Cargando…

Determinants of Inequity in Health Care Services Utilization in Markazi Province of Iran

BACKGROUND: National and international statistics from Iran have indicated that progresses and achievements have been made for most health indicators, but there are differences in some indicators in special groups and at the provincial level. OBJECTIVES: Our aim was to assess the main predictors of...

Descripción completa

Detalles Bibliográficos
Autores principales: Hassanzadeh, Jafar, Mohammadbeigi, Abolfazl, Eshrati, Babak, Rezaianzadeh, Abbas, Rajaeefard, Abdolreza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3838642/
https://www.ncbi.nlm.nih.gov/pubmed/24349720
http://dx.doi.org/10.5812/ircmj.3525
_version_ 1782478371410673664
author Hassanzadeh, Jafar
Mohammadbeigi, Abolfazl
Eshrati, Babak
Rezaianzadeh, Abbas
Rajaeefard, Abdolreza
author_facet Hassanzadeh, Jafar
Mohammadbeigi, Abolfazl
Eshrati, Babak
Rezaianzadeh, Abbas
Rajaeefard, Abdolreza
author_sort Hassanzadeh, Jafar
collection PubMed
description BACKGROUND: National and international statistics from Iran have indicated that progresses and achievements have been made for most health indicators, but there are differences in some indicators in special groups and at the provincial level. OBJECTIVES: Our aim was to assess the main predictors of inequity in seeking Health Care Utilities (HCU) locally. PATIENTS AND METHODS: Data gathered from the HCU survey, which was conducted in the Markazi province of Iran during 2008, was used in the present study. A systematic sampling method, based on the Iranian household framework, was applied in order to choose 758 households as well as 2711 individuals. The household wealth index constructed by Principle Component Analysis (PCA) and robust login link function in Generalized Estimation Equation (GEE) model were used in order to determine the predictors of inequity. RESULTS: 66.4% of those in need sought outpatient health care from which 97.7% received appropriate services. After adjustment for the clustering effect of household as well as confounding effect of the covariates, GEE model showed that there were inequities in HCU for females (OR = 2.44, CI; 1.24- 4.81) and subjects with inpatient need (OR = 2.14, CI: 1.23-3.72). Being in the lowest quintile of household wealth index was associated with the lower use of outpatient health services (OR = 0.45, CI; 0.23- 0.88). CONCLUSIONS: In spite of improvements in the national health indicator, different groups of people use health care services differently, but these inequities in HCU are related to social and individual factors. Also, it is clear that health sector facilities and the accessibility to health services are not the only predictors.
format Online
Article
Text
id pubmed-3838642
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Kowsar
record_format MEDLINE/PubMed
spelling pubmed-38386422013-12-12 Determinants of Inequity in Health Care Services Utilization in Markazi Province of Iran Hassanzadeh, Jafar Mohammadbeigi, Abolfazl Eshrati, Babak Rezaianzadeh, Abbas Rajaeefard, Abdolreza Iran Red Crescent Med J Research Article BACKGROUND: National and international statistics from Iran have indicated that progresses and achievements have been made for most health indicators, but there are differences in some indicators in special groups and at the provincial level. OBJECTIVES: Our aim was to assess the main predictors of inequity in seeking Health Care Utilities (HCU) locally. PATIENTS AND METHODS: Data gathered from the HCU survey, which was conducted in the Markazi province of Iran during 2008, was used in the present study. A systematic sampling method, based on the Iranian household framework, was applied in order to choose 758 households as well as 2711 individuals. The household wealth index constructed by Principle Component Analysis (PCA) and robust login link function in Generalized Estimation Equation (GEE) model were used in order to determine the predictors of inequity. RESULTS: 66.4% of those in need sought outpatient health care from which 97.7% received appropriate services. After adjustment for the clustering effect of household as well as confounding effect of the covariates, GEE model showed that there were inequities in HCU for females (OR = 2.44, CI; 1.24- 4.81) and subjects with inpatient need (OR = 2.14, CI: 1.23-3.72). Being in the lowest quintile of household wealth index was associated with the lower use of outpatient health services (OR = 0.45, CI; 0.23- 0.88). CONCLUSIONS: In spite of improvements in the national health indicator, different groups of people use health care services differently, but these inequities in HCU are related to social and individual factors. Also, it is clear that health sector facilities and the accessibility to health services are not the only predictors. Kowsar 2013-05-05 2013-05 /pmc/articles/PMC3838642/ /pubmed/24349720 http://dx.doi.org/10.5812/ircmj.3525 Text en Copyright © 2013, Iranian Red Crescent Medical Journal http://creativecommons.org/licenses/by/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Hassanzadeh, Jafar
Mohammadbeigi, Abolfazl
Eshrati, Babak
Rezaianzadeh, Abbas
Rajaeefard, Abdolreza
Determinants of Inequity in Health Care Services Utilization in Markazi Province of Iran
title Determinants of Inequity in Health Care Services Utilization in Markazi Province of Iran
title_full Determinants of Inequity in Health Care Services Utilization in Markazi Province of Iran
title_fullStr Determinants of Inequity in Health Care Services Utilization in Markazi Province of Iran
title_full_unstemmed Determinants of Inequity in Health Care Services Utilization in Markazi Province of Iran
title_short Determinants of Inequity in Health Care Services Utilization in Markazi Province of Iran
title_sort determinants of inequity in health care services utilization in markazi province of iran
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3838642/
https://www.ncbi.nlm.nih.gov/pubmed/24349720
http://dx.doi.org/10.5812/ircmj.3525
work_keys_str_mv AT hassanzadehjafar determinantsofinequityinhealthcareservicesutilizationinmarkaziprovinceofiran
AT mohammadbeigiabolfazl determinantsofinequityinhealthcareservicesutilizationinmarkaziprovinceofiran
AT eshratibabak determinantsofinequityinhealthcareservicesutilizationinmarkaziprovinceofiran
AT rezaianzadehabbas determinantsofinequityinhealthcareservicesutilizationinmarkaziprovinceofiran
AT rajaeefardabdolreza determinantsofinequityinhealthcareservicesutilizationinmarkaziprovinceofiran