"given":"Mohammad Ali","family":"Mohammadi Gharehghani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9113-7499","authenticated-orcid":false,"given":"Gelavizh","family":"Karimijavan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1542-0214","authenticated-orcid":false,"given":"Salah Eddin","family":"Karimi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,5,18]]},"reference":[{"key":"S1463423623000257_ref43","doi-asserted-by":"publisher","DOI":"10.5812\/ircmj.3525"},{"key":"S1463423623000257_ref66","article-title":"Inequalities in sub-Saharan African women\u2019s and girls\u2019 health opportunities and outcomes: evidence from the Demographic and Health Surveys","volume":"9","author":"Pons-Duran","year":"2019","journal-title":"Journal of Global Health"},{"key":"S1463423623000257_ref50","article-title":"Socioeconomic inequalities and determinants of health care utilization in Botswana: a decomposition analysis","author":"Keetile","year":"2021","journal-title":"Journal of Public Health (Germany)"},{"key":"S1463423623000257_ref44","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0155982"},{"key":"S1463423623000257_ref76","first-page":"405","article-title":"Determinants of outpatient health service utilization according to Andersen\u2019s Behavioral model: a systematic scoping review","volume":"45","author":"SoleimanvandiAzar","year":"2020","journal-title":"Iranian Journal of Medical Sciences"},{"key":"S1463423623000257_ref40","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-12-336"},{"key":"S1463423623000257_ref79","doi-asserted-by":"publisher","DOI":"10.1258\/hsmr.2010.010009"},{"key":"S1463423623000257_ref42","doi-asserted-by":"publisher","DOI":"10.1057\/jphp.2011.35"},{"key":"S1463423623000257_ref32","doi-asserted-by":"publisher","DOI":"10.1108\/S0275-495920160000034006"},{"key":"S1463423623000257_ref45","doi-asserted-by":"publisher","DOI":"10.1108\/IJHRH-12-2014-0032"},{"key":"S1463423623000257_ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s10834-012-9296-1"},{"key":"S1463423623000257_ref51","doi-asserted-by":"publisher","DOI":"10.1177\/002214650504600103"},{"key":"S1463423623000257_ref56","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2003000500004"},{"key":"S1463423623000257_ref71","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2017.1291879"},{"key":"S1463423623000257_ref89","doi-asserted-by":"publisher","DOI":"10.4278\/ajhp.120316-QUAN-143"},{"key":"S1463423623000257_ref92","doi-asserted-by":"publisher","DOI":"10.1186\/1475-9276-9-16"},{"key":"S1463423623000257_ref31","article-title":"Health services utilization and associated factors in Jimma zone, South west Ethiopia","author":"Girma","year":"2011","journal-title":"Ethiopian Journal of Health Sciences"},{"key":"S1463423623000257_ref10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0185381"},{"key":"S1463423623000257_ref55","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-019-2501-6"},{"key":"S1463423623000257_ref49","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckp189"},{"key":"S1463423623000257_ref85","first-page":"158","article-title":"Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration","volume":"23","author":"Vandenbroucke","year":"2009","journal-title":"Gaceta Sanitaria"},{"key":"S1463423623000257_ref19","doi-asserted-by":"publisher","DOI":"10.2174\/1874944501912010504"},{"key":"S1463423623000257_ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-010-9481-1"},{"key":"S1463423623000257_ref28","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0151690"},{"key":"S1463423623000257_ref20","doi-asserted-by":"publisher","DOI":"10.1002\/hec.919"},{"key":"S1463423623000257_ref90","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2622-4"},{"key":"S1463423623000257_ref17","doi-asserted-by":"publisher","DOI":"10.4103\/sja.SJA_543_18"},{"key":"S1463423623000257_ref48","doi-asserted-by":"publisher","DOI":"10.1007\/s00038-017-1009-y"},{"key":"S1463423623000257_ref80","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"S1463423623000257_ref64","volume-title":"The world health report 2006: working together for health","year":"2006"},{"key":"S1463423623000257_ref41","first-page":"29","article-title":"Current status of health index in Tehran: a multidimensional approach","volume":"31","author":"Harouni","year":"2017","journal-title":"Medical Journal of the Islamic Republic of Iran"},{"key":"S1463423623000257_ref73","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)33135-0"},{"key":"S1463423623000257_ref6","article-title":"Non-utilization