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