伊朗残疾人使用住院医疗服务:决定因素和不平等模式
Badriyeh Karami1, Satar Rezaei1, Hadi Darvishi Gillan1
1Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
男性性别,特定的医疗保险和更高的残疾严重程度增加了伊朗残疾人住院医疗保健的使用率. 解决这些因素可以改善健康结果.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 关于残疾人的研究.
背景情况:
- 残疾人表现出不同的医疗保健需求和利用模式.
- 了解住院医疗利用的决定因素对于有针对性的干预至关重要.
研究的目的:
- 确定影响伊朗残疾人住院医疗利用的因素.
- 分析人口,社会经济和残疾相关因素与住院治疗之间的关系.
主要方法:
- 一项涉及伊朗766名PWD (18岁以上) 的横截面研究的二次数据分析.
- 采用多种后勤回归模型来确定调整的赔率比率 (aOR) 和95%置信区间.
- 用度指数和分解分析来评估利用中的不平等.
主要成果:
- 男性 (aOR 2.11),拥有公务员医疗保险的人 (aOR 3.44) 和严重残疾的人 (第三四分位数,aOR 2.13) 显示住院利用率更高.
- 性别是住院医疗利用不平等的最大贡献者 (21.92%).
- 超过71%的参与者在前一年没有先前住院治疗.
结论:
- 性别,健康保险类型和残疾严重程度显著影响PWDs的住院可能性.
- 建议包括改善门诊服务,确保负担得起的保险,并降低PWDs的医疗费用.
- 解决这些因素可以减少住院负担,并促进该人口更好的健康结果.
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