Volume 22, Issue 1 (3-2019)                   jha 2019, 22(1): 91-102 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Safari F, Nikravan A, Ghalandari B. The effect of Socioeconomic factors and unmet needs on outpatient services in Iran. jha. 2019; 22 (1) :91-102
URL: http://jha.iums.ac.ir/article-1-2897-en.html
1- Health Economics, Faculty of Science and Technology Medicine, Science and Research Branch, Islamic Azad University, Tehran, Iran
2- Department of Health Services Administration, Science and Research Branch, Islamic Azad U university, Tehran, Iran , a.nikravan@srbiau.ac.ir
3- Department of Medical Nanotechnology, Science and Research Branch, Islamic Azad University, Tehran,Iran
Abstract:   (619 Views)
 
Abstract
Introduction: This study aimed to investigate the effect of socioeconomic factors on outpatient services due to lack of access to outpatient services or failure to receive related services and to study the unmet needs of outpatient services in the country.
Methods: This study is an analytical-descriptive study. The data were collected from micro-health services data plan developed by the Health Research Institute in collaboration with the Statistical Center of Iran in 2014. The data were analyzed using econometric models, logistic regression analysis, and Stata version 13.
Results: A significant statistical relationship was found between the socioeconomic indicators and the causes of unmet needs for outpatient services. Based on the logistic regression model, there was a statistically significant relationship between income level, type of activity, educational level, type of insurance, marital and residential status (urban/ rural) and failure to receive outpatient services. The most significant relationship was observed between the economic and social features and the reasons of not fulfilling the need for outpatient services.
Conclusion: The improvement of socioeconomic variables affect the use of outpatient services; therefore, the health system managers are required to pay greater attention to patients’ needs for health services.
Full-Text [PDF 1415 kb]   (168 Downloads)    
Type of Study: Research | Subject: Health Economics
Received: 2019/01/6 | Accepted: 2019/09/24 | Published: 2019/09/24

References
1. Rezapour Aziz, Ebadi Fard Azar F, Ghazanfari Sadegh, MIRZAEI Said, Sarabi Asia bar Ali Bagheri Faradonbeh Said, factors affecting the utilization and access to health care: population-based study in Kerman. Quarterly Journal of Health Management. 2015; 18 (60): 24-36 [In Persian]
2. Almas pour, Farhad, Application of Geographic Information System and Network Analysis in Location of Pharmacies, Study Area, District 6 of Tehran, Master of Science, Tarbiat Modarres University, Tehran, 2001 [In Persian]
3. West off CF, Bankole A. Unmet need: 1990- 1994. Journal of Macro international 1995 16(6): 1-45. [DOI:10.2307/2950797]
4. Vahdat Shaghayegh, Heydarian Nahid, The Effect of Implementation of the Health System Development Plan on Pocket Payments in Selected State Hospitals in Isfahan, Scientific Journal of the Medical Council of the Islamic Republic of Iran, Volume 33, Number 3: 187-194, Autumn 2013 [In Persian]
5. Fazaeli Somayeh, Ahmadi Maryam, Rashidian Arash, Sadoughi Farahnaz, Assessment of the Response System of the Health System System for Iran, 2014, Iranian Red Crescent Medical Journal [In Persian]
6. Pasha O, Fikree FF, Vermund S. Determinants of unmet need for family planning in squatter settlements in Karachi Pakistan. Asia-Pacific Population Journal 2001; 16(2): 93-108. [DOI:10.18356/7caf1c4f-en]
7. Kaushik S. Unmet need for family planning: a comparative analysis of northern and southern states of India based on NFHS data. In: The Millennium Conference on Population Development and Environment Nexus New2000 February 14-16; Delhi India.
8. Hanratty B, Zhang T, Whitehead M, how close have universal health systems come to achieving equity in use of curative services? Systematic review, Int J Health Serv 2007;37(1): 6. [DOI:10.2190/TTX2-3572-UL81-62W7]
9. Chang HT, Lin MH, Hwang IH, Lai HY, Ho MM, Lin CH, Chen CK, Hwang SJ, Utilization and patterns of community healthcare services for senior residents in long-term care facilities in Taiwan: A nationwide study, Journal of the Chinese Medical Association 2013;76: 42-7. [DOI:10.1016/j.jcma.2012.09.008]
10. Pourreza Abolghasem, Khabiri Nemati Raghih, Arabi Mohammad, Akbari Sari Ali, Rahimi Abbas, Tal Azar, An Investigation of the Behavior in the Treatment of Residents of Tehran City and its Effective Factors, Journal of School of Public Health and Institute of Public Health Research, Summer 2009, Volume 7, Issue 2:1-3 [In Persian]
11. Evelina Pappa, Nick Kontodimopoulos, Angelus Papadopoulos, Yannis Tountas and Dimitris Niakas, Int. J. Environ. Res. Public Health 2013, 10, 2017-2027; doi:10.3390/ijerph10052017 [DOI:10.3390/ijerph10052017]
12. Natasa Popovic, Zorica Terzic-Supic, Snezana Simic, Biljana Mladenovic, Serbia; Analysis based on EU-SILC data,2017
13. Allin Sara and Cristina Masseria, Unmet need as an indicator of health care access,2017
14. Justine Orr, Charles N Bernstein, Lesley A. Graff, Scott B Patten, James M. Bolton, Jitender Sareen, James J. Marriott, John D. Fisk, Ruth Ann Merrie, for the CIHR Team in Defining the Burden and Managing the Effects of Immune-mediated Inflammatory Disease, Factors associated with perceived need for mental health care in multiple sclerosis,2018
15. Vicky Barham, Hana Bataineh, and Rose Anne Devlin, Unmet Health Care and Health Care Utilization ,2017

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


© 2020 All Rights Reserved | Journal of Health Administration

Designed & Developed by : Yektaweb