患有慢性病的约旦罗姆人的无障碍困难和保健服务的利用

Current Pediatric Research Pub Date : 2021-01-01 DOI:10.35841/0971-9032.25.4.481-495

Mohammad Othman Abudari, M. Al-Hussami

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引用次数: 0

摘要

目的:研究影响约旦罗姆慢性病患者医疗保健利用的因素。它还探讨了其中寻求行为的医疗保健，他们的特点和获得医疗保健的能力。设计/方法/方法:进行横断面描述性调查，通过使用基于加拿大社区健康调查的结构化问卷进行面对面访谈来收集数据。采用Andersen行为模型分析易感因素、使能因素、需要因素和结果因素对医疗保健利用的影响，并采用多元线性回归分析可及性困难的预测因子。结果表明:98.8%的参与者表示他们在获得诊断、治疗或咨询所需的护理方面存在困难，24.8%的参与者表示他们去年没有利用医疗保健服务。另一方面，慢性病的数量和对医疗服务的满意度显著提高了医疗服务的利用率;年龄、医疗保险、居住地点、慢性病数量及其持续时间以及对医疗保健的满意度显著影响医疗保健服务的可及性。实际影响:向偏远定居点提供流动卫生单位，提供满足其卫生需求的有效卫生保健服务，并与当地卫生系统相结合。社会影响:让罗姆儿童接受教育的努力。建立职业培训项目以就业为目的。建立充足合理的住房，与其他人口并驾齐驱。原创性/价值:这项研究被认为是第一个解决约旦罗姆人健康状况、保健服务的利用和可及性的研究，最终结果有助于提出改善健康和促进保健公平的不同方法。

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Accessibility Difficulties, and Utilization of Healthcare Services Among Jordanian Roma with Chronic Diseases

Purpose: To examine factors that affect healthcare utilization among Roma population with chronic diseases in Jordan. It also explores behavior-seeking health care among them, their characteristics and ability to access healthcare. Design/Methodology/Approach: A cross-sectional descriptive survey performed, data collection done through in-person interviews using a structured questionnaire based on the Canadian Community Health Survey. Andersen’s behavioral model was implemented to examine the influences of predisposing, enabling, need, and outcome factors on healthcare utilization using binary logistic regression, and predictors for accessibility difficulties using multiple linear regression, Findings: 98.8% of the participants stated that they had difficulties in getting the care needed for diagnosis, treatment, or consultation, and 24.8% said that they didn’t utilize healthcare services last year. The number of chronic diseases and satisfaction level with the healthcare services significantly increase utilization, on the other hand; age, health insurance, resident location, number of chronic diseases and their duration as well as satisfaction with the healthcare are significantly affect accessibility difficulties to healthcare services. Practical implications: Provide mobile health units to reach remote settlements, that provide efficient healthcare services that met their health needs, and to be integrated with local health system. Societal implications: Efforts to involve Roma children in education. Establishing vocational training programs ended with employments. Establish sufficient and reasonable housing, to be side by side to the other population. Originality/value: This study is considered as the first to address the Jordanian Roma health status, utilization and accessibility to healthcare services, the end results help in suggesting different approaches to improve health and promote health equity.

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来源期刊

Current Pediatric Research Medicine-Pediatrics, Perinatology and Child Health

自引率

0.00%

发文量

145

期刊介绍： Current Pediatric Research is an interdisciplinary Research Journal for publication of original research work in all major disciplines of Pediatric Research. The objective of the journal is to provide a scientific communication medium to discuss the utmost advancements in the domain of Pediatric Research. This journal aims to assemble and reserve precise, specific, detailed data on this immensely diversified subject. Current Pediatric Research is scientific open access journal that specifies the development activities conducted in the field of pediatric research. This journal encompasses the study related to different diversified aspects in pediatric research such as Pediatric Nursing, pediatric emergency care, pediatric nephrology, pediatric pulmonology, pediatric psychology, pediatric dental care, pediatric diabetes, pediatric stroke, pediatric healthcare, pediatric congenital heart disease, pediatric trauma and many more relevant fields.