共查询到20条相似文献,搜索用时 31 毫秒
1.
Kam Ling Chau 《BMC public health》2010,10(1):664
Background
The problem of accessibility and affordability of health care is reported to be a major social concern in modern China. It is pronounced in rural households which represent 60% of China's population. There are a few large scale studies which have been conducted into socioeconomic inequalities in health care utilisation for rural populations. Those studies that exist are mainly bivariate analyses. The aim of this study is to examine the relationship between socioeconomic characteristics and health service utilisation among rural counties, using aggregated data from a nationally representative dataset, within a multivariate regression analysis framework. 相似文献2.
Background
Previous mixed findings regarding socioeconomic differentials among adolescents can be partly attributed to problems in measuring socioeconomic position (SEP) among adolescents. Accordingly, the Family Affluence Scale (FAS) was developed and used in European countries, where it yielded good predictions of socioeconomic differentials in health. However, no prior study has examined whether this new measure for SEP among adolescents is applicable outside Europe. 相似文献3.
Patrizia Schifano Chiara Marinacci Giulia Cesaroni Valeria Belleudi Nicola Caranci Antonio Russo Carlo A Perucci 《International journal for equity in health》2009,8(1):33-10
Background
The inverse association between socioeconomic position (SEP) and health has been extensively explored in Italy; however few studies have been carried out on the relationship between income inequalities and health status or health services utilisation, particularly at a local level. 相似文献4.
Inequalities in health and health service utilisation among reproductive age women in St. Petersburg,Russia: a cross-sectional study 总被引:1,自引:0,他引:1
Tatiana Dubikaytis Meri Larivaara Olga Kuznetsova Elina Hemminki 《BMC health services research》2010,10(1):307
Background
Russian society has faced dramatic changes in terms of social stratification since the collapse of the Soviet Union. During this time, extensive reforms have taken place in the organisation of health services, including the development of the private sector. Previous studies in Russia have shown a wide gap in mortality between socioeconomic groups. There are just a few studies on health service utilisation in post-Soviet Russia and data on inequality of health service use are limited. The aim of the present study was to analyse health (self-rated health and self-reported chronic diseases) and health care utilisation patterns by socioeconomic status (SES) among reproductive age women in St. Petersburg. 相似文献5.
Enrique Regidor David Martínez María E Calle Paloma Astasio Paloma Ortega Vicente Domínguez 《BMC health services research》2008,8(1):183
Background
Several studies in wealthy countries suggest that utilization of GP and hospital services, after adjusting for health care need, is equitable or pro-poor, whereas specialist care tends to favour the better off. Horizontal equity in these studies has not been evaluated appropriately, since the use of healthcare services is analysed without distinguishing between public and private services. The purpose of this study is to estimate the relation between socioeconomic position and health services use to determine whether the findings are compatible with the attainment of horizontal equity: equal use of public healthcare services for equal need. 相似文献6.
Background
In the absence in the major Australian administrative health record collections of a direct measure of the socioeconomic status of the individual about whom the event is recorded, analysis of the association between the health status, use of health services and socioeconomic status of the population relies an area-based measure of socioeconomic status. 相似文献7.
Célia L Szwarcwald Paulo RB Souza-Júnior Giseli N Damacena 《BMC health services research》2010,10(1):217
Background
The Brazilian health system is founded on the principle of equity, meaning provision of equal care for equal needs. However, little is known about the impact of health policies in narrowing socioeconomic health inequalities. Using data from the Brazilian World Health Survey, this paper addresses socioeconomic inequalities in the use of outpatient services according to intensity of need. 相似文献8.
Background
One group often identified as having low socioeconomic status, those living in remote or rural areas, are often recognised as bearing an unequal burden of illness in society. This paper aims to examine equity of utilisation of general practitioner services in Australia. 相似文献9.
Background
Years of Life Lost (YLL) is one of the methods used to estimate the duration of time lost due to premature death. While previous studies of disease burden have been reported using YLL, there have been no studies investigating YLL of Yi people in rural China. Yunnan Province ranks first in terms of Yi people in China. This paper uses YLL to estimate the disease burden of Yi people in Shilin county of Yunnan Province. This study aims to address the differentials about YLL between Yi people and Han people for providing useful information for health planning. 相似文献10.
