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加泰罗尼亚精神科和心理服务利用不平等:多水平方法。

Inequalities in the utilization of psychiatric and psychological services in Catalonia: a multilevel approach.

机构信息

Departament de Psicologia Clinica i de la Salut, Universitat Autònoma de Barcelona, Agència de Salut Pública de Barcelona (ASPB), Pl. Lesseps 1, 08023, Barcelona, Spain.

出版信息

Adm Policy Ment Health. 2013 Sep;40(5):355-63. doi: 10.1007/s10488-012-0426-8.

DOI:10.1007/s10488-012-0426-8
PMID:22688959
Abstract

The aim of this study was to analyze individual and contextual inequalities in psychiatrist and psychologist visits in Catalonia. This is a multilevel cross-sectional study using data from the 2006 Catalan Health Interview Survey (n = 15,554). 5.3 % of men and 9.0 % of women visited a psychologist and/or psychiatrist in the last 12 months. People aged 65 years or over were less likely to have visited these professionals and those with a supplemental private health insurance had a higher proportion of having visited. Moreover, people living in lower density regions were less likely to have visited, independently of their level of need. There is a need to develop policies for reducing inequalities in access by people with public health insurance and living in lower density areas.

摘要

本研究旨在分析加泰罗尼亚地区精神科医生和心理学家就诊的个体和背景不平等现象。这是一项使用 2006 年加泰罗尼亚健康访谈调查数据(n=15554)的多水平横断面研究。在过去 12 个月中,5.3%的男性和 9.0%的女性看过心理学家和/或精神科医生。65 岁及以上的人群不太可能去看这些专业人士,而有补充私人医疗保险的人则更有可能去看。此外,居住在人口密度较低地区的人也不太可能去看医生,而不论他们的需求水平如何。需要制定政策来减少公共医疗保险和居住在人口密度较低地区的人的就医不平等。

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