of public healthcare facilities during sickness: a national study in India","author":"Bagchi","year":"2020","journal-title":"Journal of Public Health (Germany)"},{"key":"S1463423623000257_ref46","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-10181-5"},{"key":"S1463423623000257_ref52","first-page":"19","article-title":"Overview of clinical epidemiology of cervical cancer","volume":"2","author":"Li","year":"2005","journal-title":"Practical Journal of Clinical Medicine"},{"key":"S1463423623000257_ref70","doi-asserted-by":"publisher","DOI":"10.1007\/s00103-013-1665-x"},{"key":"S1463423623000257_ref59","doi-asserted-by":"publisher","DOI":"10.1016\/j.jegh.2013.03.006"},{"key":"S1463423623000257_ref2","doi-asserted-by":"publisher","DOI":"10.1177\/1403494812473205"},{"key":"S1463423623000257_ref7","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2015.00245"},{"key":"S1463423623000257_ref74","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2013-202647"},{"key":"S1463423623000257_ref27","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-014-0115-1"},{"key":"S1463423623000257_ref15","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-89102006000300011"},{"key":"S1463423623000257_ref47","doi-asserted-by":"publisher","DOI":"10.1016\/j.shaw.2021.10.004"},{"key":"S1463423623000257_ref1","article-title":"Health-care utilization and associated factors in Gauteng province, South Africa","volume":"10","author":"Abaerei","year":"2017","journal-title":"Global Health Action"},{"key":"S1463423623000257_ref21","first-page":"70","article-title":"Use of health care services and associated factors among women","volume":"43","author":"Esmailnasab","year":"2014","journal-title":"Iranian Journal of Public Health"},{"key":"S1463423623000257_ref39","article-title":"Factors perceived by caretakers as barriers to health care for under-five children in Mazabuka District, Zambia","volume":"2013","author":"Halwindi","year":"2013","journal-title":"International Scholarly Research Notices"},{"key":"S1463423623000257_ref4","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017966"},{"key":"S1463423623000257_ref13","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.26.5.1437"},{"key":"S1463423623000257_ref53","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-019-0923-1"},{"key":"S1463423623000257_ref54","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300599"},{"key":"S1463423623000257_ref86","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckt053"},{"key":"S1463423623000257_ref24","doi-asserted-by":"publisher","DOI":"10.1080\/07399332.2016.1225743"},{"key":"S1463423623000257_ref14","article-title":"Social determinants of health care service utilization among women in cross River State","volume":"5","author":"Brownson","year":"2020","journal-title":"ESUT Journal of Social Sciences"},{"key":"S1463423623000257_ref60","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-062942"},{"key":"S1463423623000257_ref72","doi-asserted-by":"publisher","DOI":"10.1038\/ngeo2985"},{"key":"S1463423623000257_ref75","first-page":"71","article-title":"Outpatient health service utilization and associated factors: A cross-sectional population-based study in Tehran in 2019","volume":"35","author":"SoleimanvandiAzar","year":"2021","journal-title":"Medical Journal of the Islamic Republic of Iran"},{"key":"S1463423623000257_ref29","doi-asserted-by":"publisher","DOI":"10.1186\/1475-9276-11-44"},{"key":"S1463423623000257_ref77","article-title":"The effect of educational intervention on health-promoting lifestyle: intervention mapping approach","volume":"9","author":"Solhi","year":"2020","journal-title":"Journal of Education Health Promotion"},{"key":"S1463423623000257_ref35","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S297326"},{"key":"S1463423623000257_ref12","first-page":"76","article-title":"The effect of Ghana\u2019s National Health Insurance Scheme on health care utilisation","volume":"46","author":"Blanchet","year":"2012","journal-title":"Ghana Medical Journal"},{"key":"S1463423623000257_ref81","doi-asserted-by":"publisher","DOI":"10.1186\/1756-0500-7-723"},{"key":"S1463423623000257_ref82","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2018.02.028"},{"key":"S1463423623000257_ref65","volume-title":"Women and health: today\u2019s evidence tomorrow\u2019s agenda","year":"2009"},{"key":"S1463423623000257_ref9","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-89102011000300005"},{"key":"S1463423623000257_ref93","article-title":"Investigating