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达累斯萨拉姆小规模企业家医疗保险保障下医疗服务提供的公平性。

Equity in access to health care provision under the medicare security for small scale entrepreneurs in Dar es Salaam.

作者信息

Urassa J A E

机构信息

Department of Health Research Promotion Advocacy and Registration, National Institute for Medical Research, P.O.BOX 9653, Dar es Salaam, Tanzania.

出版信息

East Afr J Public Health. 2012 Mar;9(1):1-6.

Abstract

The main objective of this study was to assess equity in access to health care provision under the Medicare Security for Small Scale Entrepreneurs (SSE). Methodological triangulation was used to an exploratory and randomized cross- sectional study in order to supplement information on the topic under investigation. Questionnaires were administered to 281 respondents and 6 Focus Group Discussions (FGDs) were held with males and females. Documentary review was also used. For quantitative aspect of the study, significant associations were measured using confidence intervals (95% CI) testing. Qualitative data were analyzed with assistance of Open code software. The results show that inequalities in access to health care services were found in respect to affordability of medical care costs, distance from home to health facilities, availability of drugs as well as medical equipments and supplies. As the result of existing inequalities some of clients were not satisfied with the provided health services. The study concludes by drawing policy and research implications of the findings.

摘要

本研究的主要目的是评估小规模企业家医疗保险(SSE)下医疗保健服务获取的公平性。采用方法三角测量法进行探索性随机横断面研究,以补充有关所调查主题的信息。对281名受访者进行了问卷调查,并与男性和女性分别进行了6次焦点小组讨论(FGD)。同时还进行了文献回顾。对于研究的定量方面,使用置信区间(95%CI)检验来衡量显著关联。定性数据借助开放代码软件进行分析。结果表明,在医疗费用可承受性、家与医疗机构的距离、药品以及医疗设备和用品的可获得性方面,存在医疗保健服务获取不平等的情况。由于存在这些不平等,一些客户对所提供的医疗服务不满意。该研究最后得出了研究结果对政策和研究的启示。

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