孟加拉国残疾人的医疗保健服务获取挑战和决定因素
Mizanur Rahman1, Md Shohel Rana2, Md Mostafizur Rahman3
1Bangamata Sheikh Fojilatunnesa Mujib Science & Technology University, Jamalpur, Bangladesh.
Scientific reports
|August 19, 2024
概括
孟加拉国四分之一的残疾人无法获得必要的医疗保健服务. 主要障碍包括医疗保健费用,缺乏家庭支持和遥远的设施,突出了改善接入和社会安全网的需要.
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:
- 低收入和中等收入国家 (LMICs) 的残疾人 (PWDs) 面临着获得基本医疗保健的重大障碍.
- 了解这些挑战至关重要,特别是在孟加拉国这样的LMIC,数据有限.
- 这项研究解决了孟加拉国PWD获得医疗保健的知识差距.
研究的目的:
- 调查孟加拉国残疾人获得医疗保健服务的模式和决定因素.
- 在三个月内根据感知需求确定影响医疗保健利用的因素.
- 为普德人提供公平的医疗保健服务提供政策和计划制定信息.
主要方法:
- 来自2021年全国残疾人调查的4293名残疾人的数据分析.
- 利用多层混合效应物流回归模型来识别个人,家庭和社区层面的决定因素.
- 根据年龄组 (0-17岁和18-95岁) 进行分层分析,以探索变化.
主要成果:
- 孟加拉国约有25%的残疾人无法在需要时获得医疗保健服务.
- 确定的主要障碍是医疗保健成本 (52.10%),缺乏家庭支持 (27.0%) 和地理上无法访问设施 (10.10%).
- 较高的财富五分位数和居住在Chattogram和Sylhet部门与增加的访问相关;未婚/离婚/寡妇/分居的状态与减少的访问相关.
结论:
- 在孟加拉国,残疾人获得医疗保健方面存在重大差异.
- 解决财务障碍,加强社会支持和改善设施可访问性至关重要.
- 建议将PWD的医疗保健服务纳入社会安全网计划,以确保公平的获得.
相关概念视频
01:30Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
01:18Introduction To Health Care Delivery System
2.7K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.7K
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:30Specialized Care Centers and Settings-II
719
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
719
01:25Learning Disabilities
92
Learning disabilities are cognitive disorders caused by neurological impairments that affect cognitive functions like language and reading, without indicating overall intellectual or developmental challenges. These disabilities differ from global intellectual or developmental disabilities as they are limited to distinct cognitive functions. Common learning disabilities include dysgraphia, dyslexia, and dyscalculia, each of which impacts unique aspects of learning.
Dyslexia
Dyslexia is a...
Dyslexia
Dyslexia is a...
92