南非医疗保健需求中的种族差异影响：以公共医疗保健为例。
The Influence of Racial Differences in the Demand for Healthcare in South Africa: A Case of Public Healthcare.
机构信息
Department of Accountancy, University of Johannesburg, Auckland Park, Johannesburg 2092, South Africa.
Department of Management, Walter Sisulu University, Butterworth 4960, South Africa.
出版信息
Int J Environ Res Public Health. 2020 Jul 14;17(14):5043. doi: 10.3390/ijerph17145043.
Abstract
The study sought to analyse the influence of racial differences in the demand for public healthcare in South Africa, using the 2018 General Household Survey (GHS) data. This was completed to understand if race still plays a role in access to healthcare in post-apartheid South Africa. Logistic regression analysis revealed that race significantly explained the variance in demand for public healthcare, with White populations having the lowest probability of demand for public healthcare compared to other races. Consequently, the study noted that racial differences still play a critical role in affording one access to healthcare after assessing the situation obtaining in public healthcare. Therefore, the study recommends that the government of South Africa should create policies that encourage equal access to basic services in addressing racial inequality in the country.
摘要
本研究旨在利用 2018 年全国家庭调查（GHS）数据，分析南非公共医疗保健需求中种族差异的影响。这是为了了解种族在种族隔离后南非的医疗保健获取中是否仍然发挥作用。逻辑回归分析表明，种族差异显著解释了对公共医疗保健需求的差异，与其他种族相比，白人人口对公共医疗保健的需求概率最低。因此，该研究指出，在评估公共医疗保健状况后，种族差异在获得医疗保健方面仍然起着至关重要的作用。因此，该研究建议南非政府制定政策，鼓励在该国平等获得基本服务，以解决种族不平等问题。
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PLoS One. 2020 Feb 7;15(2):e0228034. doi: 10.1371/journal.pone.0228034. eCollection 2020.
2
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J Gerontol B Psychol Sci Soc Sci. 2020 Jan 14;75(2):426-435. doi: 10.1093/geronb/gbz082.
3
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4
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J Biosoc Sci. 2020 Jan;52(1):1-13. doi: 10.1017/S0021932019000191. Epub 2019 May 21.
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