欧洲医疗保健利用中的性别差异:来自欧洲健康访谈调查的证据
Davide Golinelli1, Francesco Sanmarchi2, Giovanni Guarducci3
1Department of Life Science, Health, and Health Professions, Link University, Rome, Italy; Department of Innovation in Healthcare and Social Services, Emilia-Romagna Region, Bologna, Italy.
Health policy (Amsterdam, Netherlands)
|September 29, 2025
概括
在欧洲,女性使用的非急性医疗保健服务比男性更多,因国家和服务类型而有很大的差异. 住院率相似,表明疾病严重程度或寻求护理行为的差异.
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
- 性别研究是性别研究.
背景情况:
- 在获得和使用医疗保健方面的性别差异会影响健康公平.
- 有限的跨国数据存在于各种服务领域的欧洲医疗保健利用的性别差异.
研究的目的:
- 调查27个欧洲国家在医疗保健利用中的基于性别的差异.
- 分析不同类型的医疗保健服务中这些差异的变化.
主要方法:
- 通过欧洲健康访谈调查 (2019-2020) 分析了257,388名成年人的数据.
- 评估了12个医疗保健利用指标,包括门诊护理,心理健康服务和药物使用.
- 使用逆概率加权的回归模型估计性别差异.
主要成果:
- 女性对门诊和预防服务 (一般医生,专家,牙科,物理治疗,心理治疗,家庭护理) 和药物的使用率更高.
- 在住院率方面没有发现显著的性别差异.
- 观察到国家间差异的多样性很大,像拉脱维亚,立陶宛和波兰这样的国家比丹麦,荷兰和爱尔兰差距更大.
结论:
- 在欧洲,女性总是比男性更多地使用非急性医疗保健服务.
- 可比的住院率可能表明疾病严重程度或寻求护理行为的差异.
- 需要具体的背景政策来解决因跨国差异而导致的医疗保健利用中的性别不平等问题.
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