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转型欧洲国家医疗服务利用不平等:基于全国人口健康调查的结果。

Inequalities in the utilization of health care services in a transition European country: results from the national population health survey.

机构信息

Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Dr Subotica 15, Belgrade, 11000, Serbia.

Institute of Public Health, Jovana Dučića 1, 78000, Banja Luka, Republic of Srpska, Bosnia and Herzegovina.

出版信息

Int J Public Health. 2018 Mar;63(2):261-272. doi: 10.1007/s00038-017-1009-y. Epub 2017 Jul 14.

Abstract

OBJECTIVES

To examine demographic, socio-economic, and health status inequalities in the utilization of health care services (UHCS) in the Republic of Srpska (RS), Bosnia and Herzegovina.

METHODS

Data were retrieved from the 2010 National Health Survey for the RS adult population (n = 4128). A complex sample design was taken into account for statistical analysis.

RESULTS

As compared to men, a higher percentage of women visited a family physician (FP), urgent care department, dentist and private doctor. Higher educated women and those worse-off (OR 1.17) more frequently visited FP. Hospitalization (OR 4.56 for males; OR 9.17 for females), visit to urgent care department (OR 3.19 for males; OR 2.42 for females) and visits to FP in females (OR 1.46) were associated with poor self-perceived health. No inequalities by wealth index were found for the utilization of FP, hospitalization, urgent care and dentist among persons with poor self-perceived health status.

CONCLUSIONS

The present study confirmed demographic, socio-economic and health status inequalities in the UHCS in RS. These findings have significant implications for health policy makers that seek to provide equal care for all people living in RS.

摘要

目的

研究波斯尼亚和黑塞哥维那塞族共和国(简称 RS)医疗保健服务利用方面的人口统计学、社会经济和健康状况不平等现象。

方法

数据来自 RS 成人人口的 2010 年国家健康调查(n=4128)。考虑到复杂的样本设计,进行了统计分析。

结果

与男性相比,更多的女性去看家庭医生(FP)、急诊部门、牙医和私人医生。受教育程度较高的女性和情况较差的女性(OR 1.17)更频繁地看 FP。住院治疗(男性 OR 4.56;女性 OR 9.17)、急诊部门就诊(男性 OR 3.19;女性 OR 2.42)和女性看 FP(OR 1.46)与自我感觉健康状况较差有关。在自我感觉健康状况较差的人群中,FP、住院治疗、急诊和牙医的利用情况与财富指数无关。

结论

本研究证实了 RS 医疗保健服务利用方面的人口统计学、社会经济和健康状况不平等现象。这些发现对寻求为所有生活在 RS 的人提供平等医疗保健的卫生政策制定者具有重要意义。

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