从办公室到数字初级保健服务:分析收入相关的不平等利用率
Jens Wilkens1, Hans Thulesius2, Björn Ekman2
1Department of Clinical Sciences, Lund University, Malmö, Sweden, Jan Waldenströms gata 35, 20205. jens.wilkens@med.lu.se.
International journal for equity in health
|April 30, 2024
概括
数字初级保健越来越多地使用,但它有利于富裕的个人,与传统的办公室访问不同. 这种趋势有可能加剧健康不平等,随着数字健康的扩大,需要政策关注.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康 公平数字健康 公平
- 健康的社会经济决定因素
背景情况:
- 数字初级保健的采用量急剧增加,但其对医疗保健平等的影响仍未得到充分研究.
- 现有的研究缺乏大规模的数据分析,以了解数字卫生服务如何影响社会经济差距.
研究的目的:
- 分析基于收入的数字和办公室服务之间的初级保健利用差异.
- 确定导致这些利用不平等的因素.
- 通过基于需求的标准化,评估初级保健准入的公平性.
主要方法:
- 利用了瑞典72万6000名感染的成年患者的大型数据集.
- 采用集中指数 (CI) 和分解分析来衡量与收入相关的不平等.
- 用标准化利用性别,年龄和并发症来计算水平不平等指数.
主要成果:
- 基于办公室的访问显示了有利于穷人的利用 (CI -0.116),而数字联系则有利于富人 (CI 0.205).
- 即使在数字服务用户中 (CI -0.101),数字护理的利用率仍然是富裕的.
- 教育和出生国是推动富人使用数字服务的关键因素.
结论:
- 在数字初级保健中,有利于富人的利用模式可能会破坏公平获取的目标.
- 决策者必须解决数字健康的社会经济差异,以确保平等的获取.
- 数字健康的扩张需要仔细监测,以防止扩大健康不平等.
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