伊朗的卫生服务利用与反应性概况：一项省级家庭研究。
Health services utilisation and responsiveness profiles in Iran: a provincial household study.
作者信息
Farahbakhsh Mostafa, Sadeghi Bazargani Homayoun, Saadati Mohammad, Tabrizi Jafar Sadegh, Golestani Mina, Zakery Akram
机构信息
Psychiatrics Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Road Traffic Injury Research Center, Statistics and Epidemiology Department, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
Fam Med Community Health. 2019 Jan 24;7(1):e000007. doi: 10.1136/fmch-2018-000007. eCollection 2019.
OBJECTIVE
The aim of this study was to describe health services utilisation and responsiveness in East Azerbaijan province, Iran.
DESIGN
A cross-sectional household study as part of a larger research on primary healthcare system.
SETTING
We carried out the study in East Azerbaijan Province, northwest Iran from July to September 2015.
PARTICIPANTS
A total of 1318 households were included.
RESULTS
Most of the participating households had social security health insurance. Heart failure or hypertension care, general outpatient care and arthritis care were the most used services. High services cost and inadequate medicine and medical equipment were introduced to be the main barriers to health services utilisation in Tabriz and province representative sample (PRS), respectively. Health system responsiveness mean score (the maximum is 100) was 33.71±16.15 (95% CI 32.45 to 34.97) in Tabriz and 32.02±14.3 (95% CI 30.9 to 33.13) in PRS, which showed significant difference (p≤0.02).
CONCLUSIONS
Differences in the utilisation and responsiveness of health services and distribution of health resources were observed between Tabriz and PRS. Evidently, health system responsiveness in both Tabriz and PRS was at low level. The results demonstrate the need for changing resource distribution policies and employing reactive health policies to response the public health.
目的
本研究旨在描述伊朗东阿塞拜疆省的卫生服务利用情况和反应性。
设计
作为一项关于初级卫生保健系统的大型研究的一部分，开展一项横断面家庭研究。
背景
2015年7月至9月，我们在伊朗西北部的东阿塞拜疆省开展了这项研究。
参与者
共纳入1318户家庭。
结果
大多数参与家庭拥有社会健康保险。心力衰竭或高血压护理、普通门诊护理和关节炎护理是使用最多的服务。高服务成本以及药品和医疗设备不足分别被认为是大不里士和该省代表性样本（PRS）中卫生服务利用的主要障碍。大不里士的卫生系统反应性平均得分（满分100分）为33.71±16.15（95%可信区间32.45至34.97），PRS为32.02±14.3（95%可信区间30.9至33.13），差异有统计学意义（p≤0.02）。
结论
大不里士和PRS在卫生服务利用和反应性以及卫生资源分配方面存在差异。显然，大不里士和PRS的卫生系统反应性均处于较低水平。结果表明需要改变资源分配政策并采用积极的卫生政策来应对公共卫生问题。
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