Health Inequalities Research Group-Employment Conditions Network (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain.
Johns Hopkins University, Pompeu Fabra Public Policy Center, Barcelona, Spain.
Int J Qual Health Care. 2019 Oct 31;31(8):577-582. doi: 10.1093/intqhc/mzy218.
To assess the inequalities in the access to and quality of care and its related direct payments.
Secondary analysis of the cross-sectional Mozambican Household Budget Survey (HBS).
Nationally-representative sample of households in Mozambique.
11 480 households (58 118 individuals) interviewed during HBS 2014/15.
None.
Equity, utilization of healthcare, access to quality care and direct payments.
About 12.2% of women and 10.1% of men of the survey report a perceive health need. About 72.1% of women and 72.9% men use healthcare. Population in a disadvantaged position living in rural areas have less probabilities of using healthcare for equal health compared to the individuals of a wealthier position and living in urban settings. With regard to quality care, 47.7% women and 46.8% men do not report quality problems. No differences for women's wealth. Men in a disadvantaged position report less chances of accessing quality care compared to men of advantaged position. Also, women and men living in rural areas have less probabilities of accessing quality care. Finally, the majority of people who access healthcare paid 1 Mt during their visit.
This study tackles a fundamental policy concern for health systems of Sub-Saharan Africa and points to areas that urge action to address the existent of socioeconomic and geographical inequalities in the access to and quality of care for women and men, including the strengthening of health facilities in rural and deprived areas to ensure that access to adequate care of acceptable quality is distributed according to need.
评估获得医疗服务的机会和医疗质量的不平等，以及与其相关的直接支付情况。
对莫桑比克家庭预算调查（HBS）的横断面进行二次分析。
莫桑比克全国代表性的家庭样本。
在 HBS 2014/15 期间接受采访的 11480 户家庭（58118 人）。
无。
公平性、医疗保健利用、获得优质医疗服务和直接支付。
约 12.2%的女性和 10.1%的男性报告存在感知健康需求。约 72.1%的女性和 72.9%的男性使用医疗保健。与处于较富裕地位和居住在城市环境中的个体相比，处于劣势地位的农村地区的人口在同等健康状况下使用医疗保健的可能性较小。关于优质医疗服务，47.7%的女性和 46.8%的男性没有报告质量问题。女性的财富状况没有差异。处于劣势地位的男性报告获得优质医疗服务的机会比处于优势地位的男性要少。此外，居住在农村地区的女性和男性获得优质医疗服务的可能性也较小。最后，大多数接受医疗保健服务的人在就诊时支付了 1 万里亚尔。
本研究涉及撒哈拉以南非洲卫生系统的一个基本政策问题，并指出需要采取行动解决妇女和男子获得医疗服务和医疗质量方面存在的社会经济和地理不平等问题，包括加强农村和贫困地区的卫生设施，以确保根据需要分配可接受质量的适当医疗服务。
