Janko Janković1, Sladjana Šiljak2, Miloš Erić3, Jelena Marinković4, Slavenka Janković5. 1. Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Dr Subotica 15, Belgrade, 11000, Serbia. drjankojankovic@yahoo.com. 2. Institute of Public Health, Jovana Dučića 1, 78000, Banja Luka, Republic of Srpska, Bosnia and Herzegovina. 3. Faculty of Economics, Finance and Administration, Singidunum University, Bulevar Zorana Đinđića 44, Belgrade, 11000, Serbia. 4. Institute of Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Dr Subotica 15, Belgrade, 11000, Serbia. 5. Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Višegradska 26, Belgrade, 11000, Serbia.
Abstract
OBJECTIVES: To examine demographic, socio-economic, and health status inequalities in the utilization of health care services (UHCS) in the Republic of Srpska (RS), Bosnia and Herzegovina. METHODS: Data were retrieved from the 2010 National Health Survey for the RS adult population (n = 4128). A complex sample design was taken into account for statistical analysis. RESULTS: As compared to men, a higher percentage of women visited a family physician (FP), urgent care department, dentist and private doctor. Higher educated women and those worse-off (OR 1.17) more frequently visited FP. Hospitalization (OR 4.56 for males; OR 9.17 for females), visit to urgent care department (OR 3.19 for males; OR 2.42 for females) and visits to FP in females (OR 1.46) were associated with poor self-perceived health. No inequalities by wealth index were found for the utilization of FP, hospitalization, urgent care and dentist among persons with poor self-perceived health status. CONCLUSIONS: The present study confirmed demographic, socio-economic and health status inequalities in the UHCS in RS. These findings have significant implications for health policy makers that seek to provide equal care for all people living in RS.
OBJECTIVES: To examine demographic, socio-economic, and health status inequalities in the utilization of health care services (UHCS) in the Republic of Srpska (RS), Bosnia and Herzegovina. METHODS: Data were retrieved from the 2010 National Health Survey for the RS adult population (n = 4128). A complex sample design was taken into account for statistical analysis. RESULTS: As compared to men, a higher percentage of women visited a family physician (FP), urgent care department, dentist and private doctor. Higher educated women and those worse-off (OR 1.17) more frequently visited FP. Hospitalization (OR 4.56 for males; OR 9.17 for females), visit to urgent care department (OR 3.19 for males; OR 2.42 for females) and visits to FP in females (OR 1.46) were associated with poor self-perceived health. No inequalities by wealth index were found for the utilization of FP, hospitalization, urgent care and dentist among persons with poor self-perceived health status. CONCLUSIONS: The present study confirmed demographic, socio-economic and health status inequalities in the UHCS in RS. These findings have significant implications for health policy makers that seek to provide equal care for all people living in RS.
Entities:
Keywords:
Family physician; Health service utilization; Health survey; Inequalities in health; Republic of Srpska, Bosnia and Herzegovina
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