Celik Y
School of Health Administration, Hacettepe University, Ankara, Turkey.
Int J Health Plann Manage. 2000 Jul-Sep;15(3):221-35. doi: 10.1002/1099-1751(200007/09)15:3<221::AID-HPM592>3.0.CO;2-A.
This paper tries to ascertain the factors affecting the choice of alternative sources for antenatal care. The analysis is based on data collected from ever-married women in the 1998 Turkey Demographic and Health Survey (TDHS). The developing country setting provides substantial variation in the type of facility chosen, ranging from no antenatal care, to formal health care personnel, to modern private hospitals. The alternatives vary greatly in quality and price, making this an ideal context for examining the role of these variables in choosing a facility. The logit model specifications estimated individual, household-level and community-level characteristics of the women in the urban and rural sample as well as in the total sample in this study. The estimation results indicate that individual characteristics such as educational attainment and birth order are significant determinants of choosing alternative sources for antenatal care. The results also indicate that household-level characteristics such as health insurance coverage, car ownership, household assets and community-level characteristics are the other significant determinants of using alternative sources for antenatal care.
本文试图确定影响产前护理替代来源选择的因素。分析基于1998年土耳其人口与健康调查(TDHS)中收集的曾婚妇女数据。发展中国家的背景使得所选择的设施类型存在很大差异,从没有产前护理,到有正规医护人员,再到现代化私立医院。这些替代方案在质量和价格上差异很大,这使其成为研究这些变量在选择设施过程中作用的理想背景。本研究使用逻辑模型规范估计了城市和农村样本以及总样本中女性的个人、家庭层面和社区层面特征。估计结果表明,诸如教育程度和出生顺序等个人特征是选择产前护理替代来源的重要决定因素。结果还表明,诸如健康保险覆盖范围、汽车拥有情况、家庭资产等家庭层面特征以及社区层面特征是使用产前护理替代来源的其他重要决定因素。