Inequality in Utilization of In‑patients Health Services in Iran

Koorosh Etemad, Parvin Yavari, Yadollah Mehrabi, Aliakbar Haghdoost, Mohammad Esmaeel Motlagh, Mohammad Javad Kabir, Nahid Jafari


Background: Health services for those in need. Inpatient care shows a more serious side of individual care and patients and their family members perceive a high level of stress and urge.
We conducted this study to determine inequalities of in-patient health care utilization in Iranian people and to assess factors that influence utilization.
Methods: In each province, the sample was comprised of 380 urban and 380 rural households that were recruited by a systematic random sampling method. A total of 23,560 households, which included around 102,000 individuals were recruited. We used the questionnaire for data
collection. Met admission need (MAN) was the main variable and was considered household assets for determining the economic status. We did all analyses using the STATA version 9.1.
Results: The rates of MAN for urban and rural areas were 83% and 81.3% respectively. The rate of MAN was significantly higher in patients with higher educational level. Patients with primary
health insurance coverage had significantly higher rate of MAN.
Conclusions: Meeting admission needs was estimated around 84% and it seems that modifying insurance coverage is the most feasible intervention for increasing utilization of health services.
Keywords: Inequality, inpatients, met admission need, utilization

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