Moradi Fardin, Karami Badriyeh, Soofi Moslem, Karamimatin Behzad, Jalili Faramarz, Akbari Shahram, Soltani Shahin
Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Behavioral Disease Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
BMC Health Serv Res. 2024 Dec 23;24(1):1637. doi: 10.1186/s12913-024-12069-7.
Ensuring equitable access to healthcare services for individuals with disabilities poses a significant challenge for healthcare systems. This research aimed to explore the factors affecting medical visits among this population.
This cross-sectional study in Iran involved data from 766 adults with disabilities aged 18 and older. Unadjusted and adjusted logistic regression analyses were used to calculate the odds ratios for medical visits.
The majority of participants were male (64.36%) and single (54.02%). In the adjusted model, participants with severe disabilities (OR: 1.901, p = 0.025) were more likely to utilize medical visits compared to those with less severe disabilities. Conversely, individuals in the second (OR: 0.420, p = 0.017), fourth (OR: 0.360, p = 0.004), and fifth (OR: 0.319, p = 0.001) wealth quintiles demonstrated a significantly lower likelihood of accessing medical visits in comparison to the reference group.
This study reveals critical disparities in healthcare access for individuals with disabilities in Iran. While individuals with severe disabilities demonstrate a higher likelihood of utilizing medical services, those in lower wealth quintiles face significant barriers to accessing care. These findings emphasize the urgent need for targeted interventions to enhance healthcare equity, ensuring that financial constraints do not hinder medical visits for this vulnerable population.
确保残疾人士公平获得医疗服务对医疗系统构成重大挑战。本研究旨在探讨影响该人群就医的因素。
这项在伊朗开展的横断面研究纳入了766名18岁及以上的成年残疾人的数据。采用未调整和调整后的逻辑回归分析来计算就医的比值比。
大多数参与者为男性（64.36%）且未婚（54.02%）。在调整模型中，与残疾程度较轻者相比，重度残疾参与者（比值比：1.901，p = 0.025）更有可能就医。相反，与参照组相比，处于第二（比值比：0.420，p = 0.017）、第四（比值比：0.360，p = 0.004）和第五（比值比：0.319，p = 0.001）财富五分位数的人群就医可能性显著较低。
本研究揭示了伊朗残疾人士在医疗服务可及性方面的关键差异。虽然重度残疾者就医可能性较高，但财富五分位数较低者在获得医疗服务方面面临重大障碍。这些发现强调迫切需要有针对性的干预措施来提高医疗公平性，确保经济限制不会阻碍这一弱势群体就医。
