决定乌干达医疗保健提供者选择的因素

Medard Turyamureba, Bruno Yawe, John Oryema
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引用次数: 0

摘要

自1990年代初以来,乌干达政府在卫生部门实施了若干改革,例如下放卫生服务提供权和取消公共卫生设施的使用费,目的是实现公平获得优质保健服务的机会。尽管进行了这些改革,但在乌干达,低水平的医疗保健利用仍然是一个严重的挑战;自付卫生支出仍然很高:占卫生总支出的41%。本研究旨在研究影响乌干达患者选择医疗保健提供者的因素。使用2019/20年乌干达全国家庭调查的数据估计了一个多项逻辑模型。结果表明,医疗费用、家庭福利、教育保险水平和地区是决定医疗服务提供者选择的重要因素。疾病持续时间、到保健设施的距离和疾病类型也是重要的决定因素。研究结果强调,政府有必要引入一项国家健康保险计划,以减少医疗保健的自付费用,这将使弱势群体能够到医疗机构就诊。它还应通过建造和装备更多的卫生设施来增加对卫生部门的投资。JEL分类:C25, I11, I12, I18
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Determining the Choice of Healthcare Providers in Uganda
Since early 1990s, the government of Uganda has implemented a number of reforms in the health sector, such as decentralization of health service delivery and removal of user fees in public health facilities aimed at achieving equitable access to quality healthcare. Despite these reforms, low levels of healthcare utilisation has remained a serious challenge in Uganda; and out-of-pocket health expenditure remains very high: at 41% of total health expenditure. This study seeks to examine factors that influence patients’ choice of healthcare providers in Uganda. A multinomial logistic model was estimated using data from the 2019/20 Uganda National Household Survey. The results showed that cost of healthcare, household welfare, level of education insurance, and region were significant in determining the choice of a healthcare provider. Duration of illness, distance to a health facility and type of illness were also significant determinants. The findings highlight the need for the government to introduce a national health insurance scheme to reduce out-of-pocket payments for healthcare, which will enable vulnerable individuals visit health facilities. It should also increase investments in the health sector by constructing and equipping more health facilities. JEL Classification: C25, I11, I12, I18
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