SOCIAL DIFFERENCES IN HEALTH AND UTILIZATION OF HEALTH-SERVICES IN ITALY
SOCIAL DIFFERENCES IN HEALTH AND UTILIZATION OF HEALTH-SERVICES IN ITALY
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DOI：
10.1016/0277-9536(90)90277-y
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发表时间：
1990-01-01
影响因子：
5.4
通讯作者：
DIORIO, F
中科院分区：
文献类型：
--
作者：
PIPERNO, A;DIORIO, F
本文根据相关的社会特征描述了目前的死亡率、发病率、致残率、服务使用和生活方式的模式。总体而言，经验证据表明，无论是受教育程度、职业还是居住地区，较低的社会经济群体在不同的健康指标上继续得分更低，尽管他们的健康状况总体上有所改善。有两个结果特别重要。一些南方地区积聚了较高的疾病集中度，成为多问题地区。中上层社会群体越来越多地使用私营卫生部门，尽管他们受到《国家卫生服务规定》的保护。这最后的发展可能会对1978年与国民健康保险制度引入的均衡化战略产生反作用。
This paper described the present pattern of mortality, morbidity, invalidity, use of services, and life-style according to relevant social characteristics. On the whole, the empirical evidence shows that lower socioeconomic groups, identified either by level of education, profession, or region of residence, continue to score worse on different health measures despite a general improvement in their state of health. Two results are of particular importance. Some southern regions accumulated a higher concentration of ill-health conditions and became multi-problem areas. Middle and, above all, upper social groups have increasingly used the private health sector despite that fact that they are covered under the National Health Service provisions. This last development may be counter-productive for the strategy of equalization introduced in 1978 with the NHS.