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了解患者在印度寻求治疗的流动性
Ranjan Karmakar1, Umenthala Srikanth Reddy2, Ram Babu Bhagat1
1Department of Migration and Urban Studies, International Institute for Population Sciences (IIPS), Mumbai, India.
Scientific reports
|January 22, 2024
概括
患有心血管疾病 (CVD),非传染性疾病 (NCD) 和残疾患者经常前往印度接受治疗. 农村和经济弱势群体在当地获得医疗保健方面面临更大的障碍.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 医学社会学 医学社会学
背景情况:
- 在全球范围内,医疗保健系统面临着在不断变化的疾病环境中提供优质护理的挑战.
- 印度面临着可治愈障碍,非传染性疾病 (NCD) 和心血管疾病 (CVD) 的大量治疗缺口.
- 患者为医疗服务而迁移很普遍,但空间流动模式仍未得到充分研究.
研究的目的:
- 调查印度医疗保健治疗的空间流动性的决定因素.
- 分析疾病特异性寻求医疗护理的模式,超出当地地区.
- 确定影响患者出差治疗决定的关键因素.
主要方法:
- 利用了印度第75轮国家样本调查 (NSS) (2017-2018) 的数据.
- 分析了各种疾病的64,779个医疗病例.
- 采用固定效应和多项式回归模型来评估寻求治疗的流动性.
主要成果:
- 患有心血管疾病,非传染性疾病和残疾的人更倾向于在家乡以外寻求治疗.
- 农村人口和来自经济弱势背景的农民需要走更远的路程来获得医疗保健.
- 寻求治疗的流动性受到保险覆盖,医院质量以及药物和手术成本的重大影响.
结论:
- 医疗保健获取差异需要政策干预,以弥合印度医疗保健需求和基础设施之间的差距.
- 优先考虑发展当地残疾,非传染性疾病和心血管疾病的医疗保健设施至关重要.
- 解决社会经济和地理障碍可以改善印度各地获得医疗保健的平等机会.
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