étienne V Langlois Malgorzata Miszkurka Maria Victoria Zunzunegui Abdul Ghaffar Daniela Ziegler Igor Karp 《Bulletin of the World Health Organization》2015,93(4):259-270G
Objective
To assess the socioeconomic, geographical and demographic inequities in the use of postnatal health-care services in low- and middle-income countries.Methods
We searched Medline, Embase and Cochrane Central databases and grey literature for experimental, quasi-experimental and observational studies that had been conducted in low- and middle-income countries. We summarized the relevant studies qualitatively and performed meta-analyses of the use of postnatal care services according to selected indicators of socioeconomic status and residence in an urban or rural setting.Findings
A total of 36 studies were included in the narrative synthesis and 10 of them were used for the meta-analyses. Compared with women in the lowest quintile of socioeconomic status, the pooled odds ratios for use of postnatal care by women in the second, third, fourth and fifth quintiles were: 1.14 (95% confidence interval, CI : 0.96–1.34), 1.32 (95% CI: 1.12–1.55), 1.60 (95% CI: 1.30–1.98) and 2.27 (95% CI: 1.75–2.93) respectively. Compared to women living in rural settings, the pooled odds ratio for the use of postnatal care by women living in urban settings was 1.36 (95% CI: 1.01–1.81). A qualitative assessment of the relevant published data also indicated that use of postnatal care services increased with increasing level of education.Conclusion
In low- and middle-income countries, use of postnatal care services remains highly inequitable and varies markedly with socioeconomic status and between urban and rural residents. 相似文献11.
12.
Background
Geographical variation in health care services challenges the basic principle of fair allocation of health care resources. This study aimed to investigate geographical variation in the use of X-ray, CT, MRI and Ultrasound examinations in Norway, the contribution from public and private institutions, and the impact of accessibility and socioeconomic factors on variation in examination rates. 相似文献13.
Dasha Cherepanov Mari Palta Dennis G. Fryback Stephanie A. Robert 《Quality of life research》2010,19(8):1115-1124
Purpose
The purpose of this study was to describe gender differences in self-reported health-related quality-of-life (HRQoL) and to examine whether differences are explained by sociodemographic and socioeconomic status (SES) differentials between men and women. 相似文献14.
Ahmad Kiadaliri A Najafi B Haghparast-Bidgoli H 《International journal for equity in health》2011,10(1):39
Introduction
Equity in access to and utilization of health services is a common goal of policy-makers in most countries. The current study aimed to evaluate the distribution of need and access to health care services among Iran's rural population between 2006 and 2009. 相似文献15.
An evaluation of access to health care services along the rural-urban continuum in Canada 总被引:1,自引:0,他引:1
Background
Studies comparing the access to health care of rural and urban populations have been contradictory and inconclusive. These studies are complicated by the influence of other factor which have been shown to be related to access and utilization. This study assesses the equity of access to health care services across the rural-urban continuum in Canada before and after taking other determinants of access into account. 相似文献16.
Background
The proportion of people in Vietnam aged 60 and above has increased rapidly in recent decades. However, there is a lack of evidence, particularly in rural settings, on their health-related quality of life (HRQoL) within the context of socioeconomic changes and health-sector reform in the country. This study assesses the level and determinants of HRQoL in a rural district in order to provide evidence for designing and implementing appropriate health policies. 相似文献17.
Bruno Pereira Nunes Elaine Thumé Elaine Tomasi Suele Manjourany Silva Duro Luiz Augusto Facchini 《Revista de saúde pública》2014,48(6):968-976
OBJECTIVE
To assess the inequalities in access, utilization, and quality of health care services according to the socioeconomic status.METHODS
This population-based cross-sectional study evaluated 2,927 individuals aged ≥ 20 years living in Pelotas, RS, Southern Brazil, in 2012. The associations between socioeconomic indicators and the following outcomes were evaluated: lack of access to health services, utilization of services, waiting period (in days) for assistance, and waiting time (in hours) in lines. We used Poisson regression for the crude and adjusted analyses.RESULTS
The lack of access to health services was reported by 6.5% of the individuals who sought health care. The prevalence of use of health care services in the 30 days prior to the interview was 29.3%. Of these, 26.4% waited five days or more to receive care and 32.1% waited at least an hour in lines. Approximately 50.0% of the health care services were funded through the Unified Health System. The use of health care services was similar across socioeconomic groups. The lack of access to health care services and waiting time in lines were higher among individuals of lower economic status, even after adjusting for health care needs. The waiting period to receive care was higher among those with higher socioeconomic status.CONCLUSIONS
Although no differences were observed in the use of health care services across socioeconomic groups, inequalities were evident in the access to and quality of these services. 相似文献18.
Batty GD Bhaskar A Emslie C Benzeval M Der G Lewars H Hunt K 《International journal of public health》2012,57(1):119-126
Objective
To examine gender differentials in the association between life course socioeconomic disadvantage and the risk of exceeding internationally recognised weekly and daily guidelines for ‘sensible’ alcohol consumption and problem drinking. 相似文献19.
Background
Information on adult mortality is essentially non-existent in Ethiopia particularly from rural areas where access to health services is limited and most deaths occur at home. This study was conducted with the aim of identifying causes of adult death in a rural population of Ethiopia using a simplified verbal autopsy instrument. 相似文献20.
Freddy Perez Hamady Ba Sayed G Dastagire Mathias Altmann 《BMC international health and human rights》2009,9(1):28