Equity in health care utilization in Chile.
Equity in health care utilization in Chile.
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DOI：
10.1186/1475-9276-12-58
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发表时间：
2013-08-12
影响因子：
4.8
通讯作者：
Chi C
中科院分区：
文献类型：
--
作者：
Núñez A;Chi C
2005年7月，明确健康保障制度生效，这是智利最广泛的卫生保健改革之一。这一改革保证了对一系列特定健康状况的覆盖。因此，本研究的目的是提供及时的证据，为决策者了解目前的分布和公平的卫生保健利用在智利。作者分析了1992-2009年国家社会经济调查（CASEN）和2006年满意度和自付调查的二级数据，使用两种不同的方法评估卫生保健利用的公平性。首先，我们使用两部分模型来估计与医疗保健利用相关的因素。第二，我们将收入相关的医疗保健使用不平等分解为需要和非需要因素的贡献，并估计了横向不平等指数。这项实证研究的结果包括智利医疗保健系统中有利于富人的不公平现象的证据。我们还发现了一些关键因素，包括教育和医疗支付，影响医疗服务的使用。本研究的结果可以帮助研究人员和政策制定者确定改善卫生保健利用公平性的目标，并相应地加强卫生保健服务的可获得性。
One of the most extensive Chilean health care reforms occurred in July 2005, when the Regime of Explicit Health Guarantees (AUGE) became effective. This reform guarantees coverage for a specific set of health conditions. Thus, the purpose of this study is to provide timely evidence for policy makers to understand the current distribution and equity of health care utilization in Chile. The authors analyzed secondary data from the National Socioeconomic Survey (CASEN) for the years 1992–2009 and the 2006 Satisfaction and Out-of-Pocket Payment Survey to assess equity in health care utilization using two different approaches. First, we used a two-part model to estimate factors associated with the utilization of health care. Second, we decomposed income-related inequalities in medical care use into contributions of need and non-need factors and estimated a horizontal inequity index. Findings of this empirical study include evidence of inequities in the Chilean health care system that are beneficial to the better-off. We also identified some key factors, including education and health care payment, which affect the utilization of health care services. Results of this study could help researchers and policy makers identify targets for improving equity in health care utilization and strengthening availability of health care services accordingly.
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影响因子：
3
作者：
ADAY, LA;ANDERSEN, RM
通讯作者：
ANDERSEN, RM
影响因子：
9.8
作者：
OLSEN, EO;ROGERS, DL
通讯作者：
ROGERS, DL
影响因子：
4.8
作者：
Paraje, Guillermo;Vasquez, Felipe
通讯作者：
Vasquez, Felipe
影响因子：
5
作者：
ANDERSEN, RM
通讯作者：
ANDERSEN, RM
影响因子：
3.2
作者：
Albala, C;Vio, F;Uauy, R
通讯作者：
Uauy, R