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斯洛文尼亚、塞尔维亚和克罗地亚老年人口的医疗保健、牙科保健和药品负担。

Financial Burden of Medical Care, Dental Care, and Medicines among Older-Aged Population in Slovenia, Serbia, and Croatia.

机构信息

Department for Healthcare Quality Improvement, Institute of Public Health of Belgrade, 11000 Belgrade, Serbia.

Faculty of Medicine, Institute of Social Medicine, University of Belgrade, 11000 Belgrade, Serbia.

出版信息

Int J Environ Res Public Health. 2022 Mar 11;19(6):3325. doi: 10.3390/ijerph19063325.

Abstract

The aim was to explore the factors associated with the financial burden (FB) of medical care, dental care, and medicines among older-aged people in Slovenia, Serbia, and Croatia using EU-SILC 2017. The highest frequency of FB of medical care and medicines was in Croatia (50% and 69.1%, respectively) and of dental care in Slovenia (48.5%). The multivariate logistic regression analysis with FB as an outcome variable showed that the FB of medical care was associated with being married (OR: 1.54), reporting not severe (OR: 1.51) and severe limitations in daily activities (OR: 2.05), having higher education (OR: 2.03), and heavy burden of housing costs (OR: 0.51) in Slovenia, with very bad self-perceived health (OR: 5.23), having the slight (OR: 0.69) or heavy (OR: 0.47) burden of housing costs, making ends meet fairly easily or with some difficulty (OR: 3.58) or with difficulty or great difficulty (OR: 6.80) in Serbia, and with being married (OR: 1.43), having heavy burden of housing costs (OR: 0.62), and making ends meet fairly easily or with some difficulty (OR: 2.08) or with difficulty or great difficulty (OR: 2.52) in Croatia. The older-aged have the FB of healthcare, especially the poorest or those with health problems.

摘要

本研究旨在使用 2017 年欧盟调查(EU-SILC)数据,探讨斯洛文尼亚、塞尔维亚和克罗地亚老年人群医疗保健、牙科保健和药品费用负担(FB)的相关因素。医疗保健和药品费用 FB 发生率最高的国家是克罗地亚(分别为 50%和 69.1%),而牙科保健费用 FB 发生率最高的国家是斯洛文尼亚(48.5%)。以 FB 为因变量的多变量逻辑回归分析显示,医疗保健费用 FB 与已婚状况(OR:1.54)、报告无严重(OR:1.51)或严重日常活动受限(OR:2.05)、接受过高等教育(OR:2.03)以及住房费用负担较重(OR:0.51)相关,而在斯洛文尼亚,FB 与自我感知健康状况极差(OR:5.23)、住房费用负担较轻(OR:0.69)或较重(OR:0.47)、收支相抵相当容易或有一定困难(OR:3.58)或有困难或非常困难(OR:6.80)相关,在塞尔维亚,FB 与已婚状况(OR:1.43)、住房费用负担较重(OR:0.62)、收支相抵相当容易或有一定困难(OR:2.08)或有困难或非常困难(OR:2.52)相关,而在克罗地亚,FB 与已婚状况(OR:1.43)、住房费用负担较重(OR:0.62)、收支相抵相当容易或有一定困难(OR:2.08)或有困难或非常困难(OR:2.52)相关。老年人存在医疗保健费用负担,尤其是最贫困或健康状况较差的老年人。

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