尼日利亚科吉州科吉-东部参议院选区收入对医疗设施使用率影响的空间评估

O.S. Ogbaje, T.I. Gomment, G.G. Ogwuche
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引用次数: 0

摘要

本研究评估了尼日利亚科吉州科吉东部地区收入水平对医疗设施就诊率的影响。通过发放调查问卷、个人观察和获取卫星图像绘制研究区域的数字医疗设施分布图,从患者、医疗工作者和科吉东部居民那里收集了本研究所需的第一手数据,第二手数据来源包括已出版的文献。共发放了 400 份调查问卷,但只收回了 395 份用于分析。研究结果以表格和图表形式呈现,并使用相关分析法对假设进行了检验。研究结果显示,由于治疗费用高昂,大多数受访者(58.80%)不光顾任何医疗机构。研究还发现,影响 Anyigba 地区受访者的主要疾病是疟疾热(76.5%);结果还显示,87.5% 的受访者表示,金钱阻碍了他们光顾医疗机构。研究进一步发现,居民/患者的社会经济特征在决定到医疗机构就诊的频率方面起着重要作用;皮尔逊相关性检验结果表明,就诊模式与受访者的月收入之间存在显著关系,这一点得到了证实。这项研究还显示,收入越低的人使用医疗设施的机会越有限,反之亦然。鉴于 Z 值为 0.288134438445,医疗机构的分布模式似乎与随机分布没有显著差异,因为医疗机构分布图也支持上述说法。因此,建议努力提高个人的社会经济地位,以改善他们获得和利用医疗保健设施的情况。各级政府和有组织的私营部门应就医疗保险计划的重要性开展大规模的公众宣传活动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spatial Assessment of the Effect of Income on Healthcare Facilities Patronage in Kogi-East Senatorial District, Kogi State, Nigeria
This study assessed the level of income on health facility patronage in Kogi East, Kogi State, Nigeria. Primary data necessary for this study were collected from patients, health workers and residents of Kogi East through the administration of questionnaires, personal observations and obtaining of satellite imageries for creation of digital health facilities distribution map of the study area, while the secondary sources includes published documents. A total of 400 questionnaires were administered; however, only 395 were returned for analysis. Results were presented in both tables and charts while the hypothesis was tested using Correlation Analysis. Findings from this research revealed that majority of the respondents (58.80%) do not patronize any health facilities due to the high cost of treatment. The study also found that the major illness that affects respondents in Anyigba is Malaria Fever (76.5%); the result also shows 87.5% of the respondents disclosing that money has prevented them from patronizing health facilities. The study further found that the socio-economic characteristics of the residents/patients play a significant role in determining the frequency of visits to healthcare facilities; this is substantiated with the Pearson correlation test result that revealed a significant relationship between patronage pattern and monthly income of the respondents. This research also revealed that the lower the incomes of an individual, the limited access such individual would have to health facilities and vice versa. Given the z-score of 0.288134438445, the distribution pattern of the health facilities does not appear to be significantly different than random, as the healthcare facilities map also support the above claim. It is therefore recommended that efforts should be put in place to improve the socio-economic status of individuals so as to improve their access and utilization of healthcare facilities. Government at all levels as well as the organized private sector should carry out massive public awareness on the importance of health insurance scheme.
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