high blood pressure, type-2 diabetes, dislipidemia, and body mass index to determine the health status of people over 30 years","volume":"9","author":"Zokaei","year":"2020","journal-title":"Journal of Education and Health Promotion"},{"key":"S1463423623000257_ref68","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-017-0667-y"},{"key":"S1463423623000257_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.worlddev.2020.105292"},{"key":"S1463423623000257_ref23","doi-asserted-by":"publisher","DOI":"10.1108\/IJHCQA-04-2017-0059"},{"key":"S1463423623000257_ref63","doi-asserted-by":"publisher","DOI":"10.5539\/jsd.v9n1p187"},{"key":"S1463423623000257_ref18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2524.2011.00996.x"},{"key":"S1463423623000257_ref30","doi-asserted-by":"publisher","DOI":"10.15171\/ijhpm.2014.06"},{"key":"S1463423623000257_ref33","article-title":"Inequality in the health services utilization in rural and urban China: a horizontal inequality analysis","volume":"99","author":"Guo","year":"2020","journal-title":"Medicine"},{"key":"S1463423623000257_ref67","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0218.99907"},{"key":"S1463423623000257_ref78","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2015.10.003"},{"key":"S1463423623000257_ref5","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"S1463423623000257_ref87","doi-asserted-by":"publisher","DOI":"10.1186\/1475-9276-11-48"},{"key":"S1463423623000257_ref69","doi-asserted-by":"publisher","DOI":"10.15171\/ijhpm.2015.151"},{"key":"S1463423623000257_ref58","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S263132"},{"key":"S1463423623000257_ref88","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.07.045120"},{"key":"S1463423623000257_ref36","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2021.02.023"},{"key":"S1463423623000257_ref57","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00342-6"},{"key":"S1463423623000257_ref11","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000002254"},{"key":"S1463423623000257_ref61","volume-title":"Improving access to health for women and girls in low-income urban settlements","author":"Murphy","year":"2016"},{"key":"S1463423623000257_ref38","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2013.10.018"},{"key":"S1463423623000257_ref62","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2017.03.021"},{"key":"S1463423623000257_ref83","first-page":"656","article-title":"Decomposition of gendered socioeconomic-related inequality in outpatient health care utilization: a cross-sectional study from Iran","volume":"36","author":"Vahedi","year":"2021","journal-title":"International Journal of Health Planning and Management"},{"key":"S1463423623000257_ref91","doi-asserted-by":"crossref","first-page":"2997","DOI":"10.4103\/jfmpc.jfmpc_462_19","article-title":"Utilization of health services in Tenali Mandal, Andhra Pradesh- a cross-sectional study","volume":"8","author":"Yaddanapalli","year":"2019","journal-title":"Journal of Family Medicine and Primary Care"},{"key":"S1463423623000257_ref37","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-061525"},{"key":"S1463423623000257_ref16","doi-asserted-by":"publisher","DOI":"10.1097\/01.JCN.0000305057.96247.f2"},{"key":"S1463423623000257_ref84","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.050584"},{"key":"S1463423623000257_ref34","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-207"},{"key":"S1463423623000257_ref26","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12077"}],"container-title":["Primary Health Care Research &amp; Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1463423623000257","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T07:01:56Z","timestamp":1684393316000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1463423623000257\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":92,"alternative-id":["S1463423623000257"],"URL":"https:\/\/doi.org\/10.1017\/s1463423623000257","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"value":"1463-4236","type":"print"},{"value":"1477-1128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023]]},"assertion":[{"value":"\u00a9 The Author(s), 2023. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press must be obtained prior to any commercial use and\/or adaptation of the article.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e38"}}