Okolo Chukwumezie O, Reidpath Daniel D, Allotey Pascale
Brunel University, London, UK.
J Health Care Poor Underserved. 2011 May;22(2):663-82. doi: 10.1353/hpu.2011.0039.
The past decade has recorded remarkable interest in socioeconomic inequalities in health care. A multivariate analysis of the World Health Survey data for Burkina Faso was conducted using STATA. This included questions on household economic factors, perceived need, and access to health care. Poverty was defined using Principal Components Analysis. There was no significant difference in perceived need on the basis of poverty or gender. The less poor accessed health care more than the poor, but this difference was significant only among males. Respondents who lived in urban areas accessed health care more than those in rural areas, but this difference was significant only among females. We argue that health care financing arrangements affect self-reported need and access to health care. Even when they perceive need, the poor do not access care, probably because of cost, exacerbated by non-availability of readily accessible health care facilities.
过去十年，人们对医疗保健方面的社会经济不平等现象表现出了极大的兴趣。使用STATA软件对布基纳法索的世界卫生调查数据进行了多变量分析。这包括关于家庭经济因素、感知需求和获得医疗保健服务的问题。使用主成分分析法来定义贫困。在感知需求方面，基于贫困或性别的差异并不显著。较不贫困者比贫困者更容易获得医疗保健服务，但这种差异仅在男性中显著。居住在城市地区的受访者比农村地区的受访者更容易获得医疗保健服务，但这种差异仅在女性中显著。我们认为，医疗保健融资安排会影响自我报告的需求和获得医疗保健服务的机会。即使穷人意识到有需求，他们也无法获得医疗服务，这可能是由于成本问题，而易于获得的医疗保健设施的缺乏则使情况更加恶化。
