Inequalities in use of health services among Jews and Arabs in Israel
Inequalities in use of health services among Jews and Arabs in Israel
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DOI：
10.1111/j.1475-6773.2006.00645.x
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发表时间：
2007-06-01
影响因子：
3.4
通讯作者：
Green, Manfred S.
中科院分区：
文献类型：
--
作者：
Baron-Epel, Orna;Garty, Noga;Green, Manfred S.
目标.比较犹太人和阿拉伯人利用卫生服务的水平，同时考虑到一个国家的社会经济地位（SES）水平与国家健康保险法（NHIL）的差异。数据来源/研究设置。在以色列进行了一项横断面全国健康访谈调查，根据随机抽样的电话号码作为EUROHIS项目的一部分（WHO欧洲健康访谈调查2003-2004）。随机电话调查包括9，352次访谈。问题包括使用卫生保健服务，健康状况和社会经济变量。在调整性别、年龄、收入、教育、婚姻状况和自我报告的慢性疾病后，与犹太人相比，阿拉伯人更经常报告去看家庭医生（比值比[OR]=1.56，95%置信区间[CI]=1.35-1.81），而较少报告去看专科医生（OR=0.73，95% CI=0.60-0.89）。此外，阿拉伯人和犹太人住院的优势比相似（OR=1.16，95%CI =0.97-1.38）。仅在犹太人口中，SES与医疗保健服务的利用有关。结论。在阿拉伯人和犹太人中观察到不同的保健服务利用模式。这不能用社会经济水平的差异来解释。需要对犹太人和阿拉伯人之间的服务分配进行更多的研究。
Objectives. To compare the levels of utilization of health services in Jews and Arabs taking into account differences in levels of socioeconomic status (SES) in a country with a National Health Insurance Law (NHIL).Data Source/Study Setting. A cross-sectional National Health Interview Survey was carried out in Israel based on a random sample of telephone numbers as part of the EUROHIS project (WHO European Health Interview Survey 2003-2004).Study Design. A random telephone survey included 9,352 interviews. Questions included use of health care services, health status, and socioeconomic variables.Principal Findings. After adjusting for sex, age, income, education, marital status, and self-reported chronic diseases, Arabs more often reported visiting a family physician (odds ratio [OR]=1.56, 95 percent confidence interval [CI]=1.35-1.81) and less often reported visiting a specialist (OR=0.73, 95 percent CI=0.60-0.89) compared with Jews. In addition, the odds ratio for hospitalization was similar among Arabs and Jews (OR=1.16, 95 percent CI=0.97-1.38). SES was associated with utilization of health care services only in the Jewish population.Conclusions. A different pattern of utilization of health care services was observed in Arabs and Jews. This was not explained by differences in socioeconomic levels. More research is needed regarding the distribution of services between Jews and Arabs.