Azimzadeh Solmaz, Tabrizi Jafar Sadegh, Nosratnejad Shirin, Farahbakhsh Mostafa, Azami Aghdash Saber, Mashhadi Abdolahi Hossein
Iranian Center of Excellence in Health Management and Department of Health Service Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
Galen Med J. 2019 Mar 29;8:e1236. doi: 10.22086/gmj.v8i0.1236. eCollection 2019.
Utilization is one of the dimensions of equity in health systems. Identifying the factors affecting utilization of health services can be helpful for interventional purposes. This study systematically reviewed the factors affecting the utilization of inpatient, outpatient, diagnostic, and pharmaceutical services. This systematic review was conducted between 2016 and 2017. The search was performed using keywords based on MeSH in valid databases such as Scopus, Embase, ProQuest, ScienceDirect, PubMed, and Web of Science in the fields of title, abstract, and keyword. Related papers published from 2000 to 2017 were searched. First, the retrieved studies were screened and checked for quality; then, the useful data were extracted and analyzed. Out of the 1178 retrieved publications, 20 studies were included in the final analysis. The identified factors were categorized into 5 areas, including demographic (4 items), socioeconomic (13 items), health services-related (13 items), health status-related (7 items), and health insurance-related factors (2 items), and reported. The findings of this study can be a useful source and a comprehensive body of evidence on the utilization of health services. The results can be used by the policy makers and managers in designing interventions for changing the utilization patterns of health services.
医疗服务利用是卫生系统公平性的维度之一。识别影响卫生服务利用的因素有助于进行干预。本研究系统回顾了影响住院、门诊、诊断和药物服务利用的因素。该系统评价于2016年至2017年开展。检索在Scopus、Embase、ProQuest、ScienceDirect、PubMed和Web of Science等有效数据库中进行，使用基于医学主题词表（MeSH）的关键词，检索标题、摘要和关键词字段。检索了2000年至2017年发表的相关论文。首先，对检索到的研究进行筛选和质量检查；然后，提取并分析有用数据。在检索到的1178篇出版物中，最终纳入20项研究进行分析。识别出的因素分为5个领域，包括人口统计学因素（4项）、社会经济因素（13项）、卫生服务相关因素（13项）、健康状况相关因素（7项）和健康保险相关因素（2项），并进行了报告。本研究结果可成为卫生服务利用方面有用的证据来源和全面的证据体系。政策制定者和管理者可利用这些结果设计干预措施，以改变卫生服务利用模式。
