Increasing inequalities in health care utilisation across income groups in Sweden during the 1990s?
Increasing inequalities in health care utilisation across income groups in Sweden during the 1990s?
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DOI：
10.1016/s0168-8510(02)00016-7
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发表时间：
2002-11-01
期刊：
影响因子：
3.3
通讯作者：
Burström, B
中科院分区：
文献类型：
--
作者：
Burström, B
瑞典卫生政策强调健康和医疗保健的公平性。在1990年代，瑞典卫生保健的组织和提供发生了很大变化，使用费也有所增加。20世纪90年代，各收入群体的医疗保健利用模式是否发生了变化？1988/89年和1996/97年瑞典生活条件调查中的三个问题衡量了保健利用情况：过去3个月看过医生;过去3个月住院;过去3个月寻求急诊。另一个问题涉及在过去3个月内需要但未寻求医疗护理。年龄标准化的患病率和调整后的优势比利用计算整个样本和限制长期疾病的人，收入五分位数。结果表明，在利用保健服务的不平等可能增加，对低收入群体不利。在1988/89年并不明显的反向收入梯度出现在1996/97年，需要但不寻求医疗保健。有必要进行进一步的具体研究，以监测瑞典在获得和利用保健方面出现的不平等现象。(C)2002爱思唯尔科学爱尔兰有限公司保留所有权利。
Swedish health policy emphasises equity in health and health care. During the 1990s considerable changes have taken place in the organisation and delivery of Swedish health care and user fees have increased. Did patterns of health care utilisation across income groups change during the 1990s? Health care utilisation was measured from three questions in the Swedish Survey of Living Conditions 1988/89 and 1996/97: having seen a doctor in the last 3 months; having been hospitalised in the last 3 months; and having sought emergency care in the last 3 months. An additional question concerned having needed but not sought medical care in the last 3 months. Age standardised prevalence rates and adjusted odds ratios for utilisation were calculated for the whole sample and among persons with limiting longstanding illness, by income quintiles. Results suggest a possible increase in inequalities in utilisation of health services, to the disadvantage of low income groups. An inverse income gradient which was not evident in 1988/89 appeared in 1996/97 in having needed but not sought medical care. Further specific studies are warranted to monitor emerging inequalities in access to and utilisation of health care in Sweden. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.