Repository of Research and Investigative Information

Repository of Research and Investigative Information

Baqiyatallah University of Medical Sciences

Determinants of seeking needed outpatient care in Iran: Results from a national health services utilization survey

(2007) Determinants of seeking needed outpatient care in Iran: Results from a national health services utilization survey. Archives of Iranian Medicine. pp. 439-445. ISSN 1029-2977

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Abstract

Background/Objective: To assess the inequity in seeking needed outpatient services in Iran and to investigate its influential factors. Methods: The data were taken from a nation-wide Iranian health survey conducted in 2003. This study is based on individuals aged 15 years and over who had mentioned their need to seek outpatient care within two weeks prior to the day of the interview. The outcome was seeking needed outpatient care. The independent variables included respondents' age, gender, marital status, education, occupation, index of household economic status, health insurance status and residential place (urban vs. rural). Results: Sixty-nine point five percent of those in need sought outpatient care. The rich (OR: 2.38, 95 CI: 1.64 - 3.43) and the health insured (OR: 1.62, 95 CI: 1.25 - 2.08), the pensioners and the retired (OR: 2.26, 95 CI: 1.22 - 4.20), the housewives (OR: 1.77, 95 CI: 1.07 - 2.95) were more likely to seek outpatient care than other occupations. On the other hand, people living in remote rural areas (OR: 0.40, 95 CI: 0.28 - 0.57) were less likely to seek their needed outpatient care than those living in main rural areas and urban areas. Conclusion: As in different parts of the world, differences in seeking needed healthcare still exist across different groups in Iran. Indeed, seeking outpatient care in Iran is related not only to health system functions-like health insurance and health facilities-but also on factors beyond the scope of health authorities such as economic status and occupation.

Item Type: Article
Keywords: access equity health services Iran utilization medical-care access General & Internal Medicine
Divisions:
Page Range: pp. 439-445
Journal or Publication Title: Archives of Iranian Medicine
Journal Index: ISI
Volume: 10
Number: 4
ISSN: 1029-2977
Depositing User: مهندس مهدی شریفی
URI: http://eprints.bmsu.ac.ir/id/eprint/7102

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