了解尼日利亚未满足的医疗保健需求:对全民健康覆盖的影响
Paul Eze1, Chioma Lynda Aniebo2, Stanley Ilechukwu3
1Department of Health Policy and Administration, Penn State University, University Park, PA, USA.
Health services insights
|April 1, 2025
概括
在尼日利亚,5.2%的人有未满足的医疗需求,主要是由于成本和感知疾病严重程度. 这凸显了与财富相关的重大不平等,以及需要有针对性的干预措施,以改善弱势群体获得医疗保健的机会.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在低收入和中等收入国家,许多人面临着获得基本医疗保健服务的障碍.
- 现有的全民医疗覆盖 (UHC) 指标不能完全捕捉人口中未满足的医疗保健需求的程度.
研究的目的:
- 为了估计尼日利亚未满足的医疗保健需求的普遍性.
- 分析与这些未满足需求相关的与财富相关的不平等.
- 在个人,家庭和社区层面确定未满足医疗保健需求的关键决定因素.
主要方法:
- 来自2018-2019年尼日利亚生活水平调查的116,320名尼日利亚人的全国代表性横截面样本的分析.
- 利用自我报告的未满足的医疗保健需求作为主要结果变量.
- 用人集中度指数 (CIX) 分析与财富相关的不平等以及多层次的逻辑回归来确定决定因素.
主要成果:
- 未满足医疗保健需求的流行率为5.2%,影响了大约1100万尼日利亚人.
- 高昂的成本 (负担不起) 和感知到的低疾病严重程度是未满足需求的最常见原因.
- 观察到有利于穷人的与财富相关的不平等 (CIX: -0.097),其中包括慢性疾病,单人家庭,贫困和粮食不安全等重要决定因素.
结论:
- 很大一部分尼日利亚人,特别是穷人,慢性病人和粮食不安全的人,有未满足的医疗保健需求.
- 有针对性的干预措施对于确保弱势群体平等获得基本医疗保健服务至关重要.
- 解决医疗保健可访问性问题对于尼日利亚实现全民健康覆盖 (UHC) 的进展至关重要.
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