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经济危机与生活方式的改变:意大利马尔凯大区药物使用频率以及预防性和专科医疗护理使用频率的调查

The economic crisis and lifestyle changes: a survey on frequency of use of medications and of preventive and specialistic medical care, in the Marche Region (Italy).

作者信息

Grappasonni Iolanda, Scuri Stefania, Tanzi Elisabetta, Kracmarova Lenka, Petrelli Fabio

机构信息

School of Medicinal and Health Products Sciences, University of Camerino (Italy).

Department of Biomedical Sciences for Health, University of Milano (Italy).

出版信息

Acta Biomed. 2018 Mar 27;89(1):87-92. doi: 10.23750/abm.v89i1.7068.

Abstract

BACKGROUND AND AIM

In the words of one observer, one of the many effects of the economic downturn has been a "health system shock" marked by reductions in the availability of healthcare resources and increases in the demand for health services. The financial situation influences negatively the low-income family groups, particularly those who normally use the government provided primary prevention services. The goal of this study was to assess the impact of the global recession on the use of medicines and medical investigation recession in different areas of the Marche Region.

METHODS

An anonymous questionnaire prepared by the National Institute of Statistics, modified and validated by the University of Camerino, has been distributed to junior highschool students of Central Italy to provide a statistically representative sample of families. The questionnaire has been administered in 2016-2017.

RESULTS

This article examines the results about healthcare habits, specifically, regarding medicines and medical examinations. Data obtained emphasize a reduction in the use of nonsteroidal anti-inflammatory drugs (NSAIDs). The parents category showed the higher change in medicines use (72.9%). Comparing the data of the Fabriano area with that of the Civitanova Marche area, Fabriano reported a greater reduction in the frequency of taking medicine. Concerning the medical examinations, half of the respondents (62.5%), indicated that they and their family members have regular medical check-up.

CONCLUSIONS

Respondents who admitted that the economic crisis had reduced their quality of life indicated that the parents were the ones who had experienced the greatest change. This is confirmed by the information on the reduced frequency of medicine use, which affected the parents more than the children, whom they sought to protect and safeguard the most. This reduction was most marked in the Fabriano area. In contrast, in the Civitanova Marche area, with different socioeconomic characteristics, an increase in the use of all the categories of medicines was reported. Concerning visits the situation in the Marche Region appears encouraging.

摘要

背景与目的

用一位观察者的话来说,经济衰退的诸多影响之一是一场“卫生系统冲击”,其特征是医疗资源可得性降低以及对卫生服务的需求增加。财政状况对低收入家庭群体产生了负面影响,尤其是那些通常使用政府提供的初级预防服务的家庭。本研究的目的是评估全球衰退对马尔凯地区不同区域药品使用和医学检查的影响。

方法

由国家统计局编制、卡梅里诺大学修改并验证的一份匿名问卷,已分发给意大利中部的初中生,以提供具有统计学代表性的家庭样本。该问卷于2016 - 2017年进行发放。

结果

本文考察了关于医疗保健习惯的结果,具体而言,是关于药品和医学检查的结果。所获得的数据强调非甾体抗炎药(NSAIDs)的使用有所减少。家长类别在药品使用方面的变化最大(72.9%)。将法布里亚诺地区的数据与马尔凯新西维塔地区的数据进行比较,法布里亚诺报告服药频率的降低幅度更大。关于医学检查,一半的受访者(62.5%)表示他们及其家庭成员会定期进行体检。

结论

承认经济危机降低了其生活质量的受访者表示,家长是经历最大变化的群体。药品使用频率降低的信息证实了这一点,这对家长的影响大于孩子,而家长最希望保护的就是孩子。这种减少在法布里亚诺地区最为明显。相比之下,在具有不同社会经济特征的马尔凯新西维塔地区,报告所有药品类别的使用都有所增加。关于就诊情况,马尔凯地区的形势似乎令人鼓舞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5542/6357618/6a8f49cb3135/ACTA-89-87-g002.jpg

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