Measuring and explaining health and health care inequalities in Jamaica, 2004 and 2007

Scott, Ewan; Theodore, Karl

doi:10.1590/s1020-49892013000200006

Cited by 14 publications

(13 citation statements)

References 11 publications

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“…Other studies have evaluated the effects of a special policy on health care utilization and its resulted consequences (6,(9)(10)(11). Few studies have focused on the health care system and measured health inequality and equity in both outpatient and inpatient care, and also in public and private sectors, as well (12)(13)(14)(15)(16)(17)(18)(19)(20)(21).…”

mentioning

confidence: 99%

Health Care Utilization Inequality in a Mixed Public-Private Health Care System: An Insight from the National Survey in Iran

et al. 2019

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Background: Equitable health care utilization is a pillar of the Universal Health Coverage (UHC) and is also a concern to policymakers. Measuring and quantifying the inequalities are essential in assessing the progress toward achieving the UHC goals. Several studies have focused on overall measures of unfair inequality in health care utilization. The overall approaches to outpatient and inpatient services are not representative of the differences in health care usage in public and private sectors in a mixed healthcare system, like Iran. A few studies have assessed inequality measures for general practitioners (GPs), specialists (SPs), and hospital admission services in different sectors, separately. Objectives: This study aimed at measuring health care utilization inequalities in outpatient and inpatient health services in public and private sectors in Iran. Methods: In this study, national representative data derived from the utilization of health services survey (UHSS) in 2014 was used. The concentration curve (CC) and concentration index (CI) were applied to assess inequalities in health care utilization services, including the number of GP visits, SP visits, and admission in hospitals. We used ADePT software to produce a nonlinear estimation of CI for these count variables. The indirect standardization method was used to standardize the services for differences in needs by age and gender. The inequality in health care utilization was examined in both public and private sectors, separately. Results: Based on the results, public and private outpatient settings, except for the private GP visits, followed a pro-poor pattern. Inpatient admission in the public sector had a pro-poor model, but it showed a pro-rich pattern in the private sector. GP visits in the private sector changed in favor of the poorer people and SP visits in the public sector changed toward a pro-rich pattern after standardization for differences in needs. CI for family physician (FP) and GP visits in public and private sectors, and also SP visits in public and private sectors was -0.089, -0.086, -0.010, 0.025, and -0.018, respectively. CI for the inpatient admission in public and private sectors was -0.126 and 0.157, respectively. GP, SP and hospital services utilization showed a pro-poor pattern. Conclusions:The results of this study showed that most of the health care utilization followed a pro-poor model in the mixed health care system in Iran. SP visits in the public sector changed toward a pro-rich pattern after standardization for differences in needs. Although public outpatient services need more attention to maintain their pro-poor distribution, SP visits in the public sector should be more considered to follow a pro-poor pattern. Health policymakers are recommended to take measures to eliminate barriers to access this service. This may lead to reduce a gap between the poor and rich people in the utilization of the health care and moving toward the UHC.

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confidence: 99%

Health Care Utilization Inequality in a Mixed Public-Private Health Care System: An Insight from the National Survey in Iran

et al. 2019

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“…Finally, it is necessary to emphasize that the reduction of these inequities is essential in terms of health, since the use of reproductive health services contributes to the reduction of maternal and perinatal mortality rates, which are still high in Brazil, especially in North and Northeast regions (12,17). In the context of this study, the private health system emerges as a source producer of inequality, as noted by other researchers, highlighting the importance of policies that guarantee the right to health (17,19,(23)(24)(25).…”

Section: Discussionmentioning

confidence: 63%

“…Social inequities related to the use of public health services have also been identified in national studies from America Latina (21). These results have been observed even in studies that analysed the evolution of inequalities, as is the case in Colombia (23), México (24) and Jamaica (25). These inequities have also been observed in research on reproductive health services (16,17).…”

Section: Discussionmentioning

confidence: 90%

Utilización de servicios de salud materno-infantil según características sociodemográficas en una ciudad del interior del estado de Paraíba, Brasil

Pedraza

Araújo

2016

Rev. Colomb. Obstet. Ginecol.

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Objetivo: analizar el tipo de servicio utilizado (público o privado) en la asistencia prenatal y el parto/ posparto según características sociodemográficas maternas en la ciudad de Campina Grande, Paraíba (Brasil).Materiales y métodos: estudio transversal analítico, en el cual se entrevistaron 633 madres de hijos menores de un año, obteniéndose información sociodemográfica del prenatal, parto y puerperio, incluido el tipo de servicio utilizado. Se analizó la asociación de las características sociodemográficas maternas con dicho servicio.Resultados: la utilización del servicio público fue de 77,0 % en la asistencia prenatal y de 80,1 % en el parto/puerperio. Se encontró una diferencia sistemática en la utilización de servicios públicos en las mujeres de menor escolaridad (PR = 1,31; IC 95 %: 1,14-1,43) y en familias beneficiadas por programa social (PR= 1,28 IC 95 %: 1,14-1,33).Conclusión: los hallazgos destacan desigualdades en la utilización de los servicios de salud prenatal y parto/posparto.

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“…The results of the analysis of incomerelated inequality in health and health care in Brazil, Chile, Colombia, Jamaica, Mexico, and Peru are presented in other articles in this issue (19)(20)(21)(22)(23)(24).…”

Section: Resultsmentioning

confidence: 99%

Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries

Almeida

Sarti

2013

Rev Panam Salud Publica

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Measuring and explaining health and health care inequalities in Jamaica, 2004 and 2007

Cited by 14 publications

References 11 publications

Health Care Utilization Inequality in a Mixed Public-Private Health Care System: An Insight from the National Survey in Iran

Health Care Utilization Inequality in a Mixed Public-Private Health Care System: An Insight from the National Survey in Iran

Utilización de servicios de salud materno-infantil según características sociodemográficas en una ciudad del interior del estado de Paraíba, Brasil

Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries

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