影响乌干达公共和私人医疗利用的因素
Medard Turyamureba1, Bruno L Yawe1, John Bosco Oryema1
1Makerere University, College of Business and Management Sciences.
African health sciences
|February 15, 2024
概括
乌干达的医疗保健利用率低,尽管进行了改革,但仍然存在. 影响公共与私人设施选择的关键因素包括支出,教育和居住,突出了对医疗保险的需求.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 乌干达的医疗保健利用率仍然很低,尽管自20世纪90年代以来,政府进行了重大改革.
- 改革包括去中心化和取消公共卫生设施的用户费用,但访问和利用挑战仍然存在.
研究的目的:
- 调查乌干达公共与私人医疗保健利用的决定因素.
- 确定影响患者在乌干达卫生系统内选择医疗保健提供者的特定因素.
主要方法:
- 来自乌干达国家家庭调查 (2016年7月至2017年6月) 的横截面数据,涉及17912名寻求护理的个人.
- 应用安德森的概念框架和多项物流回归来分析影响医疗保健提供者选择的因素.
主要成果:
- 36%的人使用政府设施,60%的人使用私人设施,4%的人自行治疗.
- 公共设施的使用受到自费支出,年龄,教育程度,婚姻状况,居住地和疾病类型的显著影响.
- 私人设施使用与家庭福利,教育,居住,婚姻状况,疾病持续时间和疾病类型有关.
结论:
- 调查结果强调,需要一个国家医疗保险计划,以减轻自费医疗支出.
- 实施此类计划可以改善乌干达贫困和弱势群体获得现代医疗保健设施的机会.
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