在葡萄牙的不同结果中,医疗保健利用率的城乡差异
Júlia Martinho1,2, Andreia Leite1,3
1Epidemiology Department, Ricardo Jorge National Institute of Health, Av. Padre Cruz, 1649-016 Lisbon, Portugal.
Journal of public health (Oxford, England)
|October 2, 2025
概括
在葡萄牙,医疗保健的准入因城市化程度而异. 人口较少的地区面临更长的等待时间和更少的结肠镜使用,而农村和郊区的流感疫苗接种率更高.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 城市化对医疗保健的获取和使用模式产生了重大影响.
- 获得医疗保健的不平等往往与不同程度的城市化有关.
- 葡萄牙的城市化水平超过全球平均水平,需要进行本地化研究.
研究的目的:
- 评估城市化程度如何影响葡萄牙的医疗保健利用情况.
- 确定城市化影响的特定医疗保健服务.
- 为旨在减少与地理位置相关的健康差异的政策提供信息.
主要方法:
- 2019年国家健康调查数据的横截面分析.
- 检查了城市化水平与医疗保健利用结果之间的关联.
- 普森回归模型被用来估计调整后的流行率 (aPR).
主要成果:
- 在人口较少的地区观察到,等待时间增加 (aPR=1.54) 和结肠镜利用率减少 (aPR=0.86).
- 在农村 (aPR=1.15) 和郊区 (aPR=1.16) 地区发现流感疫苗接种率更高.
- 对于一般/专家咨询或过度的等待时间,没有发现任何显著的关联.
结论:
- 人口较少的地区的地理因素造成了医疗保健获取障碍.
- 城市地区需要加强战略,以改善流感疫苗接种覆盖率.
- 解决地理差异对于在葡萄牙各地实现公平获得医疗保健至关重要.
相关概念视频
Secondary Healthcare System
2.0K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.0K
Primary Healthcare Services
1.9K
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...
1.9K
Methods Of Healthcare Delivery System
4.0K
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...
4.0K
Issues And Trends In Healthcare Delivery System
6.1K
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...
6.1K
Tertiary Healthcare System
2.2K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
2.2K
Traditional Level Of Health Care System
3.4K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
3.4K
