与成本相关的未满足医疗保健需求中的性别差异:土耳其的一项全国性研究
Aslı Davas1, Nilay Etiler2,3
1Faculty of Medicine, Department of Public Health, Ege University, Izmir, Turkey. asli.davas@ege.edu.tr.
BMC public health
|September 4, 2024
概括
财政障碍使得15.4%的土耳其人无法获得医疗保健,女性面临着更高的未满足需求. 高龄,高等教育和收入提高了获取机会,而沟通困难和慢性疾病仍然是障碍.
科学领域:
- 医疗保健获取研究研究
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 未满足的医疗保健需求受到个人,社会经济和系统因素的影响.
- 与成本相关的未满足需求是获得医疗保健的重要障碍.
- 在获得医疗保健方面的性别差异需要全面调查.
研究的目的:
- 调查土耳其人口与成本相关的未满足医疗保健需求的决定因素.
- 分析获得医疗保健服务的性别差异.
- 了解在未得到满足的医疗保健需求中,诱导,促进和需要因素的作用.
主要方法:
- 2019年土耳其卫生调查数据的二次分析 (n=16,976).
- 后勤回归模型用于分析与成本相关的未满足的医疗,牙科,药物和心理健康服务.
- 分析按性别分层,包括倾向性,支持性和需要性因素.
主要成果:
- 15.4%的个人报告了与成本相关的未满足的医疗保健需求 (16.8%的女性,13.5%的男性).
- 对男女来说,获得牙科护理是最大的未满足需求.
- 高龄,高等教育和收入与较低的未满足需求有关;沟通困难和慢性疾病增加了未满足需求.
结论:
- 在土耳其,与成本相关的未满足的医疗保健需求存在显著的性别差异.
- 解决健康不平等问题需要考虑多个因素的交叉方法.
- 政策干预应侧重于社会经济决定因素和特定服务获取障碍.
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