在不丹的医疗保健利用中,农村和城市的不平等:分解分析
Jayendra Sharma1,2, Milena Pavlova3, Wim Groot3
1Department of Health Services Research, CAPHRI, Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, the Netherlands. j.sharma@maastrichtuniversity.nl.
International journal for equity in health
|April 12, 2024
概括
不丹是不丹的一个国家.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生公平研究 卫生公平研究
- 健康的社会经济决定因素
背景情况:
- 由于城市和农村的健康结果差异,不丹的全民健康覆盖面临挑战.
- 解决健康公平问题对于政策制定至关重要.
研究的目的:
- 检查卫生服务利用模式和不平等在农村和城市不丹.
- 确定这些差异的社会经济决定因素.
主要方法:
- 使用的2017年不丹生活水平调查数据.
- 采用了Oaxaca-Blinder分解和重心影响函数回归.
主要成果:
- 农村人口使用初级卫生中心的可能性是医院的3.4倍.
- 初级医疗保健的使用是有利于穷人;医院护理集中在富裕人群中.
- 农村和城市利用差距是由收入和地区驱动的;不平等受到家庭特征的影响.
结论:
- 尽管总体利用率相似,但在不丹农村和城市之间存在服务类型和不平等的显著差异.
- 推动利用差距的因素与影响收入相关不平等的因素不同.
- 调查结果为实现全民健康覆盖提供了有针对性的政策.
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