Logo-jrhs
J Res Health Sci. 2015;15(1): 37-41.
PMID: 25821024
Scopus ID: 84924859289
  Abstract View: 76
  PDF Download: 24

Original Article

Horizontal Inequity in Access to Outpatient Services among Shiraz City Residents, Iran

Zahra Kavosi, Abolfazl Mohammadbeigi, Vajihe Ramezani-Doroh*, Nahid Hatam, Abdosaleh Jafari, Azarmidokht Firoozjahantighi
*Corresponding Author: Email: vajihe_ramazani@yahoo.com

Abstract

Background: lack of access to health services has been mentioned as one of the main causes of health inequity in health system. The aim of this study was to measure horizontal inequity in access to outpatient services in Shiraz.

Method: This household survey was conducted among 1608 participants above 18 years in Shiraz in 2012. Four-stage sampling was used. According to high amount of zero-valued of outpatient services utilization, Zero inflated regression model was established. We computed concentration index (CI) for determining actual (CIM) and indirect standardized utilization (CIIS) of outpatient services in order to compute horizontal inequity index (HII). The results were analyzed using Stata software, version 8.

Results: The CIM was not statistically significant (-0.016, 95% CI: -0.097, 0.066). But the CIIS was statistically significant and favored the rich (0.06, 95% CI: 0.010 to 0.001). The horizontal inequity index was -0.076.

Conclusions: There was no inequality in actual amount of outpatient utilization, maybe High subsidization to health care by government in public sector, high insurance coverage, low prices of health services in the public sector, quality of services and opportunity cost of high income groups were the reasons for our results.

First Name
 
Last Name
 
Email Address
 
Comments
 
Security code


Abstract View: 77

Your browser does not support the canvas element.


PDF Download: 24

Your browser does not support the canvas element.

Submitted: 27 Sep 2014
Revision: 18 Mar 2015
ePublished: 05 Jan 2015
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - Firefox Plugin)