scholarly journals Mortality amenable to health care and its relation to socio-economic status in Hungary, 2004–08

2011 ◽  
Vol 22 (5) ◽  
pp. 620-624 ◽  
Author(s):  
Csilla Nagy ◽  
Attila Juhász ◽  
Linda Beale ◽  
Anna Páldy
Keyword(s):  
Health Care ◽  
Economic Status ◽  
Socio Economic Status

scholarly journals Inequities in curative health-care utilization among the adult population (20–59 years) in India: A comparative analysis of NSS 71st (2014) and 75th (2017–18) rounds

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241994
Author(s):  
Shreya Banerjee ◽  
Indrani Roy Chowdhury
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Economic Status ◽  
Adult Population ◽  
Supply And Demand ◽  
Strong Association ◽  
Sample Survey ◽  
Necessary Condition ◽  
Care Utilization ◽  
Socio Economic Status

Objective The study attempts (a) to compute the degree of socio-economic inequity in health care utilization and (b) to decompose and analyze the drivers of socio-economic inequity in health care utilization among adults (20–59 years) in India during the periods 2014 and 2017–18. Data source The analysis has been done by using the unit level data of Social Consumption: Health (Schedule number 25.0), of National sample Survey (NSS), corresponding to the 71st and 75th rounds. Methods Odds ratios were computed through logistic regression analysis to examine the effect of the socio-economic status on the health seeking behaviour of the ailing adult population in India. Concentration Indices (CIs) were calculated to quantify the magnitude of socio-economic inequity in health care utilization. Further, the CIs were decomposed to find out the share of the major contributory factors in the overall inequity. Results The regression results revealed that socio-economic status continues to show a strong association with treatment seeking behavior among the adults in India. The positive estimates of CIs across both the rounds of NSS suggested that health care utilization among the adults continues to be concentrated within the higher socio-economic status, although the magnitude of inequity in health care utilization has shrunk from 0.0336 in 2014 to 0.0230 in 2017–18. However, the relative contribution of poor economic status to the overall explained inequities in health care utilisation observed a rise in its share from 31% in 2014 to 45% in 2017–18. Conclusion To reduce inequities in health care utilization, policies should address issues related to both supply and demand sides. Revamping the public health infrastructure is the foremost necessary condition from the supply side to ensure equitable health care access to the poor. Therefore, it is warranted that India ramps up investments and raises the budgetary allocation in the health care infrastructure and human resources, much beyond the current spending of 1.28% of its GDP as public expenditure on health. Further, to reduce the existing socio-economic inequities from the demand side, there is an urgent need to strengthen the redistributive mechanisms by tightening the various social security networks through efficient targeting and broadening the outreach capacity to the vulnerable and marginalized sections of the population.

Sind vor dem Virus alle gleich? Gerechte Gesundheitsversorgung in der Krise

2021 ◽  
Vol 70 (7-8) ◽  
pp. 437-453
Author(s):  
Kristina Woock ◽  
Susanne Busch
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care System ◽  
Economic Status ◽  
Risk Of Infection ◽  
Current Crisis ◽  
Socio Economic Status ◽  
Distribution Of Resources ◽  
Intergenerational Fairness ◽  
Care System

Im Rahmen der COVID-19-Pandemie wird die Frage nach einer gerechten Gesundheitsversorgung anhand verschiedener Interventionsebenen diskutiert. Menschen mit niedrigem sozioökonomischem Status weisen aufgrund ihrer höheren Exposition zum Virus ein höheres Infektionsrisiko auf. Intergenerationale Gerechtigkeit, beispielsweise im Kontext der Impfpriorisierung, ist ebenfalls in der Diskussion. Menschen, die nicht an COVID-19 erkrankt sind, nehmen Gesundheitsleistungen seltener in Anspruch. Um eine gerechtere Gesundheitsversorgung zu gewährleisten wird vorgeschlagen, dass eine sozial gerechte Grundstruktur nicht die gleichmäßige Verteilung von Ressourcen bedeutet, sondern dass eine gleiche Ausgangslage für alle den Ausschlag für mehr Gerechtigkeit in der Krise gibt. Abstract: Is the Virus a Respecter of Persons? Fair Provision of Health-Services in the Current Crisis. In the context of the COVID-19 pandemic the issue of a fair provision of health-services is being raised on different layers of intervention. People with a low socio-economic status face a higher risk of infection because of increased exposure to the virus. Intergenerational fairness is under discussion, for instance in the context of the prioritization of inoculation. People that suffer from other diseases than COVID-19 take less advantage of the health-care system. For ensuring a more suitable distribution of resources it is being suggested that not equality in the distribution of resources but equity in initial positions will ensure more justness in a crisis.

scholarly journals Forty Years after Alma-Ata: How People Trust Primary Health Care?

2020 ◽  
Author(s):  
Homayoun Sadeghi Bazargani ◽  
Mohammad Saadati ◽  
Jafar Sadegh Tabrizi ◽  
Mostafa Farahbakhsh ◽  
Mina Golestani
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Linear Regression ◽  
Economic Status ◽  
Public Trust ◽  
Short Version ◽  
Socio Economic Status ◽  
Services Delivery ◽  
Trust Level ◽  
Primary Health

Abstract Background: Primary Health Care (PHC) was introduced as the first level of health services delivery after Alma-Ata declaration. However, after forty years, it needs to be more trustful to achieve its predefined objectives. Public trust in PHC is one of the neglected issues in the context. The aim of this study is to evaluate public trust in PHC in Iran.Methods: The present investigation is a household survey conducted in East Azerbaijan Province, Iran. Two-stage cluster sampling method with Probability Proportional to Size (PPS) approach was used. Totally, 1178 households were enrolled in the study. PHC trust questionnaire and Ultra-short version of Socio-Economic Status assessment questionnaire (SES-Iran) was used for data collection. Data were analyzed using STATA software (version 15) through descriptive statistics and linear regression. Results: The mean± SD age of the participants was 41.2±15.1 and most (53.7%) were female. Mean score of PHC trust was 56.9±24.7 (out of 100). It was significantly different between residents of Tabriz (the capital of province) and other cities in the province (p<0.001). Linear regression showed that younger age, gender, insurance type, being married, and households higher socio-economic status had a significant positive effect on PHC trust level with R2 = 0.14383.Conclusions: Public trust in PHC system in Iran needs to be improved. Individual variables had a small but key role in trust level. PHC trust cannot be only affected by individual's variables and experiences but also by health system and health providers' characteristics and public context in which PHC system exists. PHC trust level could be used as a public indicator in health systems especially in Low and Middle Income Countries (LMIC) to contribute in system strengthening policies at the national and international levels.

Sign in / Sign up

Export Citation Format

Share Document