VNU University of Medicine and Pharmacy, Vietnam National University, Hanoi 100000, Vietnam.
Faculty of Health Sciences, Thang Long University, Hanoi 100000, Vietnam.
ScientificWorldJournal. 2021 Apr 22;2021:6650303. doi: 10.1155/2021/6650303. eCollection 2021.
Evidence of health service use and access across different target groups is essential for policy development, health promotion, and promotion of equity in healthcare. This study aims to look at ethnic variations in health service use and access among residents in mountainous areas of Vietnam. A cross-sectional descriptive study was conducted on 321 adults from two mountainous communes in Bac Kan province. Healthcare service use and access were evaluated by using a structured questionnaire. Zero-inflated Poisson regression was used to examine the ethnic variations in the healthcare service use and access. Of 321 mountainous residents, 63.6% used health services in the previous 12 months, of which 24.9% respondents used inpatient services and 47.9% used outpatient services. The number of outpatient medical services used by the Tay participant was higher than that of the Kinh and other ethnic groups ( < 0.05). Multivariate regression results showed that compared to Kinh people, Tay people had a higher number of outpatient service use (Coef. = 0.25, =0.04), while people in other ethnicities had a lower number of service use (Coef. = -0.64, =0.01). Meanwhile, no difference was found among groups regarding the number of inpatient service use ( > 0.05). This study showed the ethnic differences in outpatient use of health services among communities living in the northern mountainous setting of Vietnam.
卫生服务利用和获取在不同目标群体中的证据对于政策制定、健康促进和医疗保健公平性的提升至关重要。本研究旨在探讨越南山区居民在卫生服务利用和获取方面的民族差异。采用横断面描述性研究方法，对来自北幪省两个山区公社的 321 名成年人进行了研究。利用结构化问卷评估医疗保健服务的利用和获取情况。采用零膨胀泊松回归分析方法，考察了卫生服务利用和获取方面的民族差异。在 321 名山区居民中，63.6%的人在过去 12 个月内使用了卫生服务，其中 24.9%的人使用了住院服务，47.9%的人使用了门诊服务。与京族和其他民族相比，泰族参与者使用的门诊医疗服务次数更多（<0.05）。多变量回归结果显示，与京族相比，泰族的门诊服务利用次数更多（系数=0.25，=0.04），而其他民族的服务利用次数更少（系数=-0.64，=0.01）。同时，各组之间的住院服务利用次数没有差异（>0.05）。本研究表明，在越南北部山区社区中，民族差异存在于门诊卫生服务的利用方面。
