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希腊经济和卫生危机期间未满足的医疗保健需求的预测因素。

Predictors of Unmet Healthcare Needs during Economic and Health Crisis in Greece.

机构信息

Department of Business Administration, School of Administrative, Economics and Social Sciences, University of West Attica, 12243 Athens, Greece.

Department of Economics and Business, School of Economics, Business and Computer Sciences, Neapolis University Pafos, Pafos 8042, Cyprus.

出版信息

Int J Environ Res Public Health. 2023 Sep 27;20(19):6840. doi: 10.3390/ijerph20196840.

Abstract

(1) Background: The aim of this study was to identify predictors of the unmet healthcare needs during the financial and recent health crisis in Greece. (2) Methods: Time series analysis was performed for the years 2008 through 2022 using the Eurostat database. The dependent variable was the percentage of people who reported unmet need for medical care. Demographic, socioeconomic, and health data, as well as health expenditures, were used as independent variables. Correlation analysis and simple linear regression models were conducted to analyze the results. (3) Results: Unmet health needs in Greece increased from the start of the crisis until 2016, as a gradual de-escalation of the crisis was observed. However, in 2019 the country recorded the second highest level of unmet needs for medical care before the health crisis. Limitations in usual activities, reporting bad/very bad health status, being unemployed, and having low income increased the likelihood of unmet needs. Health expenditures (public or private) were also significant determinants of unmet healthcare needs. (4) Conclusions: The increased unmet health needs widen inequalities in health and healthcare access. Therefore, health policies should eliminate barriers which restrict the access to health and enhance healthcare services, developing conditions for citizens' well-being.

摘要

(1) 背景:本研究旨在确定在希腊经济和近期健康危机期间,未满足的医疗保健需求的预测因素。(2) 方法:使用 Eurostat 数据库对 2008 年至 2022 年的数据进行时间序列分析。因变量是报告未满足医疗需求的人数百分比。将人口统计学、社会经济和健康数据以及卫生支出作为自变量。对结果进行了相关性分析和简单线性回归模型分析。(3) 结果:希腊的未满足健康需求从危机开始到 2016 年增加,因为观察到危机逐渐缓解。然而,在 2019 年,该国在卫生危机之前记录了第二个最高水平的未满足医疗需求。日常活动受限、报告健康状况不佳/非常差、失业和收入低增加了未满足需求的可能性。卫生支出(公共或私人)也是未满足医疗保健需求的重要决定因素。(4) 结论:未满足的健康需求增加了健康和医疗保健获取方面的不平等。因此,卫生政策应消除限制获得健康和增强医疗服务的障碍,为公民的福祉创造条件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0285/10572303/bc352692811d/ijerph-20-06840-g001.jpg

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